Hormonal contraception and endometriosis
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- Опубликовано: 27 фев 2020
- Busting the myths of medical management of Endo. How does the Pill affect Endo? Can stopping your period help or harm you?
Dr Terri Foran is a Sexual Health Physician with a special interest in contraception and menopause issues. Previously the Medical Director of Family Planning NSW, she is now in clinical practice. Terri is also engaged in both clinical and research work at the Royal Hospital for Women in Sydney. She is a lecturer at the University of New South Wales in the School of Women’s and Children’s Health.
It took me going to another country to diagnose my endometriosis. I suffered from severe pelvic and bowel pain and was told it was an ovarian cysts. I was told to go on contraceptives and even scheduled to have a diagnostic laparoscopy after I refused to accept that it was just a cyst causing this extreme pain. I had to beg my gynecologist for a for referral for diagnostic testing because she felt like my pain wasn’t real and that I was questioning her knowledge. I finally had enough and I saw a Cuban doctor and was diagnosed and given my options on the same day. I had bowel and digestion issues bad. They did both an endoscopy and colonoscopy to rule out colorectal and gastrointestinal issues. Then the doctor himself along with a radiologist did my vaginal ultrasound and diagnosed me with endometriosis with bowel involvement. I left there was my diagnosis in hand all for less $200 US dollars. I had to suffer in the hands of incompetent US doctors for 8 months before being reassured by a Cuban doctor what my real issue was and that I needed surgery to remove the endometriosis from my pelvis and bowels. I got on a plane, left the country, saw 3 specialists in 2 days, had an endoscopy, colonoscopy, vaginal ultrasound, all my lab work, and meds- all for under $400 and jumped back on the plane and was able to make it to work the next day. Now I have all my diagnostic reports to show the doctor. Healthcare in America is a joke.
Can you share what doctor you went to in Cuba if possible?
The problem with suppressing symptoms you do not stop disease from progressing, scarring from impacting organs as well as fertility. Like wise endometriosis glands and stroma secrete they do not bleed, be cautious
Taking progesterone-only pill (mini-pill) for 3 months was the worst experience. I experienced Consistent bleeding & spotting, acne, SEVER mood swings and bursts of anger like never before, hot flushes, and migraines. I'm not going back to that
Nuvaring has been amazing for me and my endo pain! Literally has been rhe only birth control ive been on that doesn't make me feel miserable. Its the opposite it makes me feel more balanced and helps with my endo pain. My periods are so much lighter. I can even skip them if i want to!
I can't understand how weight gain is a myth. I ate very little and took no other pills at the time of weight gain. I had lost a lotttt of weight and within 3 months of taking a birth control I gained 60+ pounds. I did not have an increased appetite either, so I'm sorry, but that's just crap. With 3 weeks of stopping the birth control and being put on a different one I stopped gaining weight.
Right.. it’s same when they say mirena can’t create mood swing or depression because its action is supposed to be only localized in the uterus. They just refuse to listen to people’s testimonies that’s crazy.
same, weight gain is very real even for people with the fastest metabolism (no increased appetite either)
Same here i gained like 30 pounds.
@@heloiseroche3089 I had Mirena and I had it three times. The last time I had it in only 2 weeks before I smashed all the dishes and wanted to kill myself because of it. I went insane because of it. My deceased sibling (rip) ex gf also had Mirena placed and also lost her shit.
Which pill made you stop gaining weight?
a very informative video
Forget laparoscopic diagnosis! It's expensive and useless. Doctors need to step up to the plate and examine their patients based on their symptoms start them on treatment. Waiting around for ten years and then a laparoscopy to tell you what you already know is going on, is just Wrong wrong wrong!
There is no medical treatment for endometriosis, it eases symptoms but disease progresses, so true treatment is delayed
Hi guys, with some doubts we started the treatments few months back. Time passed and gradually we saw improvements on my pelvic region, I am very obliged to Dr Iyhere for saving people like me.
I've been taking a progesterone only pill for two years and it has helped IMMENSELY. 90 percent of my symptoms are gone and I very rarely get a flare up and when I do, it's very mild. I have stage 3 and i'm glad this has helped, however, I do not want to be on BC for the next 20 years of my life. I desperately want to find a more natural method of keeping my symptoms at bay. I was diagnosed through LAP at 27 and have only had to have one surgery total, but I didn't know about ablation versus excision beforehand so unfortunately, I had an ablation surgery.
I moved off the progesterone only pill to the mirena coil. However it took 18 months before this started to work.
My leg just shattered beneath me after my gynecologist mentioned osteoporosis to me and how I should go off of my Depo injections. It’s only been since 2018. I couldn’t get back to see them and I’m in blinding pain. I knocked the insane amount of opioids, I have so many other health issues, so many issues, and I’m trying to sip vodka. There are so many side effects to many. I had no idea. Now I have $90,000 in hospital bills from trying to stand up and my bones breaking...major surgery...I’ll likely never drive again...be careful.
My gyno recommends the hormonal IUD. Watching this what I am on is the best treatment...was on...just awful side effects. I’m bedridden and I have never met someone with a pain tolerance like me.
Good afternoon guys,Thanks to your contribution on rebroadcasting I got to know there was a cure for smelling virgina, or fowl smell. I just want to know how long I should take the herbs because the odour has stopped, you are indeed a Godsent.
I had high hopes about mini pill Visanne, I start taking them after laparoscopy, my doctor thought they have less side effects then Diperheline. But it just made bleeding constant for a month and formed new cysts after the surgery so I was urgently put on Dipehreline and it helped enormously and even shrinked two small cysts that prolonged bleeding on Vissianne formed in just 40 days. From other side effect mini pill caused headache, nausea and mood swings. Dipherline on the other side was a perfect choice for me for 6 months I was pain free and beside hot flushes and skin dryness I did not have more serious side effects.
The best presentation in the world! The award winning presentation! Thank you very much! 💖💕💞
I still have yet to find a contraceptive that doesn't increase my bleeding. I mean I literally bleed constantly and very heavy. So I had my initial laparoscopy and then a year and a half later did Lupron when symptoms were returning. Had a baby 3 years after that and then 5 years after Lupron I am doing it again since it helped the first time. Obviously wish I could find a better option since Lupron had so many other risks. But I truly believe the contraceptive route might just be impossible for me. I do want to try nuva ring as everything else has been a disaster. I so badly want to be on contraceptive as we do not want another baby and I know without it my disease will progress. But it's so frustrating. And when I speak to my doctor's you can tell they don't know why I react the way I do and don't have better options. 😩
I didn’t see my period since i stop my visanne. Itu almost 26 days. What can i do now? Waiting my period or start with visanne again or change with other hormon teraphy?
Can progesterone creams help with endometriosis?
I am sure that what the pharmaceutical that makes the Mirena IUD has figureed out how much progestin average/optimum dose it releases for majority of women. Can there be cases of insufficient dose and patients might need to supplement with bit more progesterone/progestin to get that happy average?
I suggest you discuss this with your Dr - but yes some people take a pill as well as the Mirena. Please watch Dr Kim Matthews in this collection of videos
The mini pill works with your natural estrogen cycle and I like that. But when I was on it- I spotted blood for 15 days!!!!! My doctor even told me to double up and take two a day to stop the bleeding and that didn’t work either.
and what did you do ? this happens to me as well. On Cerazette i still had serious period, which didn't stop, unless i stopped the pill.
@@wonderwoman3078 You've got two options either continue with it and eventually it will stop. Or ask your doctor if its safe to double up and take x2 pills a day for a week to see if that stops the bleeding. In the end I just came off it and went on a combined pill and that did the trick for me.
@@genie121 yea my doctor said it was fine to take two, I will start now when my period comes and see if I still have q period next month. If not... I really don't like combined pills😭😭 no pills for that matter
And I was recently operated of stage 4 deep endometriosis with bowel removal as well... so there's that...
I started taking the medication I bought from Dr igho channel on RUclips and surprisingly it was working gradually and in 9days everything stopped. I am really happy that you helped me cure Endometriosis completely and I pray that God strengthen you Dr Igho!
Which medication
NuvaRing has worked well for me but I do only have mild endometriosis. On various BC pills I experienced horrible periods and mood swings. With NuvaRing I’ve had no negative side effects, it allows me to skip my period for 3-4 months and then my period eventually forces itself but my gyno said that was normal.
I also use NuvaRing and it has been amazing for me and has helped me with my periods and the pain that I was in during those times. My endometriosis has gotten so much better at least more manageable.
Can you be on birth control pills and still get endo? I’m having all the signs of endo but been on birth control pills for over 25 years now. Symptoms started almost 1 year ago and have been getting worse every month now: heavy bleeding during my ‘off week’, very painful cramps and stabbing pain in my uterus and vagina, pelvic pain, disrupted bawl movements, bloating (looks as if I’m 6 months pregnant), need to urinate all the time, chronic fatigue, cysts on my ovaries… I had my first period 2 weeks before my 9th birthday!!
I have an appointment to see my gynecologist in 10 days.
Also I have NF1 so it could be something related to that too…
Sounds like all the symptoms. Obviously needs to be diagnosed through laparoscopy but I think you probably already have the diagnosis correct. Just needs to be confirmed. You are not crazy and don't let your doctor make you feel that way without actually looking.
When Mirena doesn't work, gynaes put chronic endo patients on Lupron/Lucrin Depot. Does it work, it has side effects like osteo-anything and everything?
I was on Lupron for and norethindrone for 6 months. Hair loss, horrible hot flashes, horrible acne a lot of nausea. It was just a horrible experience.
I would like to know your thoughts on primolut N for endometriosis. Does it suppress ovulation? If one has baby plans, is primolut a good option?
Thanks
Wow finally something that's not just pro-birth control. The beginning sounds just like my experience. I refuse to try taking it again. Literally would rather just get a hysterectomy. I have multiple generic abnormalities that increase the levels of estrogen in my body. And I'm not gonna take anything that increases it more. It's a good idea for young girls with endo but I'm getting old now and I'm beyond that point and doctors need to realize there's a point where it might not help and just mask the issues as they get worse
A hysterectomy changes nothing to the pain you might be experiencing! Rather, following a specific diet for people suffering from endometriosis is the key choice.
@@missophelie3781 yeah I already do that and I've lost 70 pounds and I'm still in extreme pain that's only getting worse
@@wmd40 Thanks for your reply. How long have you taken the pill to induce menopause? And at what age? I've been told to take the pill to induce menopause after 5 years of complaints (and now extreme suffering) but the specialist refused to start with the laparoscopy for now. Wonder if it (the pill to induce menopause) will work and the long-term side effects.
@@wmd40 I've tried anti-inflammatory foods + bentonite clay (they've helped significantly to reduce a bit the pain). They've detected lame pelvic ascite (water around the pelvic and might be higher in the body, too) on the MRI but of course the lesions can't be seen. How about you? Have you had a MRI/ excision laparoscopy?
@@missophelie3781 the menopause pill (in the US is called Orlissa) is something I haven't tried. My specialist said I could try different hormones but I told him I would rather just skip that and move on to the surgery. I am getting laparoscopy and a D&C hysteroscopy in 6-8 weeks, still waiting on the scheduling person to call me. I've heard Orlissa can cause really horrible side effects and also you can't take it longer than a year, usually. Recommendations are for 6-12 months. I don't really see the point in it especially because I have always had really bad side effects from hormonal treatments. I know it's not the same as birth control but I've always had a horrible reaction to that. My doctor thought so too and agreed on skipping that. I haven't had an MRI for endo but I've had a transvaginal ultrasound which showed intramural fibroids. They think I also have a rectocele which is really annoying, probably meaning I have some kind of internal prolapse. I think you should try whatever you think is best for you and don't give up if something doesn't work. I have been trying for years. I basically just live an active lifestyle and eat healthy (mostly vegetarian Indian food homemade) which helped reduce the bleeding significantly but the other symptoms only seem to get worse. Today is actually one of the worst days I've had in months from my endo. I legit am on the verge of going to the ER
Can endometriosis patients supplement with Boron 3-6 mg to help with the inflammation and pain, and osteo-pains? 🤔
I've heard of this but don't knoe
I didn't see my period for 3 months now since I started to use endometrium tablets 😓😓
BC forms of endo care can ease symptom, they do not treat endo, rather endo can progress further impacting organ and fertility. Endometriosis glands and stroma secrete, they do not bleed, bleeding comes from inflammation or leaking cysts, endometriosis lesions on path reports do not have blood vessels in them
So in conclusion whats the best pill for someone with endometriosis?
Progestogen-dominant, low oestrogen combined pills, desogestrel 75mcg or norethisterone.
@@sukienukie551 and yet for me desogestrel has been a total nightmare. 9 months of almost constant heavy bleeding and pain. I am stopping it now, I'd rather die than go on like this
How do you know which one to start taking?? It’s so hard
With the help of Dr Iyhere herbal mixtures I have been able to stop the unnecessary bleeding that I used to experience before. I only see or experience blood flow when I am on my period. All thanks to Dr Iyhere.
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