Archive for the ‘Women’s Health’ Category

posted by admin on May 8

What can I do to prevent endometriosis? Although endometriosis is rarely life-threatening, it affects life on two very critical levels—well-being and fertility. Women are often surprised by the differences they can make in ending the misery of endometriosis.

• Believe you cm make a difference. You will learn what you can do to alter your condition within these pages, but you must believe, in your heart, that you can do it. Then you have to take the first step. Beginnings can seem formidable and the goat may seem far away. Keep up your energy and motivation to reach the goal of offsetting the symptoms of endometriosis, reducing the pain, and, possibly, curing the disease and preventing its recurrence. This is challenging, but it can be done by taking one step at a time.

• Change your diet. Endometriosis responds so well to dietary changes, it must be part of standard treatment, along with medication, as indicated, for each woman. The endometriosis recovery diet follows shortly. It is based on evidence that certain foods, vitamins, and minerals affect both pain from menstrual cramping and hormone levels. The diet concentrates on putting your body in balance nutritionally and reducing pain the natural way Put very simply, it requires you to cut down on sugar, salt, and fat and increase your intake of complex carbohydrates, certain vitamins, and fiber.

Studies show that obesity promotes higher estrogen levels, which increase die chances of endometriotic cysts. Women on vegetarian diets have higher levels of estrogen and cholesterol in their stool than meat-eaters. Essentially, all the fiber they are eating helps eliminate excess estrogen and cholesterol from their bodies. This is one reason why you need fiber.

• Reduce stress. Stress-related accidents and illnesses account for about three-fourths of the time lost on the job. Why does this happen? Stress attacks start a domino effect in the body. Stress is far more than a pyschological irritant. During hard stress, the lymph glands shrink; the cortisone level is raised as the adrenal glands release more of this hormone and impair immune system functioning; blood pressure rises; the heart works harder; and the body, in sum, is left open to infection or stress-related disease.

There is much dispute about stress’s affecting or creating endometriosis. Some see the disease as a combination of known and unknown factors, all of them within the body itself—whether it is genetic predisposition or links to hormone production. These people, many of them sufferers of endometriosis, do not believe that stress has any real bearing on the condition, arguing that this places too much responsibility and “guilt” on the patient. Others, like myself, believe that this disease is connected in some way to the effects of counterproductive stress, such as fatigue, overwork, disruptive environments, discord among family members or friends, worry about money, career, love, and security for the future.

Dr. Christiane North nip an obstetrician and gynecologist and co-founder of a group practice. Women to Women, in Yarmouth, Maine, concurs. “I almost never sec a patient with endometriosis who does not have a number of adverse factors in her life, which may have affected the onset or progress of the disease.” she told me. As a woman doctor treating women, she says, “I feel strongly that stress is most definitely a component.”

Dr. Northrup thinks it is helpful for women to “rethink their goals” and do some “inner searching.” What does she mean? “Modern women want their lives to be an organic whole,” she said. “Ideally, this means home life is consistent with work life, rather like an intermeshed flowing whole. I think it’s common for working women to be hard on themselves and add the self-induced pressures of wanting that harmony and balance, myself included.

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posted by admin on May 8

There are many reasons why hysterectomies are carried out, the most common being fibroids and unexplained heavy menstrual bleeding. Australian Institute of Health and Welfare studies indicate that fibroids account for about 6500 (22%) and heavy menstrual bleeding for about 5300 (18%) of the estimated 30 000 hysterectomies performed in Australia each year. In the US, fibroids are said to be responsible for as many as 30% of hysterectomies and a further 20% are due to excessive bleeding of uncertain cause. Other major reasons given for the hysterectomies performed in Australia are prolapse (7-21% depending on the type of hospital and State in which it is located), endometriosis and adenomyosis (6-23%), cancer (1-12%) and pelvic inflammatory disease (2-8%). Multiple reasons are given for the remaining hysterectomies.

While information is available about the number of women who have hysterectomies and the underlying reasons, much greater uncertainty surrounds the women who consider the option of hysterectomy but decide against it. It is probable that these women number many, many thousands.

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posted by admin on Apr 22

Laser laparoscopy for endometriosis is surgery which attempts to remove and destroy endometrial implants, cysts and adhesions using a laser beam.

Lasers are fine, highly concentrated beams of light that can be precisely aimed and controlled. They have been used in some branches of medicine for many years. Ophthalmologists use lasers to treat a variety of eye diseases and dermatologists use them to remove skin cancers and other skin growths.

There are several different types of lasers used in laser laparoscopy and each one has its own particular characteristics and uses. The three types of lasers that are most commonly used in the treatment of endometriosis are the carbon dioxide laser, the argon laser and the Nd: YAG laser. The type of laser used by your gynecologist will usually depend on which type is available.

Who is suitable for laser laparoscopy?

Laser laparoscopy is most suitable for women with minimal to moderate endometriosis. It is not usually suitable for women with severe endometriosis.

Things to discuss before laser laparoscopy

At some stage before the operation you and your gynecologist should discuss what procedures are proposed and what should be done if a laparotomy is needed.

What happens with laser laparoscopy?

A laser laparoscopy involves the same basic routine as that which is used for a diagnostic laparoscopy except that a laser instrument is inserted through a channel in the laparoscope. The laser beam then travels through special fibres known as fibre-optics before being directed onto the relevant tissue in the pelvic cavity.

The laser beam can be used to remove or destroy superficial endometrial implants and endometriomas, and to remove adhesions. The implants, endometriomas and adhesions are removed or destroyed by directing and focusing the laser on to them and using the intense energy of the laser beam to ‘vaporize’ or break up their cells.

Effectiveness of laser laparoscopy

Laser laparoscopy has several advantages over other surgery. It involves less risk of accidentally damaging underlying organs because the gynecologist is able to precisely control the depth and amount of tissue being destroyed. Similarly, because the laser destroys only the target tissue and leaves the surrounding tissue undamaged, there is likely to be less pain and discomfort and faster healing of the affected area. It is thought that the main advantage of laser laparoscopy is that it may produce less scarring and fewer adhesions than other types of surgery. In addition, because laser surgery usually involves a laparoscopy it has all the advantages associated with having laparoscopic surgery rather than a laparotomy.

The main disadvantage of laser laparoscopy as opposed to conventional laparoscopic surgery is that some women have taken significantly longer to recover from the operation because they were under the general anaesthetic for a greater period of time as laser laparoscopy takes longer to perform.

So far, there are few statistics on the effectiveness of laser laparoscopy. At present there is no evidence to suggest that laser laparoscopy is any more effective than other surgeries in terms of eradicating the disease or relieving the symptoms. Rather, in the hands of an experienced operator, the results of laser laparoscopy appear to be similar to those of other surgical treatments.

Risks and complications of laser laparoscopy

The risks and complications of laser laparoscopy are the same as those associated with a diagnostic laparoscopy.

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