Categories: Causes

Endometriosis and Infertility

Definition

Patches of endometrial tissue that are normally found only in the uterine lining (endometrium) growing outside the uterus, usually in the abdominal cavity (ovaries, uterine ligaments, intestines, ureters, bladder, vagina, surgical scars) , although it may appear in other parts of the body (chest lining, brain). It quite commonly is attached to the outside of internal organs and most often adheres to the ovaries and uterine ligaments. This tissue still keeps the same traits it would have if it still were present inside the uterus; grows and builds mid cycle, and bleeds during menstruation. This causes pain of varying degrees in different women. When this continues for some time, the misplaced tissue may cause scarring that leads to an adhesion (sticking together) of internal surfaces (organs, ligaments) and may eventually inhibit proper functioning of certain aspects of the body.

Causes

Endometriosis seems to run in families (mostly Caucasian). Also, giving birth for the first time after the age of 30 seems to be a risk factor. The best theory to date of why this condition comes fourth is said to be during menstruation, some of the endometrial tissue that is usually shed through the vagina, flows backward out the uterine (Fallopian) tubes.

Signs & Symptoms

pain in the lower abdomen and pelvic region, irregular menses, spotting between periods or before periods, infertility (difficulty conceiving), pain during sexual intercourse, abdominal swelling, pain during bowel movements, bleeding from the rectum during menstruation, lower abdominal pain during menstruation, and there are sometimes no symptoms at all.

Diagnosis

when a woman shows typical signs described above, or has unexplained infertility one may suspect Endometriosis. There may also be palpable masses in the lower abdomen. To see if there is endometrial tissue outside of the uterus, a doctor will use a small fiber optic viewing tube called a laparoscope that enters the abdominal cavity through a small incision made just below the navel. Sometimes it may not be conclusive by only viewing so a biopsy (small sample) will be taken. Ultrasounds, MRI’s, barium enemas, CT scans, and x-rays may also be used to determine the extent of the disease. Blood tests that show antibodies for endometrial tissue are also a signal that the body may be attacking regular body tissues that are out of place.

Infertility, Traditional Chinese Medicine, & Endometriosis

Endometriosis is a modern disease. Chinese medicine treats the western disease diagnosis of ‘endometriosis’ by reframing the signs and symptoms displayed by the client into traditional Chinese medical disease categories. The most common symptom associated with endometriosis is pain surrounding menses. The traditional Chinese medical disease category for pain during menstruation would be ‘Painful Periods’. Another common symptom of endometriosis is the inability to conceive. This becomes reframed into the traditional Chinese medical disease category of ‘Infertility‘. Thirdly, there can be erratic bleeding cycles, i.e. bleeding outside of the cycles, early spotting, spotting mid cycle, or spotting after the end of the cycle for several days. The traditional Chinese Medical disease category in these instances would be ‘Erratic Menses‘. There may also be profuse bleeding during the period (the bleeding is very heavy), this would fall under the category of ‘Profuse Menstruation‘. Therefore, the western medical diagnosis of ‘endometriosis’ can be reframed into at least 1-5 different traditional Chinese medical disease categories depending on the signs and symptoms displayed by the woman, mainly painful periods, infertility, and profuse menstruation. This is representative of how traditional Chinese medicine treats the individual person, not the disease.

The question, ‘How much relief will someone with severe endometriosis benefit from treatment with Chinese medicine?‘ is really dependant on the degree of compliance and commitment the client displays toward the requirements necessary for success. One must be willing to invest in themselves, make room for some lifestyle changes, modify their diet (sometimes drastically), undergo regular acupuncture treatment, religiously take the prescribed herbal formulas, and practice the intention required by the body mind and spirit to overcome a severe health condition. With time and diligence, 70-80% of women being treated with traditional Chinese medicine can expect to see significant reductions in their symptoms. 20% of women will get minimal to no results (as in every type of disease, there is always a small group of people who will not respond to the treatments, there is no explanation for this). Some women see results within just a few treatments, although, it should be noted that it is not unrealistic to expect six months to one-and-a-half years of treatment with traditional Chinese medicine to see results with lasting effect. If you are looking for a quick fix and are not willing to dedicate to the necessary commitments stated above for at least 6 months, it would be advisable to opt for laser surgery and have the major scaring removed. Laser surgery has more of a ‘bandage’ effect, meaning, the displaced endometrial tissue usually grows back in time, and it will be necessary to revisit this style of treatment 1-2 times per year. If surgery is your choice, consider traditional Chinese medicine to help remain symptom free for longer periods of time between hospital visits.

Must Read: Dietary Recomendations for Endometriosis

During treatment with traditional Chinese medicine, the woman’s menstrual cycle can change, sometimes drastically. Some months it may look like things are heading in the right direction, and some months it may seem as though things are going backwards. The more severe the condition, the longer the body must take to heal. Many women that find no relief with traditional Chinese medicine have set unrealistic expectations, and quit before changes can occur. Treatment with traditional Chinese medicine is, in most cases, a more permanent fix, but, it must be remembered that it takes time for traditional Chinese medicine to make the adjustments and changes that must occur within the reproductive body tissue.

Decide today that you will be free of the suffering associated with endometriosis

Diet Recomendations for Endometriosis

Women with endometriosis should be particularly vigilant about increasing their consumption of kelp and wheat germ.

Endometriosis has been linked to thyroid dysfunction and kelp is particularly good for thyroid problems. The vitamin E in wheat germ improves the healing of scar tissue caused by internal endometrial bleeding. Women who suspect endometriosis should cut down on their yeast consumption, as yeast overgrowth has been recently implicated in endometriosis. Also, since yeast thrives on sugar, strictly avoid sugar, as well as any artificial sweeteners and dairy, though yogurt can be helpful for this problem.

In general, women with endometriosis should stick to a high-fiber, vegetarian based diet. Particularly, the elimination of fats from animal sources such as meat and dairy products is beneficial. Women with endometriosis should also particularly avoid caffeine and salt and should indulge in antioxidants such as sweet potatoes, yams, apricots, cantaloupes, carrots, spinach and broccoli, whole grains and beans for necessary B vitamins, and citrus fruits for bioflavonoids and natural vitamin C.

Dr Spence Pentland

Dr. Pentland is founder of The IVF Acupuncture Group of Greater Vancouver, available 7 days a week for on site embryo transfer and acupuncture treatments at the Pacific Centre for Reproductive Medicine (PCRM) and Genesis Fertility Centre. “The integrated relationship I have established with these clinics is something that I value very much as it expands my knowledge, gives me the opportunity to reach more people, and helps me better understand how to support women on their journey toward family.” says Dr. Pentland. Dr. Pentland, along with Dr. Jeffrey Roberts of The Pacific Centre for Reproductive Medicine (PCRM), and Dr. Christine Sutton of the University of British Columbia, authored research published in Fertility & Sterility on the stress reducing effects of acupuncture when administered in the weeks leading up to an IVF embryo transfer. In 2015 Spence published BEING FERTILE - 10 Steps to Help You Overcome the Struggles of Infertility, Get Pregnant, and Create a Happy, Healthy Family. A book written to provide hope, tools and resources for women and couples experiencing difficulty starting or expanding their families. Dr. Pentland is founder of The IVF Acupuncture Group of Greater Vancouver, available 7 days a week for on site embryo transfer and acupuncture treatments at the Pacific Centre for Reproductive Medicine (PCRM) and Genesis Fertility Centre. “The integrated relationship I have established with these clinics is something that I value very much as it expands my knowledge, gives me the opportunity to reach more people, and helps me better understand how to support women on their journey toward family.” says Dr. Pentland. Dr. Pentland, along with Dr. Jeffrey Roberts of The Pacific Centre for Reproductive Medicine (PCRM), and Dr. Christine Sutton of the University of British Columbia, authored research published in Fertility & Sterility on the stress reducing effects of acupuncture when administered in the weeks leading up to an IVF embryo transfer. In 2015 Spence published BEING FERTILE - 10 Steps to Help You Overcome the Struggles of Infertility, Get Pregnant, and Create a Happy, Healthy Family. A book written to provide hope, tools and resources for women and couples experiencing difficulty starting or expanding their families. Further demonstrating his commitment to reproductive health, he is a devoted member of IAAC (Infertility Awareness Association), CFAS (Canadian Fertility and Andrology Society), and ASRM (American Society for Reproductive Medicine). As the former president of the Traditional Chinese Medicine Association of British Columbia and the provincial BC TCM quality assurance committee, Dr. Pentland is well respected by peers and patients alike. He remains actively involved in educating healthcare colleagues and the public on the powerful benefits of Chinese medicine & acupuncture, working steadily on the integration of ancient Daoist wisdom into modern western life as a way to build awareness about reproductive health. This compassionate expertise is reflected in patient testimonials. When not helping others start their families, Spence can be found spending time with his own--his adoring wife Chantal and their two beautiful sons. “I am very proud to be part of the team of professionals at Yinstill. We are all dedicated to raising the bar in the field of complimentary and alternative reproductive medicine. Nothing is more important than family,” he says. Professional Development Certifications Combining TCM and IVF to Improve Clinical Outcomes - Jane Lyttleton Treating Complex Gynecological Conditions with Evidence-based Acupuncture - Elisabet Stener-Victorin High-Performance Summit - Darren Hardy Acupuncture during Pregnancy: safe and ethical practice - Claudia Citkovitz Treating Irregular Menstrual Bleeding - Sharon Weizenbaum Management of High Risk Pregnancy Conditions - David Bray Physiology & Pathology of Gynecology - Giovanni Maciocia Treatment protocols for Menopause and Endometriosis - Kiiko Matsumoto Chinese medicine approach to the treatment of Poor Ovarian Reserve - Brandon Horn Clinical problems and solutions in Oriental Reproductive medicine - Dr. Daoshing Ni Treatment strategies for PCOS, Weight Loss, & type 2 Diabetes - Sharon Weizenbaum Allergic and Autoimmune diseases - Mazin Al-Khafaji Acupuncture in Pregnancy & Childbirth - Debra Betts Treating Infertility with Chinese medicine - Bob Flaws Masters class in Diagnosis - Bob Flaws East meets West in Reproductive medicine - Mike Berkley The Infertility Cure - Chinese wellness program - Randine Lewis Men’s Health and Fertility - Peter Deadman Integrating acupuncture and IVF - Diane Cridennda and Dr. Paul Magarelli Treatment of Infertility with Chinese medicine - Jane Lyttleton Yang School lecture series Part 1 - Dr. Liu Fang Advanced acupuncture in pregnancy - Jean Levesque Certified Western herbalist - Packard School of Nutrition Courageous conversations - Justice Institute Biology of Empowerment - Dr. Lee Pulos Secrets of Chinese Pulse Diagnosis - Bob Flaws and Honora Lee Wolfe View Articles and Blog Posts by Dr. Pentland Read Dr. Pentland's Success Stories Become Spence's friend on facebook

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