endometriosis - Page 12

My Journey from DES Advocate to Author

2531 views

My name is Judith Barrow and I am an author. I have been connected with DES Action UK and USA since I heard a programme about Stilboestrol (Diethylstilbestrol in the USA) (DES) on the radio many years ago. I learned several years ago that a relative was affected by this drug.

The damage DES causes is very personal and as private person, she didn’t want anyone to know that she had been exposed to DES. So I became her front person. I did the research for her. I contacted the DES organizations on her behalf. What I found changed my life and led me to write a book. Here is my story.

DES and Endometriosis

I’d known for many years that my relative suffered with chronic endometriosis, and that she had anatomical deformities. Ultimately, it was discovered that she had a narrowing of the cervical canal which resulted in increasingly painful menstruation. Then I heard a Radio Four programme called ‘You and Yours’ which included an article on DES. I realized that a lot of the content applied to my relative.

I made the inquires for her. First to DES Action UK, which was still extant then (they folded last year due to lack of funds and support). I sent for their newsletter and went online. The more we read, the more we were convinced that she had been exposed in utero to Stilboestrol. Like many private families, her mother initially denied it. This caused family problems, so she didn’t pursue the issue any further.

The information she gained from the DES groups made her aware that she needed to have the annual cervical smear (the only specialists for this test for DES Daughters is in Ireland). The more research I carried out, the more aware I became of the damages DES had caused.

After a year of communicating with DES Action UK, I was asked to write an article appealing for DES Daughters and Mothers to come forward and tell their stories. It was hoped that the group would get more members and that, if more voices were heard, then perhaps the British Government would listen.

The stance of the Government is twofold; that those pregnant women who were prescribed the drug were given it so far in the past that to raise it as an issue now would only cause ”unnecessary concern.”  They believed it was a problem to be discussed privately between the mothers and the drug companies. I disagreed.

Following the article, many women contacted me to tell their stories. Some were heartbreaking; one daughter had six miscarriages before giving up the struggle to conceive (she then, happily, adopted a lovely little girl). Another Daughter had too many health problems to list but amongst them she suffered from endometriosis, uterine fibroids, paraovarian cysts. It was no wonder she was depressed. Her mother wrote many letters to the Government. Ultimately the reply came back – “Thank you for your letter, future correspondence will be noted and filed but not responded to…” The mother cried when she told me. I was so angry for her.

But the DES Daughter story; the one I first came across when I knew of Stilboestrol and DES Action UK, that really affected me was from one of the initial members. I enclose part of the interview, and further comment, from the article in The Sunday Independent: Sunday 22 January 2012 (this decided me to self-publish the book; it gave credence and veracity to the story. It reads as follows:

Thousands of women could be at risk from ‘silent Thalidomide’

A drug intended to prevent miscarriage is blamed for causing cancer in the daughters – and possibly even granddaughters – of women who took it decades ago. By Sarah Morrison and Jaymi McCann

The first recorded “DES daughter” in Britain, Heather Justice, 59, from Jarrow, was 25 when she found out she had vaginal cancer and would have to undergo a hysterectomy and partial vaginectomy. Although she found records showing her mother had been given DES in the 1950’s, she was unable to bring a case to court – (in the UK, because she could not identify which manufacturer had produced the drug. However, a US lawyer did help her get some compensation there.

Also, she says –“it is impossible for anyone to find the manufacturer of the drug in this country, not just me, as it was never patented. It was the surgeon who performed my hysterectomy who asked my mother if she knew what she had taken. He knew it must have been DES because of the rare type of cancer I had. He was also the one who found her medical records with the generic name of the drug”:- added after this interview)

After years of fighting the legal system, she says she feels disillusioned. “One of the problems is that unlike Thalidomide, where you see the problem the minute the baby was born, women who took DES had healthy babies,” she says. “Problems were hidden until the teens and twenties, by which point we were forgotten about. When I asked my mum what she had taken, she didn’t even remember the name of the stuff. It is a complete and utter minefield.”…

It took almost nine years to research, to contact women from different countries and piece together a story. Although I am not a DES Daughter – and like many others in the UK still are – I was totally unaware of this drug, until that one radio show on DES. The more I discovered the angrier I became. That these women are still fighting for recognition, acknowledgement from the pharmaceutical companies after so long is a disgrace.

What is DES?

DES, a synthetic oestrogen, was created by Charles Dodds in the UK in 1938. It was expected to help prevent miscarriages. Years later, he raised concerns about DES but by then very few in the medical field were listening. Doctors prescribed Stilboestrol to pregnant women between the nineteen forties and seventies, believing it was safe. The women had no reason to doubt but, too late, they learned the horrible truth. Not only was DES ultimately proved to be ineffectual, it caused drastic damage to their children: An increased risk for infertility, vaginal/cervical cancer in young women and breast cancer in later life are but the start. Scientific studies continue add to the growing list of serious medical problems caused by exposure before birth. Hormones Matter has covered DES here, here and here.

Now researchers are investigating whether DES health issues are extending into the next generation, the so-called DES Grandchildren. Millions around the world were exposed to DES, but this tragedy flies under the radar of general consciousness. I set out to change that. These women and men should not suffer in silence.

From that initial contact with DES UK, my life changed drastically. I have become an advocate for DES education, research and services. I wrote a book to publicize the depth of suffering women, their children and grandchildren exposed to DES experience, often silently. Ten percent of proceeds from the book sales go directly to DES research. I hope that my work will in some small way help change that.

To learn more about my book click: Silent Trauma.

To learn more about DES action groups: DES Action Groups Worldwide

Postpartum, Parenting and Endometriosis

3535 views

I was not diagnosed with Endometriosis until four years after the birth of my daughter.  The pain of endo plus postpartum depression was hell mentally and physically. And did I mention, I was a single mother as well.

When my daughter was born I felt no attachment to her whatsoever, no love, nothing. I felt like she wasn’t even mine. I was depressed; I was in pain from the delivery and emotionally was not available to my daughter. I was also having trouble breastfeeding and after 2 weeks, I gave up. The first week after delivery was especially difficult. I was dealing with the pain of childbirth as well as trying to treat a yeast infection that I had during delivery. Every time I stood up I had severe vaginal pain and this lasted a year after the birth of my child.

My daughter cried from the day I took her home. She was a very fussy baby, only would sleep if I held her. I tried the ‘cry it out method’ and that didn’t work. She wouldn’t drink her formula and up until she was 9 months she drank only 4 ounces 3 times a day.

By the time she was 9 months she started walking. She would get frustrated and wanted to be held, then let down, wouldn’t go in a stroller, would throw herself back if you were holding her, she would cry and cry and cry. Nothing at all I could do could console her. I tried everything. By the time she was one she started to slam her head on the ground out of frustration and that just stressed me out more. She was never on the charts for weight or height but she was very intelligent and met all other milestones and still does.

I would get so frustrated I would put her on the bed and let her scream because I just wanted to throw her. I couldn’t understand why I had these feelings. They were so strong.  I thank God at that time I was living with a family and the husband would take her from 4-11pm when she would just scream bloody murder. I felt like such a bad mother and I really started to resent her being born. I felt angry at her father. I was so tired and my head just didn’t feel right mentally.

I remember having a dream that she was hanging outside the window and she was screaming for me to help, but I just looked at her and I let her fall. When I realized what I had done I ran downstairs to see if she was okay. She was, but she looked at me as if I had betrayed her. Even though it was a dream, in a way I had betrayed her. I wished that she wasn’t born. I felt she ruined my life and was bringing me down into a further depression I just couldn’t get out of.

I went to the doctors told him I must have postpartum depression (PPD) and he told me no that I didn’t. I talked to my mother and said the same thing and she said “I had three children and I didn’t have it and so you can’t have it.” You have to remember I was on my own at this time and everyone was telling me I was fine.

One day I was watching a TV program on PPD when my daughter was three years old. I knew I had PPD. So, I walked myself right into the Emergency room at the hospital and told them that I think I had it. I would never harm my child, I just had thoughts. The doctor gave me sleeping pills and sent me on my way.

I would become so frustrated at my daughter I would scream in her face and tell her to stop crying. Then I would cry because what type of mother does that? One night I felt like there were demons on my room and I was petrified.

Mentally, I was falling apart. I was nauseated, tired, irritated, angry, I had severe acne everywhere, my back, chest, face and neck and in pain in my pelvic area and bowels. To be honest I was just down right out of my mind when I finally went to the doctors again. I was sent to get an ultrasound done and that is when they found the cyst. I went to my gyno and she wanted to put me on Lupron.  I refused, as I did my research about the side-effects. However, I did go on the birth control continuously to see if that would shrink the cyst.

Within one week something happened. It was like a light went on. I never felt so great in my life. The acne started to clear up, I wasn’t angry and my mind was so clear that I couldn’t believe it. That is when I feel like my life changed.  I realized that my entire life I had had something wrong with me hormonally but that it was pushed aside by doctors.  They just kept telling me I was depressed.

I am so glad that I am not like that anymore, but I feel like I damaged my daughter mentally during that period of my life. She suffers from anxiety now.  I really feel it was because of what I was going through.

After having my end treated with multiple surgeries, I feel better, but not great (read my story here, here or here).  I suffer from debilitating fatigue and I think that is the worst when it comes to wanting to do things with my child. When I wake up I feel like a truck hit me and I get a little crusty with my daughter because of it.  I know she can’t understand what I am going through and even if I try to explain to her. I don’t think I will ever get back the first five years of my daughter’s life. I feel like it has been a blur. It is like I don’t remember even being there during that time.

My daughter is very compassionate and understands that I have Endometriosis but it still doesn’t help when I have symptoms that affect her.  And that makes me really sad.

Is there anyone else out there that had endo and then postpartum depression?

Take these pills!

2238 views

Good morning young lady
Please lie on this slab
It really won’t hurt, not a bit –
Please relax.

I see nothing wrong,
no reason for pain –
However some women
do tend to complain.

Here, take this packet,
it’s commonly used
by women with many more
problems than you.

Some pain is just normal,
no reason to fuss –
just take these small pills
and return in three months.

If this doesn’t work, we’ve got
more you can try.
If you’re sad that is normal –
it’s normal to cry.

It’s normal to suffer-
you must be very weak.
Other women, just like you,
tough it out, so to speak.

These pills are quite safe.
They prevent any pain.
This means what you feel
must be caused by your brain.

 

Take these pills!

Lisa lives in Homer Alaska with her amazing husband, and is an advocate for endometriosis awareness, education, and higher standards for women’s health worldwide.  She works in Quality Assurance, and she dreams of saving the world with poetry and organic vegetables.  She is currently pursuing a Master’s Degree in Project Management. 

 

New Research: PEDF for Endometriosis Relief

3019 views

Recent research out of Tel Aviv, Israel has discovered a new potential treatment for endometriosis using pigment epithelium derived factor (PEDF).

Endometriosis, a secondary autoimmune disease estimated to affect 176 million women worldwide occurs when the lining of the uterus (the endometrium) is found outside of the uterus.  These rogue endometrial cells can cause chronic pain, abnormal bleeding and can lead to fertility issues. When a woman’s endometrium builds up during her menstrual cycle, new blood vessels are formed within the thickened uterine lining.  This creation of new blood vessels, also known as angiogenesis, can also be seen in the endometrial cells that grow outside of the uterus in women with endometriosis.  This abnormal blood vessel growth can have painful consequences.

Based on preliminary clinical studies of rodents (induced with endometriosis), an injection of PEDF, an anti-angiogenesis factor produced within our bodies, can reduce endometrial lesions and decrease pain.  Women with endometriosis have higher levels of vascular epithelium derived factor (VEDF) which promotes the abnormal and painful vascularization seen in the pelvic endometrial growths.  To counteract the abnormal VEDF levels, researchers injected PEDF as a replacement therapy in hopes of balancing reproductive angiogenesis.  Once injected with PEDF the mice had a complete reversal of all symptoms and eradication of endometrial lesions.  The study also showed that PEDF has no negative impact on fertility or ovarian quality.

Now that researchers have confirmed PEDF exists within the reproductive system, they hope to commercialize the protein for therapeutic purposes.

Progesterone in Poetry – Can it be done?

2294 views

I got some progesterone in my eye
And now my vision is slow
My acuity is hungry and yet
Not sure what to eat –
Except for potato chips
Or perhaps chocolate
Followed by potato chips,
Chocolate, and
French fries.

Each eyelash wants to take a nap –
But each one also wants
To take a nap, separately,
But with the cat.

I got some progesterone in my eye
And now my eyelid is much heavier
Than normal,
And my eye itself
Is slightly miffed
At my heavy, cheerful eyelid –
But just too apathetic
To address the issue.

I got some progesterone in
My eye
And although
I have plenty of work to do,
I’ll gaze fatly out this convenient window
And not look very hard
At any one thing.

 

Lisa lives in Homer Alaska with her amazing husband, and is an advocate for endometriosis awareness, education, and higher standards for women’s health worldwide.  She works in Quality Assurance, and she dreams of saving the world with poetry and organic vegetables.  She is currently pursuing a Master’s Degree in Project Management. 

Endometriosis is More Common in Skinny Women: A Follow-up

2656 views

If endometriosis was something you could market – the commercial,  based on the more popular research of late, would go something like this:

Tall, Dark & Handsome Man: “You are looking quite radiant today.  Is that a new dress?”

Young Beautiful Woman: (turns dramatically as she seductively whispers) “No… No, that’s just my Endometriosis.”

We’ve come a long way since endometriosis was first discovered in 1860. We now know that slim women have a greater risk of developing endometriosis and that women with recto-vaginal endometriosis (the rarest/most severe form – affecting only 11-13% of endometriosis sufferers) are surprisingly more attractive.  Ok, so we don’t have a cure but hey, at least we know that there are more skinny women with endometriosis than there are obese women. Being skinny does not cause endometriosis, and being obese doesn’t prevent endometriosis, but this is important research because it… It shows that BMI is correlated with endometriosis and that does nothing for the 176 million women whom already suffer from endometriosis.

It doesn’t matter that we have multiple hypotheses as to how endometriosis might develop, or only a handful of treatments – most of which leave much to be desired (i.e. hysterectomy and “chemical menopause”).  No, it doesn’t matter because we know that some women with severe endometriosis are freakishly attractive. And obviously this research was extremely important since it was covered on almost every media channel in 2012, including the prestigious and highly scientific Cosmopolitan.

While Tuesday’s original post on the endometriosis/skinny research brought up the questionable quality of women’s health research and funding. I would like to add on that and point a finger at the media for highlighting the research that doesn’t really make a difference and shunning the research that does.  What about the studies on PEDF– an injectable protein to reverse endometriosis symptoms? Why do I have to comb the bowels of Google, to find that…  What about the research study from 2012 that shows a gluten-free diet can help those with endometriosis? Or how a study conducted in Milan found that women who ate red meat on a daily basis were 80 -100 times more likely to have endometriosis. Did you see the research stating migraines are more common in women with endometriosis?  Or how Reservatol from red grapes helps block endometriosis? No, no one knows about these studies, and yet these are the studies where actual progress is going to come from.

So, as a researcher myself, and in an attempt to create research that matters, I am now accepting grant money for a new research project that I think will really shed some insight on endometriosis. I’m calling it “Favorite Hue and its Link to Endometriosis.” I hypothesize that women with endometriosis favor a disproportionate amount of pink. And this is important because maybe, just maybe, we can finally get some nicer ribbons (rather than the yellow ones currently ascribed to us).

Jordan Davidson is a Freelance Health and Nutrition Writer based out of New York City. She is also the proud parent of a new blog Hersterical. You can contact her with any inquiries at hersterical@gmail.com or follow her on twitter at: @JA_Davids. 


Endometriosis is More Common in Skinny Women – Woohoo!

5164 views

Circling the blogosphere, on every health media site, new research finds an association between body weight and endometriosis. Woohoo!  We can all rest better now that we know skinny women have more endometriosis. I’m sure the women who suffer from incalculable pain for years on end are relieved by this breathtaking bit of scientific research.

The study, conducted at major research centers, funded by the Eunice Kennedy Shriver National Institute and of Child and Human Development and by the National Cancer Institute and published in a top tier journal, Human Reproduction, marks all that is wrong with women’s health research, academic research funding and publishing. It is safe, meaningless and does nothing to further the science. And yet, it is exactly the type of research that is funded and published over and over again.

Endometriosis is an incredibly painful, chronic and ever-worsening condition that affects almost 200 million of women worldwide. We cover it regularly (see here). With endometriosis, endometrial tissue grows outside the uterine cavity and invades a woman’s internal organs, her ovaries, her colon, her bladder, even her lungs, causing great pain and destruction throughout her body.

There are no effective diagnostics, except surgical visualization. By definition, this occurs years after the disease has progressed sufficiently to see it and long after the damage of the disease has been done. Many women suffer 5-10 years before a diagnosis is made.

There are no effective treatments and so we keep recycling old medications, hoping beyond hope that somehow, magically, this oral contraceptive or that anti-depressant or perhaps a gonadatropin agonist will work and quell the growing implants. They don’t.

No one knows what causes endometriosis. Is it genetic? Environmental?  A combination of both? Is it hormonal and if so which hormones, which receptors and by what mechanism does the tissue grow?

Why does endometriol tissue grow outside the uterine cavity? The most common explanation thus far, retrograde menstruation, has neither supporting data, nor diagnostic or therapeutic utility. One would imagine that after 90 years of being the most prominent theory in the field, the one taught in medical schools, that there would be some data validating its utility and accuracy. But alas, there is not.

Instead, we have research funded and published that tells us skinny women are more at risk than our overweight sisters. It tells us nothing about why weight might influence endometriosis, nor does offer anything to help fill the diagnostic or therapeutic void that is endometriosis. No, it just tells us that there is inverse relationship between BMI and endometriosis – lower BMI at 18 years of age is correlated with higher rates of endometriosis later in life. Oh, and infertility is also in the equation. For those of us in the field and for the women suffering, this is hardly groundbreaking research that deserves funding or publication. And though I applaud the Eunice Kennedy Shriver Institute for funding research in women’s heath – they are one of the few governmental institutes or organizations that do – much could be done to improve the nature of the research funded. If ever there was a disease that needed brash innovation, endometriosis is it.

 

 

Dealing with Doctors When You Have Undiagnosed Endometriosis

6866 views

I have been going from doctor to doctor for 23 years for my endometriosis. I have yet to find one that actually listens to me. Is it me or do doctors not listen to patients? Maybe they don’t believe us when we describe the pain of endometriosis. Maybe they don’t believe us when we break down and cry after years of misdiagnoses, endless medications that didn’t work or made things worse. Or maybe, our pain is just too real and because they know they cannot treat it, they back away and ignore it. I don’t know why so many doctors treat endo patients the way they do, but I know it’s never going to change if we keep suffering in silence. The pain is real and shouldn’t be ignored. That is why I share my experiences here on Hormones MatterTM and on other social media sites. If we don’t speak up, how will they ever understand how much we suffer?

My Experience with Doctors

My first doctor seemed like she was out of it and not interested in my pain. I didn’t feel that I could speak to her. I was young and so I just believed what she said and left it at that. I always thought she would tell me what I needed to do next to feel better. I went to see her about my horrible cramps. Immediately, she thought it was endometriosis and left it at that; no medications, no treatments, and no advice whatsoever. At 13 years old, I didn’t think twice and went on my merry way.

Soon, the pain was so bad that I found another doctor. I saw him for almost five years. He ordered tests, prescribed different antidepressants. Needless to say, the antidepressants did nothing for the pain of endometriosis. If it wasn’t blatantly clear that it was cancer or some other obvious disease, he had no clue what he was doing and he had no interest in diagnosing or treating my pain. He finally told me that I cried too much and that could no longer be his patient. I think he’d cry too if something were strangling his insides.

During my teen years and into my 20’s I must have seen over 15 doctors and specialists. I had a neurologist tell me to touch my nose and when I did, he said I was fine.

Probably one of my worst experiences with a doctor came three years after my daughter had been born. One day I called, because I was feeling flu like and nauseated every day. The secretary booked me that day even though they were busy. While I was in the waiting room, I could see the doctor having an argument with his assistant, I assumed for putting me in when he was full. When he called my name and while walking into the room in front of everyone, he said to me “What is so wrong with you that you had to bud in front of all of these fine people?” OMG I was so angry I told him I didn’t need this treatment and walked out and never went back to him again.

At this point, I had been suffering with untreated Stage IV Endometriosis for 13 years. I had seen multiple doctors who either ignored my pain or made me feel as though I was somehow imagining it. Frustrated, I finally started to do my own research. I found support groups online to help me with what questions to ask the doctors. I found yet another doctor and scheduled an appointment. He told me after reading my Ultrasound report that he was sure it was endometriosis and that he would book a surgery for it.

Talking to my friends online made all the difference in the world. They told me to ask questions like what to expect, what could make the surgery change from laparoscopy to open surgery etc.

Next time I went in to see this new doctor, the one who said my ultrasound showed endometriosis, I started the conversation with “The last time I was in you said I probably had endometriosis” I was about to finish my sentence when he got really angry at me. He said that he never said I had endometriosis. When I tried to ask more questions, he got mad and said I wasn’t ready for surgery and then cancelled the surgery and red flagged my file. I was so confused. Why was I not allowed to ask questions? It was my body that he was operating on. He had such a God complex. I walked out of his office.

No wonder people with long-term, undiagnosed medical conditions get depression. They are treated like crap, like hypochondriacs and as if we are wasting the doctor’s valuable time.

After 15 years of excruciating pain and being treated poorly by many doctors, I finally found a doctor to operate on my Stage IV Endometriosis. The surgery was a success. I thought that I would feel vindicated, but I didn’t. I was, and I am still, angry with how I was treated.

I have been talked down to by many doctors. They have made me feel really uncomfortable about myself. They made me think I was going crazy. I can’t even count of how many times I contemplated suicide because of the mental stress my health put on me, the fact that I had no one to understand what I was going through and not even a doctor who cared to listen. If they did, they would have known I had all the symptoms for endometriosis.

Even after all of this, every new doctor brings with him the risk for misdiagnosis and mistreatment. Read my story about developing Pelvic Inflammatory Disease, Post Endometriosis Surgery and the horror of getting that diagnosed appropriately. My present doctor now knows nothing about endometriosis, a disease that affects millions of women around the world. How does this young, female doctor NOT know?? I just go there now and tell her the tests I need done and what drugs I need or if I need to change them. She does nothing on her own.

Lessons Learned about Endometriosis

If I have learned anything through this ordeal it is too keep your own medical records, be an advocate for your own health and ask a lot of questions. If you want sympathy or empathy and a little understanding do not expect to get it from your medical doctor. Find an online community of women with a similar condition. That is where you will find the support you need to survive.

1 10 11 12 13 14 16