March 2013 - Page 2

Porn Brain – A Leading Cause of Erectile Dysfunction

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If you thought erectile dysfunction was a disease affecting only old men in bathtubs, you’d be wrong. Increasingly, young men are developing erectile dysfunction. The use it or lose it adage for ejaculation doesn’t quite work the same way in the youngsters as it does in the older folks. Use it too much, or more specifically, rely on internet porn for sexual satisfaction and your brain won’t let your man parts partake in the real deal. Seriously, internet porn, during those critical periods of male sexual development  – adolescence through young adulthood – rewires your brain and makes real sex difficult, if not impossible.

Sex Begins in Your Head – the One Above Your Shoulders

Sex is pleasure and our brains are hardwired to seek pleasure. Every time we receive pleasure, whether it be from sex, drugs, food, or simply, a pat on the back for a job well done, the brain reward centers are activated. The neurotransmitter responsible for all things pleasurable – dopamine – is released from a tiny nucleus located deep within our primitive limbic, lizard brain called the ventral tegmental area.

Porn brain reward circuitsThat dopamine spreads out across the frontal cortex where goal directed behavior and impulse control are managed, to the nucleus accumbens where pleasure is realized, especially addictive pleasures, to the hippocampus where memory is stored and to the hypothalamus where all manner of hormones are regulated. Train your pleasure centers appropriately and you’ll have a long, happy life. Do it wrong, and all sorts problems arise (or don’t arise, as the case may be).

 

Porn Brain, Dopamine and Erectile Dysfunction

Dopamine is a very happy neurotransmitter – we need dopamine to feel pleasure. Too much dopamine and psychosis arises, too little and we have no motivation to move – literally and fundamentally cannot initiate or control movement. (Parkinson’s arises from decreased dopamine in a different region of the brain). Dopamine is necessary, and as such, our brains go to great lengths to ensure sufficient dopamine. Highly pleasurable behaviors repeated to addiction override the reward system – effectively wearing it out. Technically, it’s called desensitization, a brain state by which one needs more and more stimuli to achieve the same results. Sound familiar?

Internet porn is like heroin to our sex crazed brains.

It seems to be true guys, you can masturbate yourselves to oblivion or at least to sexlessness. The changes in brain chemistry elicited by the instant and constant stimulation of internet porn make returning to real sex passe.

If you begin this journey as a teenager when critical brain areas are still being formed, your brain will express a predilection for internet porn far and above its desire for real sex, with real humans. Viagra, Cialis or other bathtub bearing drugs don’t work for this type of erectile dysfunction. The problem isn’t in the plumbing. It’s in the brain. The short cut to sexual pleasure that was at once exciting and convenient, re-wired the sexual pleasure centers to respond only to the images on the screen. Real women or men, won’t do it for you.

Not to worry, there is help. Like any good addiction, you simply have to stop – cold turkey.  Help groups are sprouting up everywhere, really they are. Watch the video.  An interesting tidbit, the older gents who grew up on old-timey, magazine porn, return to full functioning much more quickly than the younger guys who have never ventured into the depths of real sex. That damned brain chemistry.

The Great Porn Experiment

 

A 3D Printer Penis: The Gift That Will Have You Begging NO More!

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Well, ladies – as if your boyfriend’s “Little Buddy” doesn’t wag in your face enough, the most recent darling of modern technology has made it possible for you to receive MORE face time: The 3D printer!

This incredible machine can – within minutes – make a three-dimensional, solid object from a digital model. And just like every other ingenious invention that’s graced humankind with unlimited power to do good in a world ravaged by hunger, disease and war… I predict this invention will soon be primarily – and quite eagerly – used for human sexual gratification. All your man has to do is stifle his gleeful giggles long enough to pose goosebump-erect-naked and be scanned. The end result will be a super-realistic, silicon pornographic, exact-duplicate dingus he’ll wholeheartedly consider not only to be his life’s crowning achievement, but also the PERFECT gift for his woman.

Make ya wanna plead for a vacuum for your birthday?

I can just picture the Pearly Gates crashing open so our dearly departed, hyper-hustlin’, “As-seen-on-TV” angel Billy Mays can return to Earth just to pitch these personalized penises. It’ll be like the 70’s Pet Rock craze all over again – with women finding in their mailboxes brightly painted dongs eager as pet store puppies to spring out of “Handle with Care” packages.

Or imagine how the fad will affect the bachelor party-stripper-industry, too – with men practically brawling to be next to enter the dick-scanner while the hired tassel-tosser, bored out of her mind, commands the remote and catches the latest “Walking Dead”.

Factories will be full of jokester employees covering conveyer belt schlongs with their work gloves a la Laverne (of “Laverne and Shirley”) at Shotz Brewery.

And what will we disinterested womankind DO with all these high tech ornaments? Prop up our cell phones with the proud li’l pillars? Use as finger-ring holders? Or shoehorns???

Men’ll just never get what us girls REALLY want. Forget 3D dicks, Bub. Step out of that scanner and go put gas in my damn car! Scoop out the cat box! Save the slice of pizza loaded with the most toppings for me…

It’s really that simple. And yet, really that… hard.

Wide Awake: A Hysterectomy Story

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I’ve always considered myself to be someone who takes charge of her life and health. After all, we only get one body, one heart, one set of eyes, one uterus, one pair of ovaries and so on. I never smoked and always exercised. I went in for my yearly pap smears. I never took my good health for granted.

However, as it turns out, I had no idea how my body functioned or how I remained healthy. Not really. I didn’t understand how my female organs and hormones contributed to who I was. That is, I didn’t understand until my life fell completely apart after hysterectomy and ovary removal five years ago. Now, I’m wide awake.

On September 27, 2007, I woke up in recovery after undergoing a complete hysterectomy I didn’t need or consent to. I was coerced into agreeing to removal of my uterus after experiencing a distended abdomen. I looked six or seven months pregnant and was wearing maternity clothes. Only after surgery did I learn that my distended abdomen had nothing to do with my uterus. At no time did I agree to removal of my cervix, tubes or ovaries. Even my doctor agreed that I should keep my healthy ovaries.

When I arrived at the hospital the morning of my surgery, I was presented with a consent form which listed the wrong surgical procedure. According to the new consent, all of my healthy female organs were to be removed. I explained to the nurse that this was not the surgery I agreed to and I refused to sign the consent. As I waited to speak with my doctor about this, another nurse came into my room and said he was going to give me something to relax me. I explained that I didn’t want to be given any medication since I had not signed the consent and was waiting to speak with my doctor.  As I was protesting, he injected my IV with Versed.

That was my last waking memory.

My next memory was that of seeing a nurse I didn’t recognize. I asked her if my doctor was on his way to talk with me and she told me that I had already had surgery. In disbelief, I began to sob and asked what type of surgery. I wanted to know what organs had been removed. She matter-of-factly said “You have nothing left.” I cried out that I wanted to die, a curious fact that is noted in my medical record. Everything seemed to be happening in slow motion. Although I lost a lot of blood and had to be taken back to surgery, I was released the next morning with a prescription for hormones and iron pills.  I had no idea just how much my life was about to change.

I went back to my apartment but everything seemed different. It wasn’t that the apartment had changed. It was me. I felt like a different person. I also felt an emptiness I’ve never known. I assumed this was only temporary and would pass as I healed. I remembered researching hysterectomy and reading about how some women feel emptiness afterward because they can no longer have children. Eventually, I healed from the outward surgical wounds, but the emptiness remained. It was an emptiness that transcended far beyond not being able to have any more children.  I suddenly found myself in a body that didn’t feel like mine. Every bone, muscle and joint cried out in pain. I felt as if I had aged twenty years. My abdomen never did return to normal size. My sexuality vanished. My emotions were blunted. I didn’t know what was happening to me but I was afraid – very afraid. I cried for no reason and for every reason.  I did not want to live in the body I’d been left with.

Not knowing what else to do, I went out to a local bookstore and bought every book I could find on the topic of hysterectomy and hormones. One of the first books I read was “Hysterectomy Hoax” by Stanley West M.D. By the time I finished reading Dr. West’s book, I was finally wide awake. I had been castrated and there was no turning back. Finally, I realized I did not feel like the same woman because I wasn’t the same woman.  I felt a deep sense of betrayal. I became desperate to find a way to “fix” myself.

The truth is that there are over 400 estrogen receptor sites in a woman’s body. Every organ depends on an estrogen type hormone to function properly (there are three main estrogens: estrone, estradiol and estriol along with many more we’re only now beginning to understand) . Estrogens protect the heart, brain, lungs, bladder and more. The thyroid gland has estrogen receptors. When the ovaries are removed, the body often attacks the thyroid. Many women who’ve undergone hysterectomy go on to develop thyroid anti-bodies and/or thyroid disease. I developed thyroid problems almost immediately after surgery. I was first diagnosed with Hashimoto’s disease and then Hypothryroidism. I’ll have to take thyroid medication for the rest of my life. A woman’s brain has estrogen receptors too. Without estrogens, the brain develops diseases such as Dementia and Parkinson’s Disease. Memory and concentration are very real problems I face almost daily. Heart disease is a much greater risk for woman once their female organs are removed due to the loss of heart protection via the loss of estrogens.

The hormone replacement therapy (HRT) my doctor prescribed was not helping and was, in fact, making me feel much worse.  I was taking Premarin – an estrogen made from pregnant mare’s urine. The chemical structure of Premarin is nothing like a woman’s own natural estrogens. Because my body wasn’t tolerating Premarin, I began to research hormones — especially, bioidentical hormones. After I met with a hormone doctor, blood tests confirmed that all of my hormone levels were nearly non-existent. I was prescribed bioidentical estradiol and testosterone crèmes and compounded oral progesterone. Additionally, I was prescribed supplements such as DHEA, Calcium, Vitamin D, etc.  The creams were very messy and didn’t seem to help. I tried wearing a bioidentical estrogen patch (Vivelle Dot) but the adhesive made my skin break out with a blistery rash. Nothing was working.

Finally, I found a hormone doctor who uses bioidentical hormone pellets.  I decided to give the pellets a try even though they are quite expensive. They seem to work better for me than anything else I’ve tried.  My doctor inserts estrogen and testosterone pellets about every three months and I still take a compounded oral progesterone by mouth each night. Many doctors don’t prescribe progesterone for women who have undergone hysterectomy, but I learned through my own research that progesterone is critical for proper hormone balance. Nothing works like a woman’s own natural hormones but for a woman who has undergone hysterectomy and ovary removal, hormone “replacement” is a must.

As the days turned into weeks and the weeks turned into months, I realized that I was not getting back to my old self. In fact, I was getting further and further away from myself. Within the first year of surgery, I was diagnosed with severe vaginal atrophy and third degree bladder prolapse. The pelvic organs I had left, drifted down into the open space left from removal of my uterus. Chronic constipation became a huge problem. I experienced nerve damage that often prevented me from standing or walking. I developed problems with my eyes and was eventually diagnosed with severe dry eye disease. Due to corneal ulcers, I’m now legally blind in my left eye and can no longer see to drive.

Sadly, the aftermath of hysterectomy is filled with a lot of losses. There’s no turning back. Hysterectomy is final. For the woman who undergoes hysterectomy, life is forever changed. I lost my health, my career and then my home. I was engaged to be married at the time of surgery but never did marry. Unfortunately, it’s not uncommon for women to end up divorced and alone after hysterectomy. There have been more times than I’d like to admit that I felt all alone in my devastation. I felt as if I had stepped into some alternate world where I could no longer communicate. Hysterectomy impacts every facet of a woman’s life.  Every single cell is impacted.  And yet, nobody is talking about it.

For this reason, I decided to create a blog site and web site. I knew there must be other women who felt as alone and devastated as I did. Since creating my sites, I’ve heard from women all over the country, and sadly, their stories are all pretty much the same.  The names are different but the stories are the same. Many of their stories are posted on my web site. Most women share the feeling of betrayal. Once they awaken to the many adverse consequences of hysterectomy, they feel deeply betrayed by their doctor for not telling them about the true impact of the removal of their female organs. The trauma can’t be overstated. Women deserve better than this. They deserve to be told the consequences of hysterectomy and informed about the alternatives to hysterectomy. My goal is to make this a reality. I testified in both Indiana and Kentucky regarding hysterectomy informed consent laws and I created a petition on Change.org insisting ACOG (American Congress of Obstetricians and Gynecologists) inform women of the many consequences of hysterectomy and ovary removal (castration).  I support Hormones Matter and their research on hysterectomy. If you have had a hysterectomy, take The Hysterectomy Survey. Your data could save the life of another woman.

My Websites and Social Media

Website: Hysterectomy Consequences

Blog: Hysterectomylies

Twitter: www.twitter.com/jiggaz31

Facebook: www.facebook.com/hysterectomyconsequences

change.org petition: Help Stop Unnecessary Hysterectomy and Castration

 

 

 

Help a Fellow Women’s Health Advocate: Hysterectomy Kickstarter Project

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Little things make an enormous difference. It is true what they say, it is often the smallest things that can make the biggest difference, especially when it comes to our lives. This is true for hysterectomy stories.

Estimates suggest that 1 in 5 women will have a hysterectomy at some point; in the UK around 60,000 are performed every year and in the US the number is closer to 600,000. It is said that a hysterectomy cuts to the heart of what being a woman is all about; and I know this is true because the small stories I hear tell me this.

Simple stories from women who have undergone the trauma of hysterectomy can make a huge difference to others having one later. Such stories help them to feel less unsure about their decisions, less stupid about the questions they ask and less alone than they do even with family and friends.

But not all women have access to these stories and so The Hysterectomy Association is planning to pull as many together as possible into a new book called ‘In My Own Words: Women’s Experiences of Hysterectomy’. But we can’t do it without your help. We need to get this project funded.

Please will you pledge to the project today; a small amount of even £1 takes us closer to our goal of £2,500. These amounts soon mount up when lots of people pledge and I’d rather reach 500 people who have each pledged just £1, than 40 people pledging £5. Of course, if you can pledge more it will always be very welcome.

Please pledge today at Kickstarter to help us get this book out to the women that need it. We need to get pledges to the whole amount by the 9th March otherwise we get nothing.

This is a project that is close to my heart, over the years I’ve spoken with, emailed and comforted tens of thousands of women and each one has a story to tell, and each story deserves to be heard. Click here if you’d like to see some of the stories women have shared on The Hysterectomy Association website, just to see how powerful they can be.

To make your pledge, click here: In My Own Words: Women’s Experiences of Hysterectomy.

About the author: Linda Parkinson-Hardman is an author, social media strategist and a social entrepreneur. She works with clients to help them make better use of the Internet to build their personal and business brands. Her social enterprise, The Hysterectomy Association currently works with approximately 200,000 women every month. You can find her online on Twitter, LinkedIn and Facebook and if you have a question you only have to ask.

A note from Hormones Matter: Hormones Matter is pleased to lend our support for this important cause. We are not affiliated with The Hysterectomy Association but support its efforts to raise public awareness about this all-too-common, yet poorly understood, procedure. Together, grass roots organizations like Hormones Matter and The Hysterectomy Association can improve women’s healthcare – one woman at a time.

For our part, we are conducting critical women’s health research on hysterectomy outcomes and oral contraceptive side-effects. If you have had a hysterectomy or have ever used oral contraceptives, please take a few minutes to complete the Hysterectomy Survey or the Oral Contraceptives Survey or both. They are free, anonymous and will bring much needed data to women’s healthcare.

Hysterectomy and Brain Health

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Studies abound showing how the endogenous estrogens, estradiol mainly, improve memory and other cognitive functions. New research demonstrates there is an even more basic connection between the female reproductive organs – the uterus and ovaries – and the brain. The monthly menstrual cycle may control iron levels in body and also in the brain. Women who have a hysterectomy before reaching natural menopause may be at higher risk of neurodegenerative diseases such as Azheimer’s and Parkinson’s due to the increased peripheral and brain iron levels post hysterectomy.

Iron and Brain Health

Iron is an essential element for health. Both iron deficiency and excess are associated with brain pathology. In the developing brain, too little iron causes neurological impairment with significant cognitive and neuromuscular deficits. As we age, iron accumulation in the brain is also problematic and linked to neurodegenertive disorders. In part because women menstruate, they have naturally lower levels of peripheral (body) iron than men. Researchers believe that the menstrual flushing of excess iron may be in part responsible for delaying the brain iron accumulation that has been linked to early Alzheimer’s and Parkinson’s in men.

In a study published in the journal Neurobiology of Aging, researchers investigated what effect premenopausal hysterectomy had on brain iron levels. From a sample (n = 93) of healthy older, male and female volunteers, ages 47-80 years, researchers used a specialized MRI to image brain iron levels.

What they found was quite interesting. Women who had hysterectomy before reaching natural menopause had significantly higher iron levels in the white matter of the frontal cortex compared to women who reached menopause naturally. The hysterectomy group, also had higher iron levels in the other brain regions tested but those differences were not large enough to reach statistical significance. Brain iron levels in the hysterectomy group were similar to those of men, who have naturally higher iron levels in the brain and who often succumb to the neurodegenerative diseases at a much earlier age. The researchers speculated that the observed white matter iron accumulation could be a precusor to the grey matter iron accumulation observed in neurodegenerative diseases such as Alzheimer’s and Parkinson’s.

Brain Basics

White matter in the brain consists of the oligodendrocytes – a type of cell that forms what is called the myelin sheath. Myelin is the insulation that protects the axons of the neuron (in the brain) or nerve (in the body) to allow rapid conduction or messaging across the brain or to the body.  Myelin is like the plastic coating around the electrical wiring in your house. If the coating is too thick, conduction is blocked. If the coating is frayed or too thin, electrical sparks fly everywhere. Iron is a critical component of healthy myelin, too much or too little impairs signal conduction – brain messaging.

neuron

Grey matter, on the other hand, is where the unmyelinated portion of neurons – the dendrites and cell bodies – are located. These are brain regions responsible for learning, memory, emotion, sensory perception and motor control. Cells in this part of the brain rely on chemical signaling to translate information. After the dendrite receives and the cell body translates a message, it sends the signal down the myelinated axon to its target.  Iron accumulation, either in the white or grey matter would impact brain function. Iron accumulation specifically in the frontal white matter region would impact all higher order cognitive function.

What This Means

The research is still in its early stages. An observed connection between menstrual blood loss and peripheral or brain iron stores though apparent, may not represent the total picture. It is quite likely that hormones associated with reproductive health, altered by the hysterectomy, also play a role in iron regulation.  Initial research connecting the hyperandrogenic and metabolically dysregulated state of women with PCOS is  associated with increased iron stores, as is general and cancer related inflammation, and genetics. Nevertheless, this study speaks to the critical need for more research about the long-term consequences of hysterectomy. Reproductive hormones regulate more than just reproduction. Removing the organs that synthesize these hormones has health consequences far beyond reproduction. It’s high time we begin addressing this.

If you have had a hysterectomy, be sure to take The Hysterectomy Survey.

Author’s note:  I would like to thank David Wiseman Ph.D., M.R.Pharm.S.
Founder, International Adhesions Society (IAS) for introducing me to this exciting new research.

A New March Madness – Endometriosis Awareness Month

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This March I am celebrating a different kind of madness.  It has nothing to do with college basketball; nor is it related to four leaf clovers, egg shaped candy or seder plates.  No, this March is for reproductive health education and raising awareness about endometriosis. There is nothing nice about endometriosis, even the word is cumbersome to say.  This March, we need to talk about endometriosis and reproductive health and we are going to talk about it; because the state of reproductive care surrounding endometriosis is not OK and it’s not going to get better until more people know about endometriosis and the facts surrounding it.

It is estimated that 1 out of every 10 women has endometriosis.  Endometriosis is a secondary autoimmune disease that occurs when the endometrium (the lining of the uterus) grows outside of the uterus.  Common places for this tissue growth is outside of the uterus, on the fallopian tubes, ovaries, bladder, within the pelvic cavity, on the pelvic floor, and on the bowels.  In extremely rare cases endometriosis can be found growing up towards and on the liver, lungs, brain and on the central nervous system.  These growths respond to the menstrual cycle the same way that the lining of the uterus does.  Each month, the lining builds up, breaks down and then sheds (aka ‘your period’).

When a woman gets her period the broken down lining exits the body as menstrual blood through the vagina.  When a woman has endometriosis, the tissue and blood from the endometrial growths found outside of the uterus have no way of leaving the body.  This results in internal bleeding and inflammation; both of which can cause chronic pain, infertility, scar tissue formation, adhesions and bladder and bowel complications.  Women with endometriosis also suffer from higher rates of allergies, yeast infections, asthma, chronic fatigue, fibromyalgia, other autoimmune diseases (such as hypothyroidism and lupus and others) and increased rates of ovarian cancer, non-Hodgkin’s lymphoma and brain cancer.

There is no cure for endometriosis and treatments leave a lot to be desired.  Common treatments include oral contraceptives, GnRH agonists, progesterone therapies, surgery and hysterectomy.  Since endometriosis usually appears during the reproductive years, hysterectomy is not a welcomed option and yet is commonly prescribed.  Surgery does not cure endometriosis, in many cases the growths reappear within five years. Hysterectomy does not cure endometriosis, with 40% of women see a reoccurrence of their symptoms.  There is no cure for endometriosis.

This March we need to raise awareness.  It’s not a comfortable topic but that is no reason for millions of women to suffer in silence with no known cure.  The discomfort society feels in talking openly about menstruation or uteri or vaginas is no reason to deny any woman the right to proper reproductive care.  1 in 10 women have endometriosis. These women are your friends, neighbors, sisters, co-workers, lovers, girlfriends, cousins, aunts, nieces, mothers, and fellow humans.  It takes an average of 7 years to get a proper diagnosis and even longer to find an effective treatment plan (if any).  This is about proper reproductive care, about millions of women who are embarrassed to talk about painful periods, about millions of women who suffer in silence.  It needs to stop.

This is not a call to arms but a call to uterus(es). This month lets promote reproductive care and raise awareness for endometriosis. Ask me about my uterus, ask those you care about, about their uterus.  Yes, it sounds strange, but how else are we to start the discussion and break the stigma against talking about reproductive illness; especially if we can’t even say uterus or vagina without snickering or feeling as embarrassed as a third grader would.  Please help us raise awareness this March; share this article, share your story, start a conversation, ask a loved one about their uterus and break the silence!

 

 

Endometriosis in Teenagers

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The endometriosis patient who elicits from me the greatest form of empathy and compassion is the patient whose pain begins in her teenaged years or even earlier. This young woman has doubts and fears when she thinks her incapacitating symptoms are the norm. She believes that everyone feels as bad as she does during her period (or apart from menses, if her symptoms are not confined to her periods), and so she concludes that other girls handle things better.

She starts to wonder, “Am I a wimp? Do I have to live like this for the rest of my life?”

These feelings of inadequacy are deepened by often well-meaning but uninformed people including coaches (“Working out will make your cramps better”), parents (“Your sisters never complained like you do about this”), and girlfriends (“Don’t be such a baby! It’s just your period!”). Many times the afflicted teenager grits her teeth and tries to tough it out.

When her symptoms do not improve, or when they worsen, the teenager may finally be taken to a doctor, where she may experience her very first pelvic exam. If this examination is not very carefully performed, the experience can be both humiliating and painful. After the exam, the patient may be told, “Everything appears normal.” The message is, “There’s nothing wrong with you. Why do you complain so much?”

If her symptoms are felt to be severe enough, the teenager may be initiated into the world of analgesics (pain medications). Repeated visits to the physician may result in numerous different analgesics.

If symptoms persist, the patient is given ovarian suppressants in the form of birth control pills. The result is that an otherwise healthy and normal young woman is now functioning only with the help of her drugs.

Our society in general frowns on drugs, and teenagers today have especially been inundated with the message, “Just Say No!” This concept contrasts with the young woman’s drug dependency (not drug addiction) and can contribute to a gradual loss of self esteem.

She may think, “I shouldn’t take drugs, but I can’t function without them, therefore I am weak or helpless or worthless or bad.”

As endometriosis progresses in these young women, most eventually end up on the operating table for diagnostic procedures. The endometriosis is diagnosed (sometimes) and staged (sometimes). If the physician believes that there is no cure for this devastating disease, he or she may offer only analgesics or medical forms of therapy (Danocrine, Lupron, Synarel or Zoladex) which stabilize the process at great monetary expense and side effects that can be as bad as the disease itself.

The ultimate result here is that, in addition to all the other physical and psychological impacts of this type of treatment, it takes away the teenager’s hope that she will ever be pain-free to live a normal life. There is nothing I know that has a greater impact on our lives than the loss of hope. It is a primary form of torture used on prisoners of war. Is it any wonder that we find many of these young women have become angry, depressed, and totally confused?

What Can Be Done?

Thankfully, we have much to offer a young woman with endometriosis.

Make the Diagnosis Early

Young women who do not respond to simple mild analgesics and who have any suggestive findings on physical examination should be laparoscoped. Endometriosis should be considered as a possible diagnosis at any point after a girl has her first period (menarche).

Don’t be Drug-happy

If she has symptoms consistent with a diagnosis of endometriosis, it is crucial that the diagnosis be proved before subjecting a young woman to prolonged bouts of powerful drugs. Sometimes physical abnormalities can cause painful symptoms. Such abnormalities can be corrected surgically and are not helped at all by medications.

Believe the Patient

A young woman’s support group (parents, siblings, schoolmates, teachers, partners, boyfriends and girlfriends, etc.) should believe her when she reports pain and other symptoms. It is really very unusual for a well adjusted child to suddenly begin using complaints of pain to get attention.

Enlist an Expert

Facing a first pelvic examination is a little intimidating for even the most relaxed woman. Imagine, then, how frightening it can be for a young woman, in pain and worried. Find a physician who is interested in treating the entire person: not just a collection of pelvic organs.

Know These Facts!

We are now finding that well-trained surgeons skilled in recognizing all visual manifestations of endometriosis can keep recurrence rates under 20% by completely excising all disease. In the overwhelming majority of cases, surgeons knowledgeable in advanced laparoscopic techniques do not need to make large incisions during surgery. Most patients go home the same day they have surgery.

Certainly, menstrual cramps may persist, and some women will have pain around ovulation. Overall, though, I have found the ability to relieve the pain of endometriosis sufferers is one of the most gratifying things I have ever done.

When chronic pain is relieved, you will see the return of a healthy state of mind. These young women can resume their lives as they ought to be. One young woman’s parents wrote, “Thanks for giving us our daughter back.”

We think the teen-aged years are hard enough without endometriosis making them worse, and are pleased to be able to offer the opportunity for significant and long-lasting pain relief.

About the author: Robert B. Albee, MD, FACOG, ACGE is the Founder of the Center for Endometriosis Care, a COEMIG-designated center of excellence in the treatment of the disease.

Lucine Medical Disclaimer: All material on this web site is provided for your information only and may not be construed as, nor should it be a substitute for, professional medical advice. To read more about our health policy see Terms of Use.