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Bio-identical hormones and endometriosis

In endometriosis, pieces of endometrium, the typical mucous membranes of the inner wall of the uterus, develop in unexpected places such as the ovaries, the colon and the external sides of the uterus.

As Progesterone is responsible for keeping endometrial growth at normal levels, progesterone deficiency in the presence of normal estrogen levels is accompanied by excessive proliferation of the endometrium, which in turn predisposes women to endometriosis.

As Thyroid Hormone and Cortisol deficiencies may cause progesterone deficiency, we recommend also to screen and treat these deficiencies first or simultaneously with Progesterone  treatment.

SYMPTOMS OF ENDOMETRIOSIS:

Abnormal pelvic pain and pain during intercourse (2-3 days before menstruation and during the menstrual flow)

  • Abnormal vaginal bleeding
  • Constipation or diarrhoea
  • Frequent urination
  • Blood in the stool or urine
  • Nausea, vomiting and fainting spells
  • Infertility

DIAGNOSIS OF ENDOMETRIOSIS:

  • Laparoscopy and biopsy
  • Magnetic resonance imaging and ultrasound for larger lesions
  • Ca 125 : elevated in blood test

BIO-IDENTICAL HORMONE TREATMENT OF ENDOMETRIOSIS :

PROGESTERONE 3%  cream : Apply  ¼ (0.25ml)  to ½ (0.5ml) scoop of cream twice a day from day 15 to day 25 of cycle.

Or Micronized progesterone 100 mg capsule : Take 1-2 capsules at night from day 12 or day 15 to day 23-25 of cycle.

In severe endometriosis : PROGESTERONE  3%  cream : Apply ¼ (0.25ml) scoop twice a day from day 5 to day 14 and ½ (0.5ml) scoop twice a day from day 15 to day 25 of cycle.

The dose can be increased until the pelvic pain stops.

OTHER NUTRACEUTICALS AVAILABLE FOR THE TREATMENT OF ENDOMETRIOSIS:

  • Krill Oil (Neptune - NKO®) Omega 3 (or Fish Oil Extract Omega 3 or Sol-Oil 3 & 6 or Flaxseed Oil Omega 3): Take 1 capsule twice daily, with or shortly after meals
  • Double Vitamin CTM: Take 3 capsules daily, with or after meals
  • Full Spectrum Vitamin E: Take 1 capsule daily, with or shortly after a meal
  • Milk Thistle Extract: Take 1 capsule daily
  • Indole 3 Carbinol: Take 1 capsule daily

AVOID PHYTOESTROGENS and PLANT-BASED ESTROGENS, found in soy products in endometriosis.

Contributor:

Dr Craige Golding

 
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