Endometriosis Patients: "The Perfect Menopause": Book By Dr. Henry M. Hess, M.D., Ph.D.

While I don't normally plug I book until after I've read it, I'm making an exception is this case for a highly recommended book!!

I'm writing to tell you about an exciting book I just discovered. I've only read part of it but it's VERY interesting and it was written by Dr. Henry M. Hess, M.D., Ph.D.

Some of my local endometriosis support group members have gone through surgical menopause... in other words menopause brought on by a hysterectomy. Others have gone through natural menopause. Still others are entering the perimenopause years. I think it's important to pay some attention to the topic of menopause (and perimenopause).

Many women I know personally were led to believe by their doctors that a hysterectomy would "cure" their endo... only to have serious health problems post-hysterectomy that are endometriosis related. THERE IS NO CURE FOR ENDOMETRIOSIS!

Dr. Henry M. Hess is a gynecologist, chemist, natural therapist & menopause expert. Dr. Hess has practiced in all areas of obstetrics and gynecology for over 25 years with a special interest in menopause and perimenopause. He believes in the integrative approach - a blend of traditional and natural medicine, and this is the focus of his book:

The Perfect Menopause: 7 Steps to the Best Time of Your Life by Dr. Henry M. Hess, M.D., Ph.D., (with Tiffany Farrell).

You may have seen the numerous stories in the news about estrogen replacement therapy or hormone replacement therapy and changes in how the medical community views the benefits vs. risks of certain medications. Due to recent controversy (sometimes quite heated) over treatment for the symptoms of menopause, I'm going to include the disclaimer straight from the book, The Perfect Menopause, here:

This book is meant to educate all women on the latest options for management of their menopause. However, it should not be used as an alternative to appropriate medical care. The information given here is designed to help you make informed decisions in the context of your specific medical situation with the help of your qualified medical provider.

In light of ongoing research and the constant flow of information, newer medical discoveries may invalidate some of the data presented here, and could even alter the considerations discussed in this book. We hope to continue to present updated versions of this book, recognizing that "the answers will continue to change".

In view of the possibility of human error and changes in medical sciences, neither the authors, nor any individual involved in the preparation of this work for publication, nor the University of Rochester, nor any individuals or other institutions mentioned in this book warrant that the information is in every respect accurate or complete. Neither the authors, nor the University of Rochester, nor any other party or institutions mentioned in this book are responsible for any errors or omissions, or for the results obtained from the use of the information in this book. We strongly advise that the information in this book be used in collaboration with your qualified medical provider.

The book points out, "The fact that it is only within the last century or so that life expectancies increased enough for menopause to become a regular experience for women indicates that the field of menopause is a relatively new area of medical research. Before the 1900s, the average life expectancy for women was 47".

If you are in need of information on menopause or perimenopause, this book was reviewed by Tara Allmen, M.D. (Columbia University College of Physicians & Surgeons, Center for Menopause, http://center-for-menopause.com/) as follows, "Finally, women have a scientifically accurate and up-to-date resource on menopause!"

Here is the website associated with this book:

http://www.theperfectmenopause.com

With all of the confusion about treatments for menopause in the media these days and the fact that some of the women in my local endometriosis support group struggle with how to handle such symptoms, I thought it would be a good idea to devote a post to this book on menopause. Hopefully some of you reading this blog will find it helpful!

This article was posted by Jeanne via "Jeanne's Endo Blog" at www.endendoat.blogspot.com.

ENDO SURVIVOR! Our Very First Guest Blogger With A Message Of Hope and Determination - Elaine's "Endo Story"!!!

Editor's Note: Elaine refers several times in her article to BCPs. This is short for the birth control pills that she took to treat her endometriosis. As always, PLEASE refer to the disclaimer at the top of this endo blog's homepage. This blog does NOT dispense medical advice. This is one woman's story of her endo journey. Elaine is a former (volunteer) endometriosis support group leader.

Today's First Ever "Jeanne's Endo Blog" Guest Blogger is Elaine:

"Endo Story": I Am An Endo Survivor by Elaine

I am writing this to those at various stages of diagnosis and/or treatment of endometriosis, not because I have any answers, but because my story shows that there is sometimes a rainbow following the rain.

I am an endo survivor.

I am 46-years-old as I write this. I am told by my gynecologist that I am officially in peri-menopause. My understanding is that this is the stage women practice to go through “real” menopause. After the suffering I have been through I am ready to embrace menopause with open arms.

Every 25 – 30 days, I begin to watch for my period. I have the same feelings as every “normal” woman out there doing the same, or at least I think I do. Finally do, as the case may be, as this wasn’t always the way it was. My anticipation of my period wasn’t always just dreading the inconvenience, the occasional cramps, and the tiredness that I get now. Also, unlike a woman who might take these feelings for granted, I rejoice now that I am able to feel “normal” dread and the not the previous dread that I used to feel.

I was late bloomer. I didn’t start getting my period until I was fourteen-years-old. I remember wishing it would start, feeling left out of conversations with peers who knew the experience first hand. Whoever said “be careful what you wish for” knew the truth. My first period came with cramps. By my third period, I had diarrhea, nausea, cramps, mood swings, and a heavy flow. Did I mention cramps? Later, I would add bloating; lower back aches, vomiting, and breast tenderness.

Unlike many women with endometriosis who have a hard time being diagnosed, I did not. I was self diagnosed immediately. I had text book symptoms and a sister who paved the way. My mom suggested a visit to the same MD that performed my sister’s laparoscopy, but as a young teen, I was terrified of the pelvic exam. I was also determined to avoid a two-day hospital stay and surgery! I preferred to suffer. Besides there were some months that weren’t actually that bad.

Once when I was in High School, I fainted during an attack of cramps. The nurse told me I had to see an MD or I wouldn’t be allowed back on her couch in following months. I stayed home from then on when I knew that cramps were going to interfere with learning.

When I entered college and got my first job, missing days became more of a challenge.

I saw the doctor who treated my sister. A diagnosis wasn’t difficult, as I mentioned I had text book symptoms. He prescribed Birth Control Pills (BCPs) and life became tolerable.

Unfortunately, BCP didn’t solve all of my symptoms and the doctor suggested a laparoscopy. The next few years began my doctor hopping years. I changed doctors each time they suggested surgery, which was usually after I got my first prescription for pills and returned due to symptoms. I took anti-nausea medications, and pain killers, and was eventually diagnosed with Irritable Bowel Syndrome (IBS).

I stayed on BCP, avoiding surgery until 1988. I was 27 years old and had suffered through over 150 periods. However, after all my doctor hopping, I chose to put my trust in the wrong doctor. I chose an MD with no training in laser surgery. She had a partner who was suppose to assist, but at the last moment, he left to deliver a baby. I ended up having a diagnostic laparoscopy only that confirmed what the MD had been telling me all along, but I now had a few grainy Polaroid ® photos to prove it.

During my post surgery visit with my MD, I questioned medications popular at that time for treating endo and the connection with suicidal thoughts. My questions appeared to influence her decision not to have me take medication other than to continue with BCP. Basically, I had the surgery for nothing.

Well, I guess two good things came from having the surgery:

One, I joined the Endometriosis Association and that lead to me meeting wonderful people who offered support and advice through a local support group.

And, future MDs that I met didn’t jump in right away wanting me to have surgeries. Although, at least one pressured me to let him do a surgery just to be sure the diagnosis was correct. I only went to him once, but soon after I found an MD willing to change my BCP prescription to help when the symptoms returned, grew worse, and or side effects were bothersome.

I changed BCP over 20 times during the 23 years I was on them. Some I took only 3 months, some I used for years. Some I revisited after being away for a while and found they worked better than before. A wonderful doctor even battled my insurance at one point to get them to pay for a brand that they had moved off the drug formulary to encourage the use of generics.

A woman attending the support group almost had me convinced that I needed to have routine laparoscopies to know what was going on. She supported the concept that the BCP masked symptoms while allowing the endo to continue to grow while I naively went about life. I had so many fears at that time about my future, and many unanswered questions. I worried about scarring from surgery as much as I worried about scarring from the endo growths. I worried about my future. I could only qualify for disability insurance with endometriosis as an exclusion, so I worried about becoming unable to work.

I never did have a second surgery. I began taking Phenobarbital for bowel cramps and IBS.

It was during this time that I discovered that hormones affect bowel cramping. I felt a new understanding of why the pain meds didn’t help my menstrual cramps – they were bowel cramps. It is easy to confuse the two.

Eventually I went off the Phenobarbital with the help of an MD who suggested over the counter GasX to control cramps, limiting fatty foods, and increasing fiber. It was also around this time that I started eating yogurt. These days ads on television tout yogurt with active cultures as a cure for bowel issues, but back then, I made the link when I began feeling better with yogurt.

I also added calcium pills, multivitamins, fish oil, and exercise to my life. I found yoga helped strengthen my back muscles and reduced the lower back pain. Earlier, I had been told by a physical therapist that there was nothing they could do to help the endo induced pain. So I credit the yoga and yogurt for that help.

In 2004, I was advised to stop taking BCP during a time when I was trying to have heart symptoms evaluated. I had planned (with my MDs encouragement) to take BCP right through to menopause.

This new development really caught me off guard. BCP were a necessity in my eyes. I couldn’t go without them.

Well, I now know that I can! I feel normal for the first time in my life. I dread the idea of hot flashes in my future, dry skin, mood changes, etc, but I love the idea that I can join in conversations with peers for the first time in my life and feel “normal”. (Although I may tire of that quickly once I have a hot flash).

I have to admit after so many years on BCP, I had stopped having periods and had gotten used to this. It was kind of tricky to get back into the habit of counting days and planning on a period each month. But, I am pleasantly surprised to find that although I have cramps, they are nothing like what I had before, and that my periods are more regular than before.

I don’t know what truly helped my endo. The 23 years on BCP? Yogurt controlling my IBS symptoms? Exercise (relaxing with yoga)?

I just know that for the first time in my life I feel good.

My wish is for all women with endometriosis to reach this point.

This article was posted by Jeanne via "Jeanne's Endo Blog" at www.endendoat.blogspot.com. The "endo story" above was written in its entirety by Elaine (an endometriosis patient and former endometriosis support group leader).