Endometriosis: Effective Treatments and Management Options for Pain and Symptoms

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Endometriosis is a medical condition in which the tissue that normally lines the inside of the uterus grows outside of it, causing pain, inflammation, and other symptoms. It is estimated that up to 10% of women of reproductive age suffer from endometriosis, yet it remains a poorly understood and often underdiagnosed condition.

While there is no known cure for endometriosis, there are a number of treatments available that can help manage the symptoms and improve quality of life for those who suffer from it. In this article, we will explore the various treatment options available for endometriosis and the latest research on what can help.

  1. Pain Management

Pain is one of the most common symptoms of endometriosis, and it can range from mild discomfort to severe and debilitating cramps. Over-the-counter pain medications such as ibuprofen or naproxen can be effective in managing mild to moderate pain, but for more severe pain, prescription medications such as opioids may be necessary.

In addition to medication, other forms of pain management such as heating pads or hot water bottles can provide relief. Regular exercise and relaxation techniques such as yoga or meditation have also been shown to be helpful in managing pain associated with endometriosis.

  1. Hormonal Therapy

Hormonal therapy is a common treatment option for endometriosis. The goal of hormonal therapy is to reduce the amount of estrogen in the body, as estrogen is known to contribute to the growth of endometrial tissue.

There are a number of hormonal therapy options available, including birth control pills, progesterone-only medications, and gonadotropin-releasing hormone (GnRH) agonists. Birth control pills work by preventing ovulation and reducing the amount of estrogen in the body. Progesterone-only medications such as medroxyprogesterone can also help reduce estrogen levels and limit the growth of endometrial tissue. GnRH agonists work by temporarily shutting down the production of estrogen, which can help reduce the size of endometrial growths.

  1. Surgery
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In some cases, surgery may be necessary to treat endometriosis. The most common surgical procedure for endometriosis is laparoscopic excision, in which the surgeon uses a laparoscope to remove endometrial tissue. This procedure can be effective in reducing pain and other symptoms associated with endometriosis.

In more severe cases, a hysterectomy may be recommended. This procedure involves the removal of the uterus and is generally considered a last resort for those who have not responded to other treatment options.

  1. Diet and Lifestyle Changes

While there is no specific diet that has been proven to cure endometriosis, there are a number of dietary and lifestyle changes that can help manage the symptoms. For example, consuming a diet rich in fruits, vegetables, whole grains, and lean proteins can help reduce inflammation in the body and may help reduce the severity of endometriosis symptoms.

In addition, regular exercise can help manage pain and improve overall health. Stress reduction techniques such as meditation and yoga can also be helpful in managing the symptoms of endometriosis.

  1. Alternative Therapies

A number of alternative therapies have been proposed as potential treatments for endometriosis. For example, acupuncture has been shown to be effective in reducing pain associated with endometriosis. Similarly, herbal remedies such as chamomile tea and ginger root have been shown to have anti-inflammatory properties and may be helpful in managing symptoms.

In conclusion, endometriosis is a complex and often underdiagnosed condition that can cause a great deal of pain and discomfort. However, there are a number of treatment options available that can help manage the symptoms and improve quality of life. Pain management, hormonal therapy, surgery, diet and lifestyle changes, and alternative therapies are all viable options for those who suffer from endometriosis.

It is important to note that each case of endometriosis is unique, and what works for one person may not work for another. If you suspect that you may have endometriosis, it is important to consult with your healthcare provider to determine the best course of treatment for your specific needs.

Sources:

  1. “Endometriosis Fact Sheet.” Office on Women’s Health. https://www.womenshealth.gov/a-z-topics/endometriosis.
  2. “Endometriosis Treatment Options.” Endometriosis Foundation of America. https://www.endofound.org/endometriosis-treatment-options.
  3. “Medical Treatment of Endometriosis.” American College of Obstetricians and Gynecologists. https://www.acog.org/patient-resources/faqs/gynecologic-problems/medical-treatment-of-endometriosis.
  4. “Laparoscopic Excision of Endometriosis.” Journal of Minimally Invasive Gynecology, vol. 13, no. 6, 2006, pp. 529–533. doi:10.1016/j.jmig.2006.06.012.
  5. “Acupuncture for Endometriosis-Related Pain: A Systematic Review and Meta-Analysis.” Journal of Obstetrics and Gynaecology Canada, vol. 37, no. 11, 2015, pp. 1005–1015. doi:10.1016/s1701-2163(15)30239-1.

Precocious Puberty: A Growing Issue for Young Girls

When I first read the novel Little Women, it made me feel…reassured.  The story of the March sisters’ journey from girls to women seemed much less intimidating than I thought the transition would be.The story’s central character, Jo, reflects on the experience of growing up saying,

I think she is growing up, and so begins to dream dreams, and have hopes and fears and fidgets, without knowing why or being able to explain them.

That was growing up for a girl then. Growing up now, the things a girl can’t explain include over developed breasts and the early onset of a menstrual cycle. According to a 2011 study published in the Journal of Pediatrics, American girls are maturing physically earlier and earlier. Preteen girls who have not yet let go of their American Girl dolls are being fitted for their first bras, scrubbing away at acne, and carrying pads in their backpacks to deal with periods that are increasingly starting in fourth grade or earlier.

Related Article: Oral Sex on the Rise

With the body maturing faster than the mind, young girls are being exposed to a myriad of risks, both physical and psychological.

 

Causes of Precocious Puberty

Precocious puberty is

when someone’s body begins changing from a child into an adult too soon. The process of changing from a child into an adult is known as puberty, and puberty that begins before age 8 for girls and before age 9 for boys is considered precocious puberty.

irls of today are experiencing precocious puberty more often and are hitting puberty sooner than any generation in history. About 15% of American girls now begin puberty by age 7, according to a study of 1,239 girls published last year in Pediatrics. Over the last 30 years, we’ve shortened the childhood of girls by about a year and a half. (Early physical maturation is occurring in boys as well, though that won’t be the focus of this article.)

The early onset of puberty has consequences that continue to be an issue well into adulthood, thus, even if a woman has gone through the puberty phase, she will forever feel the effects of it starting early. There are many explanations as to why this process, known as precocious puberty, begins early.

Related Article: Balls of Fury: Eunuchs Live Longer?

According to Dr. Frank Biro, director of adolescent medicine at Cincinnati Children’s Hospital, the rise in the childhood obesity rate is partly to blame. Fatty tissue produces leptin, which stimulates the release of sex hormones. According to Biro,

The girls who are obese are clearly maturing earlier. BMI is, we found, the biggest single factor for the onset of puberty.

puberty bpa

Yeah, but they were on sale… http://www.saferchemicals.org/

Additionally, there may be environmental factors involved.  Dr. Biro goes onto say that some investigators are focusing on environmental contaminants like PBBs and more notoriously, BPA, common ingredients in plastic products that have endocrine-disrupting powers of their own. The Centers for Disease Control says that the blood of the average American carries traces of 212 different chemicals. All of these chemicals have the power to disrupt the endocrine system by either mimicking hormones, blocking them, or changing the way they’re metabolized and excreted. The longer we ignore these often times preventable causes, the more we will continue to upset the biological balance.

 

The Effects of Early Puberty 

There is another kind of biological balance that is even harder to control. Young girls who fall into precocious puberty are forced to balance their rapidly changing bodies with the standard development of their minds. When pre-sexual minds find themselves in newly sexualized bodies, substantial emotional damage can be done. Dr. Michelle Klein, a pediatric endocrinologist at Mount Sinai Medical Center, treated a 6 ½ year old who was already developing breasts and pubic hair. Klein stated that,

She would get into a bathing suit at camp, and the other kids would tease her. She was already a good deal taller than her peers, and adults would talk to her as if she was older and more mature–and expect more-mature behavior out of her too.

puberty height

Did I shrink or did you explode upward? http://www.saferchemicals.org/

This becomes problematic to a child because she is not receiving a message consistent with her actual age. She won’t understand the expectations on her because she is not mentally prepared to do so.

Related Article: All Your Kids Are Sexting 

People are judging girls based on what they can see, but as with everything, appearances are deceiving. According to Erin Diamond, author of “Big Feet, Training Bras,” and “Going All the Way”:

Girls who develop physically faster are assumed to be more sexually active than their peers…Early developers are also more likely to engage in relationships of a sexual nature before they are emotionally prepared to do so.

This leads to a myriad of psychological disorders, including depression, anxiety, poor self-esteem, eating disorders…all due to a process that is beyond their control. Not only are young girls at an increased risk of emotional turmoil, they also have physical side effects to contend with. According to the Journal of Pediatrics, early sexual maturity means more estrogen exposure for breast tissue, thus, introducing a cancer risk.  If a girl gets her first period before 12 years of age, the risk of breast cancer is 20% more than if she got it at 14. Additionally, breast cancer risk is increased by 5% for every year younger a woman is when she begins her periods. As you can see, growing up, more than ever before, is now hazardous to a girl’s health.

 

What Doctors and Parents are Doing to Help

puberty hypothalamus

The biological process driving the worst years of our lives. http://www.lupronped.com

In light of these hazards, it is now time to reset the puberty clock. Science is offering new options that will help to literally shut off puberty for a year or two so that a child’s chronological, psychological, and physical age all align. The new treatment involves monthly injections of Lupron, a medication that neutralizes the effect of the puberty inducing hormones, otherwise known as GnRH. It does this not by reducing the level of the hormone in the body, but by increasing it. GnRH is released by the hypothalamus in a pulsing pattern, and the injections are designed to fill in the gaps between the pulses. The body interprets the neutralized GnRH state as no GnRH at all, and the sped-up maturation stops.

Related Article: For Cure Administer Two Times Daily- How Effective is Our Medicine? 

While drugs are effective, they can be expensive. For uninsured Americans, these drugs can cost $1000’s each month. Presently, the only drug available for precocious puberty is Lupron. But according to the Physicians’ Desk Reference, Lupron has 265 possible risks and side-effects, including cancer. Lupron can cause severe problems such as tremors, seizures and memory loss.

In light of these dangers, it is important to know that there are natural methods available to help prevent or mitigate the problem. They may seem small when compared to medicinal treatment, but if we all practice these small solutions regularly, we could help to create a change in a young girls life that she will carry with her as long as she lives.

First, throw out your plastic water bottles; microwave your food in glass containers as opposed to plastic. This can lower your exposure to the dangerous BPA chemical. Since obesity is a strong contributing factor to precocious puberty, keeping weight down can prevent the hormonal effects of carrying too much body fat. This is where a healthy diet and regular exercise become very important.

Related Article: The Dangers of Fat Acceptance 

puberty children

Don’t judge your children, love them. http://www.amagazineofrandom.com

In addition to all of this, the most effective strategy may simply be awareness; we need to be aware of the pressures faced by young girls in our society. It is the responsibility of parents, teachers, coaches and any other significant figure in a girl’s life to remind her that her worth is not tied to her outward appearance. Little girls need to be assured that they are loved no matter when changes to their body and mind may occur. It is important to remember that to any child, happiness is knowing you are loved. 

And that is the most important thing; the happiness and contentment of little girls as they navigate their way through such an arduous journey. But for some, the journey is complicated in a way they may not be emotionally mature enough to handle. By discussing the causes, examining the effects, and identifying some solutions, we see more than ever that just because a little girl looks like a woman on the outside, that does not mean she is woman on the inside. While today’s little girls grow up much differently than the March sisters, they do still have one thing in common. As author Louisa May Alcott said,

The emerging woman will be strong-minded, strong-hearted, and strong-souled,

and that is true about a woman at any age.

 

Sources:

http://www.redorbit.com/news/health/1112716850/puberty-in-boys-age-102112/

http://pediatrics.aappublications.org/content/early/2013/10/30/peds.2012-3773.abstract

http://www.amazon.com/Little-Signet-Classics-Louisa-Alcott/dp/0451532082

http://www.americangirl.com/index.php

http://pediatrics.aappublications.org/content/early/2010/08/09/peds.2009-3079.abstract

http://www.mayoclinic.com/health/precocious-puberty/DS00883

http://www.medicalnewstoday.com/articles/268337.php

http://www.redorbit.com/news/health/1112993027/us-girls-entering-puberty-earlier-than-ever-110413/

http://www.cdc.gov/exposurereport/

http://en.wikipedia.org/wiki/Bisphenol_A

http://en.wikipedia.org/wiki/Polybrominated_biphenyl

http://en.wikipedia.org/wiki/Endocrine_disruptor

http://content.time.com/time/magazine/article/0,9171,2097388,00.html

http://www.bradley.edu/sites/bodyproject/sexuality/puberty/

http://www.jpeds.com/article/S0022-3476(07)00983-3/abstract

http://ww5.komen.org/BreastCancer/FirstPeriodOccursBeforeAge12.html

http://www.ncbi.nlm.nih.gov/pubmed/23084519

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2927128/

https://www.lupronped.com/central-precocious-puberty/treating-precocious-puberty.aspx

http://www.biolreprod.org/content/56/4/1012.full.pdf

http://www.whale.to/a/sellman.html

http://www.goodreads.com/quotes/424368-the-emerging-woman-will-be-strong-minded-strong-hearted-strong-souled-and

 

Unprecedented Changes and Extinctions Occurring in Marine Life

Indian Biodiversity Talks has recently posted about a review that examines the impending mass extinctions of marine life that are taking place and will continue to take place on a global scale. Due to global warming and the mass acidification of the oceans, scientists are urging the world to alter its behavior immediately and look further into which species will safely adapt, and which will perish in the wake of history.

The world must change its effect on global climate, and practice sustainable, clean lifestyles if it wishes to provide future generations with what we would consider acceptable livelihoods.

Climate change is obvious all around us, especially when viewing the melting of ice in places like the Arctic and in Greenland.  In July of this year, the melted area of the Greenland ice sheet jumped from 40% to 97% in only 4 days!

One of the greatest effects we have on our world and oceans is through the way we handle our waste.  Ever heard of the Great Pacific Garbage Patch?

The Great Pacific Garbage Patch is circulated in the North Pacific Gyre.  It is a patch of ocean containing, in many areas, more plastic than plankton.  The U.S. produces about 6.8 billion kilograms of plastic each year and only one per cent of it is recycled.  There is even plastic from the 1950’s still slowly floating in the midst of more contemporary garbage. It is one of  many ever increasing problems that must be addressed swiftly and efficiently if there is any hope of saving ourselves from ourselves.

*Update* Vice released a documentary on youtube yesterday documenting never before seen aspects and information of the Great Pacific Garbage Patch.  Most importantly, it reveals in detail how this garbage affects you and seeps into your body quickly and with sickening potency. Click the number to watch part: 1  2  3 (Part 1 and 3 contain the best information, while part 2 focuses more on the journalist’s experience on the ocean).

“Today’s problems cannot be solved if we still think the way we thought when we created them.”  -Einstein