This month is Endometriosis awareness month and I have been invited to be a guest speaker for Endometriosis Australia and their endometriosis awareness campaign called “Ending the Silence.” Our aim is to bring awareness about this disease that is often overlooked. It is an issue myself as an endometriosis expert feels very passionately about. I treat women suffering from this disease every day and I hope that one day, endometriosis can be a word of the past.
Through awareness and education, let’s try and get women the early intervention and help they need sooner, rather than later.
What is Endometriosis
Endometriosis, which is an inflammatory gynaecological disease, by which endometrial like tissue grows outside the endometrium. It can spread outside the endometrium into the pelvis, bowel and intestines. It has even been known to get into the brain, joints and around the heart.This disease affects 1 in 10 women, often causing immense pain for them.
According to the Royal College of Obstetricians and Gynaecologist Guidelines for the Management of Endometriosis, it can cause the following symptoms:
Heavy Menstrual Bleeding
Pain with sex
Irritable bowel like symptoms
Pain with bowel movement
The disease can also cause other symptoms such as :
Bloated belly that looks pregnant around your period (known as endo belly)
Bloated belly that looks pregnant and you are told it is from certain foods, but it isn’t, or may be a combination of food and inflammation from endometriosis (also known as endo belly)
UTI like symptoms that aren’t a UTI
Bleeding from the bowel with your period
Low Iron with no explanation
Being told you have IBS, but you don’t have IBS
Migraines/Headaches that are worse around your period
Irrational mood swings
There are so many other symptoms that could also be pointers to endometriosis.
This disease can also play major havoc with hormones and the libido. Many women with can have pain on intercourse which further lessens the desire around sex.
Women with endometriosis often have painful periods and can’t get out of bed, so if you experience this, there is a good chance that you actually have it.
Women with endometriosis can also have other hormonal disturbances such as mood swings, fatigue, restlessness etc. They can also have other symptoms such as migraines, headaches, dizziness, constipation, pain with bowel movements, joint pains and all manner of symptoms created from the inflammation that endometriosis is caused by and also creates
How Many Women Suffer from Endometriosis?
Endometriosis has now reached an all time high in its ever-growing presence. While the current research says that 1 in 10 women are affected by endometriosis, as an endometriosis expert, I believe, as do many others, that these figures may be grossly under exaggerated. Research also shows that a significant portion of women affected with endometriosis are asymptomatic (no symptoms) and may only ever get diagnosed if they are having issues with having a baby, or they may never be diagnosed at all. In addition to this, many women diagnosed with Irritable Bowel Syndrome actually have endometriosis and not IBS.
Many women have also been told period pain is normal and hence many never seek help for a condition that can be debilitating on their life and those around them. Women who suffer period pain and other menstrual related symptoms caused by endometriosis are often ‘missed’ and ‘dismissed’ by multiple healthcare professionals and it can take up to 12 years from onset of symptoms to a definitive diagnosis being made. Women with period pain caused by endometriosis have to live a life of pain, trauma and physical and emotional torment. Many of these women are barely getting through a day, let alone a whole month of exhausting symptoms related to this disease. Some sadly even turn to suicide.
The Western Medicine Approach on the Causation and Treatment of Endometriosis
To date, Western medicine does not know how or even why it occurs. The only solution that has been offered in the past was to laser it. This usually has a recurrence rate of up to 80%. Recently many doctors have been treating this disease by excising (cutting it out), which offers better relief with less recurrence. I do need to stress that when a surgeon is needed, it needs to be done by an advanced trained laparoscopic surgeon, who has had extra specialised training, and is an expert in endometriosis excision and management, and is not just any gynaecologist. This is where many go wrong and haven’t had the disease treated properly.
Despite the increased success in treating endometriosis through a surgical procedure, it still usually recurs in a majority of women.
So why isn’t the medical option alone working?
Primarily it is because they are just treating the symptoms and not the cause. You can take away most physical symptoms very easily, but if the real cause isn’t addressed at the same time, you have no chance of a full recovery. This includes emotional factors. In addition, many of the hormones that women are put on after surgery, mask the problem and can actually make it worse. By actually stopping the period, like many of these hormones do, there is an increased risk of further endometriosis growing. Sure, while you have no period, you have no pain or symptoms, but internally it is still there waiting to flare up again. Oral contraceptive pills containing estrogen must be avoided as they only add to making the problem worse. Progesterone only options should be looked at rather than a combined pill, if using hormones. These treatments also have limitations that include side effects in some women and contraceptive action for women desiring to conceive.
The Traditional Chinese Medicine Approach on the Causation & Treatment of Endometriosis
Firstly, I can only pass on what the Chinese have known and studied for 10,000 or more years, much longer than western medicine. They had the body and its internal organs mapped out longer before medical science in the west did.
In Chinese Medicine, they believe the liver governs the menstrual cycle, and that it also governs our emotions.They believe that through poor diet, lifestyle, medicines, environment etc, that these can then cause disruption to an organ in the body. Emotions such as anger, frustration, resentment, stress, irritability etc, can also cause the liver to be in disharmony. In Western Medicine terms, we know that poor diet and emotional factors can unlock predisposed hereditary issues, or dispositions through DNA recoding. Yes, diet can affect your DNA coding and so can emotional issues. Similarly we can reverse some disease states, and reprogram DNA coding through a healthy diet and fixing our emotional health.
When the liver is in disharmony, the Chinese believe it can cause blockages in our system. Western medicine now also believes that emotions can cause physical symptoms and we often see this is psychiatric, or body-mind medicine. These blockages then cause what we call stagnation. The Chinese believe that when the Qi (energy) becomes stagnant, it causes what they call Liver Qi Stagnation, and this is the cause of many gynaecological conditions such as endometriosis and PMS. As the Qi stagnation is left long term, it then affects the blood and turns it stagnant too. Imagine damming a river and the longer the water sits, the more stagnant it becomes because it no longer flows. This is where the Liver Blood Stagnation comes from and what they believe endometriosis is manifested from. When we look at endometriosis, it does present as blood clotting and pain. Basically it is like a varicose vein that has all that old, stagnant blood in it. The circulation is no longer moving and the blood now turns dark and causes pain.
Chinese medicine believes that not only is diet and herbal medicine needed to move the stagnant blood and help prevent the disease coming back, it also believes that the emotional component behind it also needs to be addressed. In Chinese medicine they use lots of warming and blood thinning herbs that are also anti-coagulants, but are also anti-spasmotics. The Chinese medicine also has herbs to help the liver function and also help with emotional wellbeing.
Chinese VS Western Medicine
The only difference between Chinese Medicine and Western medicine is the treatment principles. Chinese medicine looks at treating the cause of the issue, which means the symptoms get sorted by addressing the cause. Western medicine only treats symptomatically and therefore the cause of the issue is often not treated. That huge difference is why Chinese Medicine does get such great results. But like anything, it also depends on who you see and their experience in that field. But, I must stress that both medicines are equally as important and both are needed to get the best results possible. It is about a team effort and using a multi modality approach. It is also about finding your rich team too. I will talk about this now.
Dr Andrew Orr’s Recommended Approach to Treating Endometriosis
Endometriosis has a highly variable disease state, and thus a multi-modality approach is needed to treat it. Targeting different pathways is likely to be important to move toward precision health (personalized medicine) in endometriosis. People with endometriosis need a team of people looking after them, not just one person and one approach.
For severe cases you will need to see a good advanced laparoscopic surgeon to get as much of the endometriosis cut out (not lasered). Surgery is a much needed option if the pain is severe because it helps get rid of the endometriosis that can be seen. However, it does not deal with the microscopic implants of endometriosis that can’t be seen, and this is why endometriosis is likely to occur again. This is where the Chinese Medicine can help. You then use the Chinese medicine to treat the microscopic implants of endometriosis and stop it progressing further and therefore treat the cause. This will be the primary treatment after surgery and help stop it from recurring. This can be done along side medical hormone treatments as well.
Following the correct diet can also aid this healing process. The modern Western diet consists of many foods with high GI levels, causing inflammation to the body and therefore fueling conditions such as endometriosis. There are all sorts of diets out there attesting to be the cure for endometriosis, but half are them are actually making it worse. Unless the diet is about reducing grains, high GI carbs, sugars, and increasing proteins, then it isn’t going to help endometriosis.
Lastly, see a good counsellor. Acupuncture and Chinese medicine will help both the physical & emotional side, but sometimes solution-based talk therapy is needed for the best results. I provide clients with a list of preferred gynaecologists and counsellors within my appointments with them.
To support my view on the treatment of endometriosis, the Royal College of Obstetricians and Gynaecologists guidelines for treating endometriosis now states that Acupuncture and Chinese Herbal Medicine is a recommended therapy. A multi modality approach really can help, but for anything to work more effectively, you too, have to make a commitment.
Who I am and Why this Means so Much to Me
I am a Reproductive Medicine and Women’s Health Specialist, and an Endometriosis Expert with over 20 years of experience in Women’s Health Medicine and treating and managing endometriosis. I know all too well the trials and tribulations women have to go through before someone actually listens and gives these poor women a proper diagnosis. I also have loved ones with this disease and have also lived with a chronic painful disease too. While I may not fully understand and feel what women with endometriosis actually goes through, I do know what it is like to live daily life with a painful chronic inflammatory disease that can rule your life on every level.
The one thing I do want all women to know is that “Period pain IS NOT normal” and all too often women are told that period pain is normal. Nothing could be further from the truth. We need to educate women and young girls that period pain is not normal.
I have a motto of “Leaving No Stone Left Unturned” and I apply this to every patient I see with period pain, and those potentially suffering from endometriosis. I would like to see better education and awareness for the general public, but I would also like better education and awareness for healthcare professionals. I would like to see all healthcare professional use my motto and make sure that no woman is ever missed, or is dismissed with this horrible disease ever again.
I would like to conclude with one last message “ Women need to know that period pain IS NOT normal and that early detection and early intervention and treatment is the key to treating any disease properly.”
Lets end the silence about this horrible disease. Please support Endometriosis Awareness and this month please support Endometriosis Australia with their High Teas to promote endometriosis awareness. These High Teas will be run nationally on March 25th and in every capital city and some smaller cities also. Please see the Endometriosis Australia website for details (www.endometriosisaustralia.org)
Dr Andrew Orr
The Brisbane Baby Maker, Endometriosis Expert and Women’s Health Crusader
“Leaving no Stone Unturned”
“Period Pain IS NOT normal”
Date: January 4, 2017
New studies have shown that Vitamin D deficiency can increase the risk of chronic headache, according to a new study from the University of Eastern Finland. These new findings were published in he journal – Scientific Reports.
The researchers from the Kuopio Ischaemic Heart Disease Risk Factor Study, KIHD, analysed the serum vitamin D levels and occurrence of headache in approximately 2,600 men aged between 42 and 60 years. The research showed that in 68% of these men, the serum vitamin D level was below 50 nmol/l, which is generally considered the threshold for vitamin D deficiency. Those with low levels of Vitamin D were more prone to Chronic headache occurring at least on a weekly basis.
In Australia over 97% of the population are known to be Vitamin D deficient. This is because we are now staying indoors longer and sunscreens are also blocking some of the absorption on this necessary vitamin. Plus, you need to be outside in the sun at certain times of the day, for certain periods, without sunscreen on for proper absorption to occur. Our diet is another source of vitamin D and we are also lacking there.
Vitamin D deficiency is also linked to other chronic disease states and is a big part of people developing osteoporosis. Vitamin D is very much needed for healthy bones and also a healthy immune system
At Shen Therapies we can help people with all sorts of Vitamin, Mineral and Nutrient deficiencies and help you get back to optimum health in no time. We also carry a high potency Vitamin D supplement that will get your Vitamin D levels back to where they should be. We can also send you for blood tests to get your vitamin D levels checked too.
When was the last time you got your Vitamin D levels checked?
Date- January 2nd 2017
Over 70% of adults in Australia are now overweight, or obese and not only did this pose significant health impacts for this adults, but studies are now showing that the genetic mode of inheritance is now having a huge physical, psychological and developmental impact on children of these adults.
Children of obese parents may be at risk for developmental delays, according to a study by researchers at the National Institutes of Health. The investigators found that children of obese mothers were more likely to fail tests of fine motor skill — the ability to control movement of small muscles, such as those in the fingers and hands. Children of obese fathers were more likely to fail measures of social competence, and those born to extremely obese couples also were more likely to fail tests of problem solving ability.
The study, appearing in Pediatrics, was conducted by scientists at the NIH’s Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD).
The researchers noted that studies indicate that obesity during pregnancy may promote inflammation, which could affect the fetal brain. They also added that some studies have indicated that obesity could affect the expression of genes in sperm and this is passed on via the genetic and paternal mode of inheritance.
Because of the link between parental obesity and developmental delays being confirmed, physicians should be taking parental weight into account when screening young children for delays and early interventional services.
At Shen Therapies, lifestyle and weight management is part of our Fertility program and a major focus for the couple with their preconception care. Healthy eggs and healthy sperm come from healthy parents, which then goes on to make healthy children. I
If you need help with lifestyle, weight loss and help getting ready to have a baby, then call us at Shen Therapies today. We have helped over 12,000 plus babies into the world with our high successful Fertility Program and we can help increase your chances of having a successful pregnancy by 96.1%.
As a women’s health specialist, on a daily basis I see women who have migraines and some are related to their menstrual cycle and some aren’t. Many migraines are blamed on all sorts of things from intolerances, certain foods, alcohol, preservatives, hormones and whatever else people may think that is causing their head to pound.
I know I have successfully treated Migraines for years and it does require and individualised approach and a multi-modality approach of many things.
But there is a type of Migraine that I do see often and is easily treated with a simple supplement. I often see this is vegetarian, vegans and women whom have had prolonged, heavy menstrual bleeds. A new study has given this migraine a name and also confirmed a treatment that I have used for years.
In a paper published in the journal Headache, Anne Calhoun, MD, and Nicole Gill, DO, Carolina Headache Institute Durham, North Carolina, describe a new type of headache dubbed “end-menstrual migraine.”
Many women who have migraine toward the end of menstruation may be best treated with iron supplements, a new study suggests.
They believe that end-menstrual migraine is not hormonally mediated but rather causally related to menstrual blood loss, resulting in a brief relative anaemia with consequent migraine. In Traditional Chinese Medicine (TCM), this type of migraine was identified thousands of years ago and long known to scholars and doctors of TCM. It was called a blood deficient headache, or migraine, because is was often seen after a loss of blood, or those who were anaemic (blood deficient)
According to the researchers: “This is migraine which occurs at the end of the menstrual period — maybe on the last few days of bleeding or after the bleeding has stopped,” Dr Calhoun, who runs a menstrual migraine clinic, explained online. “It is not the same thing as menstrual migraine, which generally occurs on the day or two before menstruation or on the first day or two of bleeding and is known to be hormonally mediated. If migraine occurs 5 days or more after the onset of bleeding this is not classic menstrual migraine.”
The menstrual migraine is very common, is normally caused by the withdrawal of estrogen, and can be treated with hormone therapy, or naturally with hormone regulation. But, this new ‘end menstrual migraine’ is different. Women getting this type of migraine will not respond to hormone treatment, or hormone regulation. Some women have both menstrual and end-menstrual migraine. Up to 25% of women will have this type of migraine.
The best way to fix this type of Migraine is with iron supplements and iron rich foods. In Traditional Chinese Medicine they would use blood-tonifying herbs that are rich in iron.
With any type of migraine, you should always consult your healthcare practitioner to check what is causing them. Many times it can be a combination of things that require several different modalities of treatment to get the best results.
At Shen Therapies we can treat all types of Migraines and will help you get the best results possible and get your quality of life back.
Dr Andrew Orr
The key to preventing obesity in future generations is to make their parents healthier before they conceive, leading health researchers suggest.
In a series of papers, published in The Lancet Diabetes and Endocrinology, the researchers say that the time before couples conceive represents a missed opportunity to prevent the transmission of obesity risk from one generation to the next. They argue that a new approach is needed to motivate future parents to live a healthier lifestyle.
There is now a wealth of evidence that the risk of obesity and its associated conditions, such as heart disease diabetes and some cancers, could impact the developing baby. In turn, when the child becomes a young adult they may pass the risk of obesity on to their children — it is a vicious cycle.
The nature of this problem is not adequately appreciated. Many young people, whilst appearing outwardly healthy, are nonetheless on a risky path to obesity and chronic disease and more likely to pass this risk to their children, the researchers warn. Many pregnancies are unplanned, and the special needs of adolescents and young people at this important time are not sufficiently recognised. Far from helping them to prepare and plan for pregnancy and parenthood, many public health programmes assume that their needs are similar to the general population and require no special measures or provisions.
In a comment piece accompanying the research papers, Professor Mark Hanson of the University of Southampton, says an entirely new approach is needed that engages parents-to-be and encourages them to be part of the solution.
Engaging future parents in leading healthier lives will not only promote their health later, but will give their children a healthier start to life.
Getting couples to have a healthier diet and lifestyle and manage weight is all part of the Shen Therapies Fertility program and something we have always promoted. We know that the health of the parents gets passed onto the offspring and why we are so focussed on helping a couple be the healthiest they can be. So many couples are choosing to overlook the obvious because it is all too hard. Well… so they think. A moderate weight loss of 10% body fat, or an increase for those underweight, can increase a couples chances of conception by 50%. That is huge.
This is why we have helped over 12,000 babies into the world and it is because we get the parents healthy before they try to have a baby. Healthy parents produce healthy babies.
Thyroid issues are common, especially in women and especially if there is a family history of thyroid disorders in your family. When your thyroid goes out of balance, it can cause all sorts of symptoms and issues in your body. You need to know what to look for.
When Your Thyroid Goes Awry
Does fatigue drag you down day after day? Do you have brain fog, weight gain, chills, or hair loss? Or is the opposite true for you: Are you often revved up, sweaty, or anxious? Your thyroid gland could be to blame. This great regulator of body and mind sometimes goes haywire, particularly in women. Pregnancy and post partum is when it can also go haywire too. Getting the right treatment is critical to feel your best and avoid serious health problems.
What Is the Thyroid Gland?
The thyroid is a butterfly-shaped gland in the front of the neck. It produces hormones that control the speed of your metabolism — the system that helps the body use energy. Thyroid disorders can slow down or rev up metabolism by disrupting the production of thyroid hormones. When hormone levels become too low or too high, you may experience a wide range of symptoms.
Symptom: Weight Gain or Loss
An unexplained change in weight is one of the most common signs of a thyroid disorder. Weight gain may signal low levels of thyroid hormones, a condition called hypothyroidism. In contrast, if the thyroid produces more hormones than the body needs, you may lose weight unexpectedly. This is known as hyperthyroidism. Hypothyroidism is far more common.
Symptom: Swelling in the Neck
A swelling or enlargement in the neck is a visible clue that something may be wrong with the thyroid. A goiter may occur with either hypothyroidism or hyperthyroidism. Sometimes swelling in the neck can result from thyroid cancer or nodules, lumps that grow inside the thyroid. It can also be due to a cause unrelated to the thyroid.
Symptom: Changes in Heart Rate
Thyroid hormones affect nearly every organ in the body and can influence how quickly the heart beats. People with hypothyroidism may notice their heart rate is slower than usual. Hyperthyroidism may cause the heart to speed up. It can also trigger increased blood pressure and the sensation of a pounding heart, or other types of heart palpitations.
Symptom: Changes in Energy or Mood
Thyroid disorders can have a noticeable impact on your energy level and mood. Hypothyroidism tends to make people feel tired, sluggish, and depressed. Hyperthyroidism can cause anxiety, problems sleeping, restlessness, and irritability.
Symptom: Hair Loss
Hair loss is another sign that thyroid hormones may be out of balance. Both hypothyroidism and hyperthyroidism can cause hair to fall out. In most cases, the hair will grow back once the thyroid disorder is treated.
Symptom: Feeling Too Cold or Hot
Thyroid disorders can disrupt the ability to regulate body temperature. People with hypothyroidism may feel cold more often than usual. Hyperthyroidism tends to have the opposite effect, causing excessive sweating and an aversion to heat.
Other Symptoms of Hypothyroidism
Hypothyroidism can cause many other symptoms, including:
- Dry skin and brittle nails
- Numbness or tingling in the hands
- Abnormal menstrual periods
Other Symptoms of Hyperthyroidism
Hyperthyroidism can also cause additional symptoms, such as:
- Muscle weakness or trembling hands
- Vision problems
- Irregular menstrual periods
Thyroid Disorder or Menopause?
Because thyroid disorders can cause changes in menstrual cycle and mood, the symptoms are sometimes mistaken for menopause. If a thyroid problem is suspected, a simple blood test can determine whether the true culprit is menopause or a thyroid disorder — or a combination of the two.
Who Should Be Tested?
If you think you have symptoms of a thyroid problem, ask your doctor if you should be tested. People with symptoms or risk factors may need tests more often. Hypothyroidism more frequently affects women over age 60. Hyperthyroidism is also more common in women. A family history raises your risk of either disorder.
Thyroid Neck Check
A careful look in the mirror may help you spot an enlarged thyroid that needs a doctor’s attention. Tip your head back, take a drink of water, and as you swallow, examine your neck below the Adam’s apple and above the collarbone. Look for bulges or protrusions, then repeat the process a few times. See a doctor promptly if you see a bulge or lump.
Diagnosing Thyroid Disorders
If your doctor suspects a thyroid disorder, a blood test can help provide an answer. This test measures the level of thyroid stimulating hormone (TSH), a kind of master hormone that regulates the work of the thyroid gland. If TSH is high, it typically means that your thyroid function is too low (hypothyroid). If TSH is low, then it generally means the thyroid is overactive (hyperthyroid.) But just measuring TSH levels is not enough. People with thyroid disorders can have normal TSH levels and the other thyroid hormone levels and this is why thyroid antibody testing is probably the most important testing to be done. High thyroid antibodies mean you have a thyroid condition and your thyroid gland is under attack. Hopefully doctor will want to check all the other thyroid hormones in your blood. If he/she doesn’t, make sure they do. They should always check TSH, Free T3, Free T4, Reverse T3 and Thyroid antibodies. In some cases, imaging studies are used and biopsies are taken to evaluate a thyroid abnormality.
The most common cause of hypothyroidism is Hashimoto’s disease. This is an autoimmune disorder in which the body attacks the thyroid gland. The result is damage to the thyroid, preventing it from producing enough hormones. Hashimoto’s disease tends to run in families. This is why thyroid antibodies needs to be checked because people with Hashimotos disease can actually have normal TSH levels and normal Free T3, Free T4 and reverse T3 levels.
Other Causes of Hypothyroidism
In some cases, hypothyroidism results from a problem with the pituitary gland, which is at the base of the brain. This gland produces thyroid-stimulating hormone (TSH), which tells the thyroid to do its job. If your pituitary gland does not produce enough TSH, levels of thyroid hormones will fall. Other causes of hypothyroidism include temporary inflammation of the thyroid or medications that affect thyroid function.
The most common cause of hyperthyroidism is Graves’ disease. This is an autoimmune disorder that attacks the thyroid gland and triggers the release of high levels of thyroid hormones. One of the hallmarks of Graves’ disease is a visible and uncomfortable swelling behind the eyes. Again this is why testing thyroid antibodies is so important.
Other Causes of Hyperthyroidism
Hyperthyroidism can also result from thyroid nodules. These are lumps that develop inside the thyroid and sometimes begin producing thyroid hormones. Large lumps may create a noticeable goiter. Smaller lumps can be detected with ultrasound. A thyroid uptake and scan can tell if the lump is producing too much thyroid hormone.
Thyroid Disorder Complications
When left untreated, hypothyroidism can raise cholesterol levels and make you more likely to have a stroke or heart attack. In severe cases, very low levels of thyroid hormones can trigger a loss of consciousness and life-threatening drop in body temperature. Untreated hyperthyroidism can cause serious heart problems and brittle bones.
If you are diagnosed with hypothyroidism, your doctor will most likely prescribe thyroid hormones in the form of a pill. This usually leads to noticeable improvements within a couple of weeks. Long-term treatment can result in more energy, lower cholesterol levels, and gradual weight loss. Most people with hypothyroidism will need to take thyroid hormones for the rest of their lives.
The most common treatment for hyperthyroidism is antithyroid medication, which aims to lower the amount of hormones produced by the thyroid. The condition may eventually go away, but many people need to remain on medication for the long term. Other drugs may be given to reduce symptoms such as rapid pulse and tremors. Another option is radioactive iodine, which destroys the thyroid gland over the course of 6 to 18 weeks. Once the gland is destroyed, or removed by surgery, most patients must begin taking thyroid hormones in pill form.
Surgery for Thyroid Disorders
Removing the thyroid gland can cure hyperthyroidism, but the procedure is only recommended if antithyroid drugs don’t work, or if there is a large goiter. Surgery may also be recommended for patients with thyroid nodules. Once the thyroid is removed, most patients require daily supplements of thyroid hormones to avoid developing hypothyroidism.
What About Thyroid Cancer?
Thyroid cancer is uncommon and is among the least deadly. The good thing with thyroid cancer is that it is encapsulated, so it won’t spread. Once the thyroid gland is removed, the cancer is removed also. The main symptom is a lump or swelling in the neck, and only about 5% of thyroid nodules turn out to be cancerous. When thyroid cancer is diagnosed, it is most often treated with surgery followed by radioactive iodine therapy or, in some cases, external radiation therapy
Complementary Medicine For Thyroid Issues
There are many complementary medicines that can assist thyroid issues and Acupuncture and Chinese Herbal medicine has successfully treated thyroid disorders for centuries. There are also supplements and other herbal medicine to assist thyroid function, or balancing the thyroid hormones. Diet and lifestyle changes are also very important for thyroid health, as is working on the gut to reduce inflammation in the body and assist the immune system as well. There are also compounded natural thyroid medications we can discuss with you also
At Shen Therapies, we specialise in all hormone issues and can help you with thyroid testing, blood tests etc and thyroid management.
Do you suffer Dyspareunia?
Pain with sex, Intercourse pain, or dyspareunia, can cause problems in a womans life and it can be a cause of problems in couple’s sexual relationship. In addition to the physically painful sex, there is also the possibility of negative emotional effects. Then even when a woman may feel aroused and wanting sex, the fear of the pain can cause the whole process of wanting sex to stop.
How many people get Pain with Sex
It is estimated that about 20%-25% of women suffer vaginal pain with foreplay or intercourse. Pain can be acute, intermittent or chronic and can stem from a wide variety of causes that will be covered shortly. Unfortunately when women complaining of pain during sex, they are often dismissed as being inhibited, having psychiatric issues, or merely just making it up to get out of having sex. Many men would like to boast that it is them being well endowed that is causing the problem (they wish) but in fact if your partner is in pain, then you need to actually stop and listen to the reasons why. The fact is most of the time, their symptoms are related to legitimate medical issues that need to be investigated and treated accordingly. So guys, get your hand of it and start listening to your partner if she says she is getting pain.
What causes pain with Sex (Dyspareunia)?
In many cases, a woman can experience painful sex if there is not sufficient vaginal lubrication. There could be many reasons for this and one that is commonly seen in menopause. When this occurs, the pain can be resolved if the female becomes more relaxed, if the amount of foreplay is increased, or if the couple uses a sexual lubricant. Issues like this can easily be overcome, but there are some medical and gynaecological issues that could be causing the pain and being very much overlooked.
So what are the other causes of Pain with Sex
Endometriosis – This is a condition in which the endometrial like tissue (lesions) that lines the uterus grows outside the uterus. It can cause all sort of pain in the pelvis, bowel and rest of the body, but it can cause pain with sex. It is one of the leading conditions that does cause pain with sex. Many women with endometriosis may not have symptoms of it, or may only have one symptoms like pain with sex. Symptoms do not correlate to the extent of the disease either. Some people with small amounts get lots of pain, while others can have lots of it and have no pain. Endometriosis can only be properly diagnosed via surgery (laparoscopy)
Adenomyosis – is a condition which is very similar to endometriosis. It is a conditions in which the inner lining of the uterus (the endometrium) breaks through the muscle wall of the uterus (the myometrium). Adenomyosis can cause menstrual cramps, lower abdominal pressure etc, before the menses and can result in heavy periods. It can also cause pain with sex. The condition can be located throughout the entire uterus, or localized in one spot
Vaginismus- This is a common condition. It involves an involuntary spasm in the vaginal muscles, which closes up the vagina and prevents penetration from happens. It is sometimes caused by fear of being hurt.
Vaginal Infections- These conditions are common and include yeast infections such as thrush and candida and these can cause inflammation to the vagina and cause pain with sex and also localized bleeding.
Vaginal skin conditons– Dermatitis arroudn the vulva and also a condition called Lichen Sclerosis can all cause pain with sex due to the inflammation of the skin.
Problems with the cervix (opening to the uterus). In this case, the penis can reach the cervix at maximum penetration. So problems with the cervix (such as infections) can cause pain during deep penetration.
Problems with the uterus. These problems may include polyps, cysts, fibroids etc that can cause deep intercourse pain.
Problems with the ovaries – Problems might include cysts on the ovaries, or tubal disease.
Pelvic Inflammatory Disease (PID) – Often referred to as penis injected disease. With PID, the tissues deep inside become badly inflamed and the pressure of intercourse causes deep pain.
Ectopic Pregnancy – This is a pregnancy in which a fertilized egg develops outside the uterus, or into the tubes. It can cause immense pain and even death if not death with properly.
Menopause- With menopause, the vaginal lining can lose its normal moisture and tone and become dry. The vagina, uterus and surrounding organs can all suffer atrophy, which can cause bleeding and pain. It can also cause prolapse.
Intercourse too soon after childbirth, or surgery – Trying to have sex too soon after childbirth, or a surgery, can cause pain during sex.
Sexually Transmitted Infections (STI’s) – These may include chlamydia, genital warts (HPV), genital herpes, or other STI’s.
Injury to the vulva or vagina- These injuries may include a tear from childbirth or from a cut (episiotomy) made in the area of skin between the vagina and anus during labor.
How Can Painful Sex In Women Be Treated?
Some treatments for painful sex in women do not require medical treatment. For example, painful sex after pregnancy can be addressed by waiting at least six weeks after childbirth before having intercourse, or when a women feels she is ready again. Make sure to practice gentleness and patience. In cases in which there is vaginal dryness, or a lack of lubrication,water-based lubricants will help. In the cases of some conditions such as menopause, topical estrogen creams may be needed to bring tone back into the vaginal wall, along with lubricants during sex.
Some of the conditions such as endometriosis, PID, fibroids, or trauma to the vagina and will require surgery and adjunct therapies such as hormones and other medications.
Other issues such as vaginal infections, bacterial infections, skin conditions, STI’s etc may just need medications such as antibiotics, antifungals, steroids and other medications for their treatment
Some conditions like vaginismus, or psychological traumas (sexual abuse), may require a person to see a counselor, psychologist, psychiatrist, or sex therapist.
There are also natural medicines such as Acupuncture, Chinese Herbal medicine, naturopathy, herbal supplement etc than can help with pain, either on their own, or in combination with medical treatments and talk therapy
If you do have pain with sex, you need to go and speak to your healthcare provider, or seek the help of a gynaecologist, or women’s health specialist.
Pain with sex is not normal, and you need to find out the cause of these issues and not put it off.
At Shen Therapies, Dr Andrew Orr can help you if you are having pain with sex. Dr Andrew Orr is a Reproductive Medicine and Women’s Health Medicine Specialist (medical), who also has qualifications in complementary medicine such as Traditional Chinese Medicine, Naturopathy and Nutrition.
Could you be suffering Premenstrual Dysphoric Disorder (PMDD)?
Do you suffer any of the following symptoms?
Are some of these symptoms worse around your menses, or mid-cycle?
- Mood swings (worse around your menses, or mid-cycle)
- Depressed mood or feelings of hopelessness
- Marked anger, increased interpersonal conflicts, the anger can be worse at certain times of your cycle, or near your period. You may even feel violent with the anger.
- Tension and anxiety
- Irritability, especially with your menses, or even mid cycle.
- Decreased interest in usual activities
- Difficulty concentrating
- Change in appetite
- Feeling out of control or overwhelmed
- Sleep problems
- Physical problems, such as bloating, breast tenderness, swelling, headaches, joint or muscle pain.
If you do, then you may be suffering a condition called Premenstrual Dysphoric Disorder (PMDD). Premenstrual dysphoric disorder, or PMDD, is a severe form of premenstrual syndrome (PMS). The symptoms of PMDD are similar to those of PMS but are severe enough to interfere with work, social activities, and relationships. It is often a very much overlooked hormonal issue and often misdiagnosed. PMDD can actually cause women to have extreme anger and extreme mood swings and even become physically violent towards a partner, or loved ones.
How Common Is PMDD?
PMDD occurs in up to 10% of menstruating women, but it may be much higher than this. Women with family history of premenstrual syndrome or PMDD are at greater risk for developing PMDD as there appears to be a strong genetic component. There can be underlying gynaecological conditions exacerbating, or contributing to PMDD too and we will talk about this later
What Causes PMDD?
As with PMS, the exact cause of PMDD is not known. Most researchers believe PMDD is brought about by the hormonal changes related to the menstrual cycle. Hormones can be affected from anything form dietary changes, increased stress, medications, lack of exercise, increased abdominal fats and also consumption of alcohol. Recent studies have shown a connection between PMDD and low levels of serotonin, a chemical in the brain that helps transmit nerve signals and helps regulate moods, sleep and even pain. Changes in serotonin levels can lead to PMDD symptoms.
How Is PMDD Diagnosed?
PMMD is diagnosed by seeing a healthcare professional who knows what signs and symptoms to look for. Usually this is a gynaecologist or women’s health specialist. PMMD can be diagnosed by charting mood swings at certain times in the cycle, along with other changes to the body during this time.
Before a diagnosis of PMDD is made other emotional problems, such as depression or panic disorder, need to be ruled out first, as these may be a cause of all of the symptoms. In addition, underlying medical or gynecological conditions, such as endometriosis, fibroids, menopause, and hormonal problems that could account for symptoms, also must be ruled out.
For the diagnosis of PMDD to be made usually at least five of the listed symptoms listed before (including at least one of the first four) occur for most of the time during the seven days before menstruation and go away within a few days of the start of the menstrual period. If these symptoms are present every day and do not improve with menstruation, they are unlikely due to PMDD.
How Is PMDD Treated?
Many of the same strategies used to treat PMS may also be helpful in relieving symptoms of PMDD. The main ones to focus on are:
Good nutrition – High Gi carbohydrates and highly refined grains increase insulin levels and this then in turn causes disturbances with hormone levels and can also cause inflammation. This then exacerbates the symptoms of PMDD. It is recommended that women with PMDD limit their intake of refined sugar, and alcohol. There are vitamins and nutritional supplements that will help with PMDD as well.
Exercise – Moving the body is so important for PMDD and it is important to do some sort of weight bearing exercise, or resistance work such as weights. Exercise such as walking, or swimming appears to improve premenstrual symptoms too. Exercise will also have other benefits to the body and overall health as well.
Medications- Medically PMDD is usually treated with medications such as antidepressants and hormone therapies. Some over-the-counter pain relievers may help some of the symptoms of PMDD, such as headache, breast tenderness, backache, and cramping. Diuretics, or water pills, can help with fluid retention and bloating. Hormones can be used to treat PMDD but it is unclear whether this approach is effective.
Natural Medicine– Various Herbal medicines and vitamins and nutritional supplements have all been researched and shown to reduce the symptoms of PMS and PMDD. Always consult with with a qualified natural medicine practitioner for proper treatment and advice.
Acupuncture & Traditional Chinese Medicine (TCM)– Research published in the BMC (Effects and treatment methods of acupuncture and herbal medicine for premenstrual syndrome/premenstrual dysphoric disorder: systematic review) showed that Acupuncture and herbal medicine treatments provided a 50% reduction in symptoms in the first month of treatment and symptoms continued to reduce with subsequent treatments.
Counseling- Counseling and psychology need to be a big part of the overall treatment therapy to help women with PMDD develop effective coping strategies.
Other Therapies– Relaxation therapy, meditation, reflexology, and yoga may also help, but these approaches have not been widely studied.
At Shen Therapies, Dr Andrew Orr can help you with PMDD and PMS with a combined integrative approach of using western medicine and complementary medicine and therapies. Dr Andrew Orr is a Reproductive Medicine and Women’s Health Specialist (medical) but also has qualifications is TCM, Naturopathy and Nutritional medicine. If you need help with PMDD, please give our clinic a call on 07 32795697, or email firstname.lastname@example.org
Many people have trouble moving their bowels on a daily basis and are none the wiser as to why this happens to them. Many do not realise how bad for their health it is not to move your bowels daily and many people just think it is normal for them to not need to get things moving each morning.
Of course some people have conditions, that cause constipation, and these need to be ruled out too.
Conditions such as Endometriosis, Pelvic Inflammatory disease, IBS and other bowel disorders can all cause chronic constipation and inflammation in the bowel
But for most people the clogging of the back passage is caused by what they are eating and lack of foods that contain real fibre and water to keep the bowels moving. Lack of proper hydration and stress is also a factor too. But when it comes to proper fibre, many people are just eating the wrong foods. Many of the foods people are having on a daily basis, thinking it is fibre, are actually closer to being cardboard and the effects on the bowel are just as bad.
So what are the foods that are causing a blockage in peoples elimination pipes.
1.Fast Or Prepared Foods
Those readymade meals and takeaway meals may be convenient, but they could cause a backup. Most are low in fiber, which you need to help food move through your system.
Fried foods are full of fat, lack fiber and are hard to digest. When food moves through your colon slowly, too much water can be taken out of it. That makes for a hard, dry stool.
3.Cakes, Sweets and Pastries
Pastries, cookies, and other treats with refined sugar are low in fiber and fluids, and high in fat. Many people think that because they contain grains, that they are good for you. But nothing could be further from the truth. Wheat grains are actually inflammatory and cause disruption to the digestive system. There is actually more fiber in whole foods such as fruit and vegetable. Grains are refined grains are not good if you’re having trouble keeping things moving. Satisfy your sweet tooth with some fresh fruits and yogurt. Your tummy will thank you for it.
Bread is basically made from flour and water and what does flour and water make? Glue that’s what it makes! That is what it turns to in your stomach and bowel too. Plus refined flours are made from inflammatory grains and these cause disruption to your digestion and bowel too. Too much bread will give you hard, dry stools and also mess with your digestion. It’s also made with low-fiber flour. The whole grain variety may be a little bit better, but not much. If your digestive system is shot and you are having trouble getting things to move, time to ditch the bread. We don’t need to eat it anyway.
A couple cups of teas coffee makes some people race to the bathroom, but it can have the opposite effect, too. The caffeine in coffee and tea are diuretics and soft drinks can keep your body from holding onto water, and you need water to stay regular. If you’re constipated, check how much tea and coffee you might be drinking and make sure you drink plenty of water after each cup of caffeine.
Alcohol can definitely dehydrate the body make it hard for your body to hang onto water. This can then cause gastrointestinal inflammation, upset the liver function and then cause constipation.
Eggs are really good for us and they are high in protein but low in fiber. But, you don’t have to stop eating them though. Just add some high-fiber foods into the mix. Add some greens with them when you eat them. Try an omelet with fresh spinach and tomatoes.
8.Well Done Meat
Meat is a great source of protein but when its well-done and over cooked, it is lacking in fiber, that juicy steak needs to be a little less cooked (medium rare) and balanced with a side of nice green veggies, or salad. This will help get it comfortably through your digestive system.
Some Fiber Facts.
Veggie and whole Fruits (not dried fruits) have more fiber than cereals and grains and as they contain water and other nutrients needed to keep the bowel hydrated and moving properly. Time to ditch the cereals and start eating some more whole foods instead.
Oh… and don’t forget the prebiotics and probiotics to keep healthy gut flora and keep the digestive system functioning properly. Of course we should drink plenty of water and also make sure you get some electrolytes into your diet daily too. This will help keep your bowels working the way they should work, rather than the way they have been.
If you are having trouble with chronic constipation and getting your bowels to move daily, then give Shen Therapies a call and we can help you get your digestion back on track again.