The No Uterus No Comment speech needs to stop 1

Why the “No Uterus – No Comment” speech on forums needs to stop!

In this latest video post I talk about why the “No Uterus-No Comment” speech on forums needs to stop.

As someone who is a Master of Women’s Health Medicine, a Women’s Health Expert, and work tirelessly to be a voice for women’s health issues (And a Male), I have a very frank and blunt discussion about some of the male bashing hate speech comments that get thrown around various forums.

Have a listen to the latest video blog on this very important topic.

Fertility and a piece of string

Explaining The Facts of Fertility- “How long is a piece of string?”

When people ask me about what is the cause of most couples issues trying to conceive, I always say ” How long is a piece of string?”

There can be so many factors involved and there is never just one clear answer. Many times people are focussing completely on the wrong thing too.

In this video blog below,  I have an honest discussion about fertility on every level. I discuss diet, lifestyle, preconception care, supplements, natural medicines, western medicines, investigations, genetic issues, stress, IVF procedures, Natural killer cells, unrealistic expectations, self sabotage, weight issues and much much more.

So again, when anyone asks what the cause of fertility issues are, I will always answer “How long is piece of string?”

Because in reality, there are so many factors that couple are unaware of, and need to be aware of too.

Regards

Andrew Orr

-Master of Reproductive Medicine

-No Stone Left Unturned

-The International Fertility Experts

mediterranean style lemon chicken

Quick & Easy Mediterranean Style Lemon Chicken & Vegetables

Recently I did a post about healthy eating and showing people how to cook a big batch of bolognese sauce to make 20 meals. I also showed how easy it was and how inexpensive it was. I also mentioned that I would do a video to show people a quick and easy Mediterranean lemon chicken dish.

In this video blog I cook up a quick, easy and inexpensive chicken dish that feeds 4 people, or more. It takes 10 minutes to prepare and then about 30 minutes to cook and then you are done.

All up the dish cost around $12 AUS.

For the best results always use local produce and fresh herbs and vegetables. If not, then use what is available, as shown in the clip.

While you are waiting for it to cook, you could be off having a shower, getting out of your work clothes, relaxing on the couch, or better still… talking to your family. You could even do a workout in that time too.

Cooking good food for the family doesn’t need to be hard, and it does not need to be expensive either. Your health is the most important thing you have, so look after it with good foods. Bon Appetite

Regards

Andrew Orr

Screen Shot 2020 01 10 at 4.53.57 pm

Follow up to my post about making healthy foods and also making excuses

Recently I did a post on how to make good food and doing it in bulk. I talked about how making good food is not hard and it is not expensive.

I also talked about the excuses people make around foods, around exercise and all the things I hear from people about why they cannot do something. So I did a post to call them on it.
But when I call people on something, it is not meant in a bad way. It is meant in a caring way, but firm, and with healthy boundaries. I do it because I care and I want the best for people and their health.

Most people were agreeing with me, but as with any post, you also get the people who misinterpret whatever one says and there are also the naysayers.

I have done a video as a response to my last post so people understand where I am coming from and why I have chosen to do this post.

Regards

Andrew Orr

-No Stone Left Unturned

-Women’s and Men’s Health Advocate.

Bloating

Could Your Bloating Be Caused By Stress, Anxiety, or Your Busy Life?

Many people suffer from bloating very regularly and some suffer it daily as well. While the cause of bloating if often dietary or food related, many are unaware that stress, anxiety and their busy life can actually be causing their bloating too. In many cases, when food and dietary triggers have been ruled out, a big part of peoples bloating is actually stress and anxiety, or even being overly busy. For the sake of this post, I am going to put ‘busyness’ as the same category and stress and anxiety.

Stress, Anxiety and Busyness affects the whole body

Stress, anxiety and constant ‘busyness’ changes the body, not just the mind. Intense stress or anxiety can trigger stomach discomfort, including bloating. Some people may not realise that our mind and gut are linked. So with our busy, on-the-go lives, emotions we experience throughout the day, like stress, can affect our digestive system. As mentioned in a previous post, stress and anxiety can also cause and exacerbate pain in the entire body. (click here to read)

Stomach pain and bloating are more common in people who have stress as well as an underlying condition, such as irritable bowel syndrome (IBS), or other inflammatory gastrointestinal conditions such Crohn’s disease and Ulcerative Colitis. Bloating and abdominal pain is very common in women with endometriosis and is known as “Endo Belly”. This is very commonly exacerbated by stress and anxiety and also disruption to the microbiome.

While abdominal bloating is a widespread complaint, with many possible causes, unless the pain is intense or accompanied by other worrisome symptoms, it is usually safe to see if symptoms disappear on their own. But if you are ever worried, always consult with your healthcare practitioner as constant bloating can be a sign of serious health issues too.

How does stress and anxiety cause bloating?

There is now plenty of research and evidence that the brain and the gut communicate with each other via numerous systems (neural, hormonal and immunological) and do not function independently. Because of this interconnected relationship it means that if one system is ‘disturbed’, or ‘distressed ’it will result in the other system being ‘disturbed’ or ‘distressed also. In simplest terms if you have a busy day at work and it is stressful then mental stress at work = tummy upset. It really is that simple

When someone is feeling stressed and anxious, it may induce a variety of digestive issues and discomfort. Stress and anxiety produce an alteration in the contractility of the gut. This may then cause cramps or pain (increased contractility) and may influence bowel habits, which then causes constipation due to reduced GI contractions. This may then lead to someone being bloated. This could also lead to people also having loose bowels, or alternating bowel movements too.

Additionally bloating may occur without constipation and you could also experience increased heartburn as a result of your stress and anxiety. Decreased stomach emptying accompanied by increased oesophageal contractions may cause acid reflux. This increase stomach acid can then cause bloating and pain. It can also then lead to increase gut permeability and then further lead to leaky gut syndrome.

Reducing the effects of anxiety and stress on the gut

Thankfully, there are several things you can do to reduce the effects of anxiety and stress on your gut.  As I have often talked about, there is a direct link between our microbiota and our stress hormone system. Any alterations in our gut microbiota may lead to a heightened or suppressed hormonal response to stressful situations. I’ve talked about the effects of dysbiotic bacteria and bloating before. You can read one of my previous posts on this (click here)

This is why it is so important to do a proper microbiome restore, to not only to help with bloating and gastrointestinal issues, but to help with inflammation, the immune system and our emotions as well. Of course one still needs to look at their diet and what they are putting in their mouths too. Let’s not forget the impact of alcohol on our gut and digestive system too. I have done a post about this and to find out more (click here).

Identifying triggers

Besides a proper microbiome restore, the best approach would be to identify the ‘stress trigger’ or ‘anxiety trigger’ and try to remove it, or alter its impact, from your daily life, where possible. This can often be hard and will require the help of a qualified counsellor, or psychologist. It is important that people identify this and are real about needing help from a trained healthcare professional.

Use mindfulness and meditation practices

There are things people can do on their own to reduce stress and anxiety too. Mindfulness and meditation exercises can help to alleviate stress and anxiety and something people should practice daily.

Some examples could be the following. If you may get stressed by not being prepared for some activity at work like giving a presentation, just make sure that you allow plenty of time to adequately prepare and rehearse to prevent or reduce anxiety.

Another example could be that you might get stressed by travelling to work in overcrowded public transport. You could ride sharing to work, or give cycling to work a try.

If you feel yourself getting stressed out with any task make sure you take some time out from the activity. Go and sit quietly and just breathe and reassure yourself that everything is ok. You could make yourself a cup of tea, or listen to some soothing music. All these things can help but at the same time, may not always be applicable to all stressful scenario, or where you are anxious.

Final Word

There is more and more evidence now to suggest that many gut issues are affected by stress and anxiety. But, troubles with the gut can also cause stress and anxiety too. The gut-brain axis works both ways and we need for more people to know this.

This is why it is so important to look after our gut health more. We need to be managing our diets better, cut out inflammatory and refined foods, increasing pre and probiotics, managing allergies and intolerances, cutting back alcohol, managing stress and anxiety better, and avoiding foods that we know aggravate stomach issues and cause bloating and pain.

It is also important for people that experience bloating to realise that not all bloating issues are related to food, or their health condition. For many people, their daily bloating and pain is actually coming from either being overly busy, or from their high stress levels, or anxiety. It could be coming from all of these things combined too. If you do not know how to manage your bloating and stress and anxiety levels, it is best to book in a see a healthcare professional who can assist you deal with it properly.

If you do need assistance with bloating and abdominal pain, please call my friendly staff and find out how I may be able to assist you. You can also check out my posts on restoring the microbiome properly too. Something that could be very beneficial for all, especially after the Christmas and New Year festivities.

Regards

Andrew Orr

-No Stone Left Unturned

-Women and Men’s Health Expert

 

Fertility

Let’s Talk About The Facts Of Fertility & The Fertility Profession

Wouldn’t you love to sit down for 2-3 hours with a fertility expert and cover everything you need to know for your fertility and journey to become a parent?

Wouldn’t you love to have a fertility expert that can not only talk to you about all the medical investigations, medical protocols, genetics and genetic testing, hormones and medications etc, but can also talk you about preconception care, nutrition, diet, lifestyle changes, nutritional supplements, complementary medicines, acupuncture, counselling and other modalities?

Wouldn’t you just love it if someone could listen to your individual needs, listen to your full history, be empathetic to your journey so far, be there to guide you every step of way, and then make sure you are looked after on every level possible?

Well, you can have this, but before I talk about how, let’s talk about the facts about fertility and the fertility profession first.

Let’s talk about the facts

I never hold back from telling people the cold hard facts on any health topic I talk about. It may, or may not upset some people, but the truth is that it needs to be said all the same. People deserve to know the reality about every health condition and their reproductive system. For this post I am going to talk about the cold hard facts of the fertility profession and facts around fertility.

The fact is that many people are lucky to get half hour with a fertility specialist/expert when they decide that need help in having a baby. Some may only get a 15-minute appointment with a fertility specialist/expert and are lucky to get a few questions answered. Then at each of your next 15 minutes appointments, people are trying to cram in as many questions as they can before they are escorted to the door, because the next patient has arrived.

Many medical fertility specialists/experts have no idea about diet, lifestyle advice, preconception care etc, and the one subject that they did learn years ago at college is now a lost and distant memory. Basically it becomes a case of not my area, not my concern.

People then go home and arm themselves with a degree in ‘doctor google’ and then desperately search for answers themselves. They then end up on all manner of sites and support groups with a plethora of misinformation and angst. Have read of my post about Fertility and Dr Google 

This then leads to people searching for a local naturopath, nutritionist, Chinese medicine practitioner etc, trying to cover off on all the complementary medicines, nutrition, dietary advice and nutritional and herbal supplements.

Then this can lead to the case of too many cooks spoiling the broth, too many with differing ideas, or no idea at all, and the turf war on fertility begins.

The medical specialist damns the complementary medicines. The complementary medicine practitioner damns the medical specialist and the couple, or individual, is then caught in the middle. Dazed and confused, the couple/individual has to make a choice of whom they are going to believe and whom they are going to continue to see. But does it have to be this way?

Health professionals should be working together, for the greater good of the patient, not working against each other. Nobody has all the answer and a symbiotic relationship can greatly increase a couples success of having a child.

No wonder many couples/individuals don’t know where to turn to, who to believe and then end up searching for answers themselves. Worst still, while all this confusion and mud slinging continues, the couple/individual still have not get the answers they need, let alone the baby they are desperately wanting.

The fertility profession is largely unregulated

1.The medical side of things

What many are unaware of, especially here in Australia, is that the fertility profession is largely unregulated. Anyone can say they do fertility work and yet not have the qualifications to back it up. Only one state here is regulated, where you have to have what we call a CREI (Certificate of Reproductive Endocrinology and Infertility).

But let’s face it, it is a certificate, not a postgraduate degree and they are very easy to get. But now, many have to have a Masters in Reproductive Medicine as well. But this is only in one state mind you. In all other states, there is nothing stopping anyone doing fertility.

So what this means is that anyone can go and work in a fertility clinic, without the proper extra training to do so. We see obstetricians often do the change to fertility, without having to do extra training, and are basically learning on the job as they go along. The patients then become the guinea pigs and test cases while they are learning on the job. It really should not happen. Sure, they have some reproductive training, back when they studied, but fertility is a very different area to obstetrics and pregnant women.

We also are now even see some GP’s do the sea change to some of these bulk bill IVF clinics and then are consulting with people are their fertility. Many of these couples are then led to believe they are seeing a fertility specialist, when in fact they are just seeing a GP, without any formal training in fertility and reproductive. For many of these, the last time they did any study on fertility, was back in university, and it was probably one subject, if that.

2. The complementary medicine side

But, at the same time, this is not just an issue that is related to the medical side of things. There is just as many complementary medicine practitioners saying that they do fertility, when in fact they have had no formal training, and many often have no idea. They are doing the same thing of learning at they go along, and the patients are the guinea pigs.

Many of these complementary medicine practitioners are lucky to have studied one subject in fertility and reproduction. Many of their lecturers have no formal qualification in fertility and reproduction either. They are then leaving college, or university, and then setting themselves up as experts in fertility.

Many are literally setting up overnight, with no clinical experience, or post graduate certification in fertility, and then trying to say that they do fertility. Daily, I see some of these practitioners not even knowing the basics, yet are out there trying to treat people for fertility issues. I often comment on how some of these practitioners are out there trying to have a crack at it with no idea what so ever. This should not be happening.

There needs to be better regulation

It is a big issue for couples trying to wade their way through the murky waters of the fertility profession. It really should not be allowed to happen. But again, it is all due to lack of regulation and laws preventing it from happening.

As I said, it is on both sides and not just related to one profession. There desperately needs to be more tougher and tighter regulation with the fertility profession, so that couple know that when they are seeing a fertility expert, they actually do have the post graduation training and degree, as well as the clinical experience too. The only good thing here in Australia, is that nobody can advertise that they are a specialist, unless they have a specialisation. If they are caught advertising they are something that they are not, there are harsh penalties around this.

But seriously, this would not happen in any other profession. You would not see a backyard mechanic, or a backyard hairdresser, or someone without the appropriate levels of training?
Yet, why are people not checking who they are seeing for fertility, and just presuming on face value. Your fertility and reproduction is far more important than your car, or your hair. I hope people get what I am trying to say here.

So how do you know whom to see?

This is the million-dollar question and why I always say to patients to be careful. It really is a case of buyer beware.

What you need to do is ask the big questions and do not see someone unless they can answer all the questions and tick all the boxes.

  • Here are some of the things you need to ask:
  • Does you fertility practitioner have a post graduate degree in Reproductive Medicine?
  • Can you please see a copy of their degree?
  • What is their official academic title?
  • What extra study have they done in fertility and reproductive medicine?
  • How long have they been practicing for?
  • Is the practitioner a recent graduate (medical, or complementary medicine)
  • How many fertility patients have they helped?
  • What experience has the practitioner had, and who has mentored them, or trained them?
  • What was their motivation for getting in this area of healthcare?
  • Do they work in with a fertility/IVF clinic?
  • Do they have a symbiotic relationship with a fertility/IVF clinic?
  • Does the practitioner know all the fertility investigations, fertility terms, drugs, hormones, procedures, and all things related to fertility?

These questions are just some of the important questions someone should be asking any practitioner, medical or complementary medicine, before they decide to seek their help to assist them having a baby.

See someone who specialises in fertility and reproductive medicine

I also generally tell people that when seeing someone for fertility, the practitioner should specialise in that area and not have their hands in too many pies so to speak. If seeing a medical specialist, you should try and see someone who just does fertility work on, and who isn’t trying to juggle a busy obstetrics practice at the same time. I see this happen often, where patients are left waiting while a specialist is off delivering babies and the couples are left waiting for hours. Someone like this cannot give you his or her full attention and why I believe you need to see someone whom just does fertility work only.

But again, you just need to do your homework with whomever you see. This goes for complementary medicine practitioners as well. Find out if their primary focus is fertility and not trying to be someone who does a bit of everything. Remember, don’t forget to check that they have post graduate training and experience in reproductive medicine and fertility.

Many couples are having the basics missed

Many couples I see, are often at the point of desperation, and some are also at the point of giving up. I feel sorry for those who get to this point, when in fact it is because some of the basics just have not been investigated.

Being desperate can also lead to bad decisions and also for couples to be exploited by big fertility clinics and the hard sell on offering a solution to their fertility. The fact is that nobody has all the answers, there is no magic pill, and IVF is not a cure for infertility, and we need to start being real about this.

There is often the case of expectation versus reality and many are exploited because they are desperate. We need to be very real that while IVF etc, can help couples have a baby, it really is not a cure for infertility, and it cannot help everyone.

But at the same time many couples issue really are that they have not have the basics done, or proper evaluations done, purely because the person they are seeing is a properly trained in fertility and reproductive medicine. That is a fact.

Males are not exempt from fertility issues

I’ve talked about this often and it is one of my biggest annoyances with the whole fertility profession and men who do not need to be part of the fertility journey. Have a look at my previous posts on this (click here) 

The fact is that many men are not evaluated properly and are not having the basics done with regards to fertility testing. Women are being focussed on and the male is often almost excluded from the process. Let’s face it, some men are literally in denial and excluding themselves as well. I honestly do not know why some women chose to be with men who refuse to be part of the process. Their actions speak volumes.

The long and short of it is that men are often the biggest part of the reason why a couple is not conceiving. Up to 50% -60% of fertility issues are related to men and up to 85% of miscarriage and fertilisation issues are related to chromosomal and DNA factors related to men. Yet many men are under-investigated, or not investigated at all. I see it so often where couples have literally been trying for years and years, and then we find out it is the man who is the issue. Yet all along both the fertility practitioner, and the woman’s partner alike have blamed the woman as being the primary issue. I see this so often and it actual disgusts me. Why should women be blamed for all fertility issues, when men are an equal, and often greater part?

Proper fertility evaluation and testing

I’ve spoken about this in previous posts and it is so important that couples are evaluated properly. Personally I believe that everything that should be done is done up front and at the beginning. So many couples end up finding issues years later, which should have been found in the beginning.

Proper testing should involve at least the following:

  • Full blood testing and screening
  • Hormone assay
  • Scans and imaging
  • Surgical intervention (Laparoscopy, hysteroscopy and dye studies)
  • STI screening
  • Semen analysis
  • Sperm chromatin Assay (SCAT)
  • Full genetic screening
  • Advanced genetic carrier screening
  • Others

I make sure that all my patients have been screened and investigated properly on all levels, for both the man and the woman, not just the man.

You can also see my previous post about the importance of proper genetic screening as well (click here) 

We do have same sex couples and single women seeking help now, and it is still equally important that all concerned are screened properly. Sometimes one of the partners in a same sex relationship may have an issue which prevents them from conceiving, so you have to screen the other partner just in case. It is all about screening and proper evaluations and investigations.

Expectation versus reality

While we have talked about the fertility profession, we also need couples to be real about their chances too. As mentioned before, couples do need to be aware that IVF is not a cure for infertility and that is cannot help everyone. It can help many couples that would never have been able to conceive naturally too.

Age 

We also need for couples to be real about age related fertility, as that is the biggest issue as far as fertility and conception is concerned. The older you are, the harder it is going to be to fall pregnant. No matter is you are doing IVF, or not, age is a big factor in couples being unsuccessful. The older you are, the poorer quality your eggs and sperm are, and the more random chromosomal/DNA errors you get in embryos.

Preconception care

There are other issues with diet and lifestyle that need to be addressed too. Couples that are overweight are going to struggle more with being able to conceive. This is why proper pre-conception care is so important and why I have talked about it often before. We need for couples to look at their diet, their lifestyle, their alcohol intake, their stress levels etc. All these things in combination can affect ones fertility and chances of having a baby. Have a look at my post about the importance of preconception care 

Not everyone will be able to have a baby

There are also those couples, that despite the best medical interventions and help, that they may not be able to fall pregnant. This is really sad, but it is a harsh reality that some will have to face. You can read my post about why IVF cycles fail

But now they are more ways to have a baby then ever, with donor eggs, donor sperm, donor embryos and even surrogates.

Final word

There is a lot to know about fertility and many couples are unaware of the lack of regulation around the fertility profession. Many are literally at breaking point and for many of these it is really through lack of proper investigations, or seeing someone who is not properly qualified to be doing fertility work.

We also need couples to take responsibility for their own health and lifestyle and also be real about age related infertility too. It is all really overwhelming for couples, but the fact is that we still need to talk about it.

Lastly, you need to do your homework, when going to see someone for help with fertility. As mentioned previously the fertility profession is largely unregulated and there are a lot of practitioners out there, medical and complementary medicine, who really are dabbling, or who are not adequately qualified to be assisting you.

How I can help?

If you do need assistance with fertility issues, and do want to see someone with a masters of reproductive medicine and years of clinical experience, please give my staff a call and find out how my fertility program may be able to assist you. You can also look at some of my posts about my fertility program on my website too.  You can do our full fertility program or you can now do our new 3 phase fertility program too. There are also meet and greet appointments before joining the fertility program. Again for more information, speak to my friendly staff, or drop us an email.

I hope this helps those trying to have a baby better understand the fertility profession on all levels and seek the best help possible.

Regards

Andrew Orr

-Master of Reproductive Medicine

-Fertility Expert

-The International Fertility Experts

-No Stone Left Unturned

 

 

 

 

 

New Years Resolutions

Let’s be real and talk about your “New Year” resolutions

It is just about to be the end of a year, and also an end of a decade. With that comes a lot of memes about walking into the new year and new decade. Let’s face it, the last year was a bit of a shocker and many will be glad to see the end of it. But, is last year just the same as other years, and do we say the same thing every year?

Regardless of how the year ended and how the new decade is seen in, many are vowing to do better, or are wanting better for the year ahead.

But, in order for something to change, something needs to change, and that something is actually one’s self. If we want something to change, we need to change something. But are people really prepared to make the necessary changes, or are those posts and memes just empty words …. just like every other year?

If you are wanting change, and I mean true change, then what are you going to do to make those changes?

Let’s not make those posts and memes empty words. Let’s turn them into action and benefits from those words and actions for better health and a better life moving forward.

Have a listen to my video blog on this very topic

Regards

Andrew Orr

Christmas health tips

10 Health Tips for Surviving the Festive Season

Christmas and New Year is fast approach and while I was looking at how to survive and stay healthy during this period, I really should be looking at how to survive the lead up to Christmas as well. So instead I have done up 10 health tips for surviving the festive season.

It is such a busy time of year with schools finishing, Christmas shopping to get finish off, Christmas parties and lastly work is manic trying to finish off everything before Christmas. Sounds all a bit silly to have all that stress for just one day.

Every year people ask me how they can stay healthy during Christmas and New Year and every year I have to tell them the same thing.

Moderation is the key to staying healthy and also staying hydrated.

10 Health tips for surviving the festive season

So what can you do to survive the season and come out the other end actually feeling you have had a break, rather than feeling in desperate need of one?

I have compiled 10 top tips to ensure you get the most out of the festive season and make it through less stressed and maybe a little more healthier.

  1. Plan Ahead– Try and plan to have all your Christmas shopping and all your supplies for the silly season organised well in advance to save on the stress of doing things last minute. Pre-order foods online if you have to and get it delivered.
  2. Deflate the Expectations– Don’t try and make everything perfect because will only lead to stress and anxiety if things do not go to plan. The main thing is to have fun and enjoy the family and friends. Don’t get caught up in buying expensive gifts and trying to overdo everything as this can spoil all your fun and lead to disappointment. Remember it is the festive season, not the stress and disappointment season.
  3. Delegate– Don’t try and do everything yourself. On Christmas day or New Years Eve, get family or friends to bring a salad, or a dessert, or both. When people arrive if someone asks to help, let them. Many hands make light work. If nobody volunteers to help, make sure you ask. You deserve to enjoy yourself too. While you are preparing food a nice glass of wine will ease any stress.
  4. Don’t be on your own– Christmas is a time to be with loved ones, friends or people in your same situation. If you have nothing planned, plan a small party at your place, or go to a friends, or family members place. There is nothing worse than being on your own where depression can set in.
  5. Ditch the pasta and bread– Go with more Paleo/Primal eating for Christmas and eat healthy while enjoying good food. In Australia there is no need to use fillers like bread and pasta, when we have all this healthy beautiful food to fill up on. Replace the chips with nuts containing healthy oils. Go for pistachios etc that keep you busy shelling and they taste good too. Cut up veggie sticks to go in dips and have heaps of lean meats, prawns, salads and veggies to make Christmas healthy and enjoyable. Cut up heaps of fresh fruits for dessert. Lastly remember everything in moderation and the odd dessert isn’t going to kill you.
  6. Rehydrate before and after drinking– Most hang-over’s are caused by dehydration  and regularly hydrating while drinking will make your next day feel so much better on waking. Remember water alone will not keep you hydrated. You need to use electrolytes before and during your drinking session on Xmas and New Years Eve. You need to use a proper electrolyte because Gatorade and powerade are not electrolytes, they are cordials with a bit of salt. Getting some electrolytes into you before and after drinking alcohol will be the difference between waking up with a sore head or not. Have a read of my article on electrolytes
  7. Know your limit with alcohol– Let’s face it you don’t have to write yourself off and embarrass yourself to have a good time. Most people actually feel relaxed and jovial after only a few glasses of alcohol. After the first couple of glasses, limit your alcohol to one glass per hour and drink water and some electrolytes in between. Always eat food before drinking. You will feel better for spacing your drinks, eating food and staying hydrated.
  8. Detox and restore your microbiome after the festive season– After Christmas and New Year is over, your number one resolution should be detox and restore your microbiome with healthy bacteria. All that christmas cheer, over consumption of food, alcohol  and stress all reduce your good gut bacteria and increase your bad bacteria, so you need to restore your microbiome again. You can also find out more about my microbiome restore

Final Word

Christmas and New Year is all about having fun and not getting too stressed with everything. It’s about good food, good company and most importantly it’s about family and friends.  Make sure you enjoy yourself, share some love and remember that moderation is the key to anything to do with keeping healthy and safe during the festive season.

Regards

Andrew Orr

-No Stone Left Unturned

-Women’s and Men’s Health Advocate

unhappy 389944 1280

Do you sometimes have a good day?

Do you sometimes have a good day?

Sounds like an odd thing to ask someone but the reality is that many people actually wake up each day with the reality that today may not be a good day, or that they only have a good day every now and again. If that is you, you are probably one of the millions of people in this country suffering depression.

More than one million people in Australia suffer depression each year and of those about 160,000 of those are teenagers. Australia has the highest per capita anti-depressants use in the world and seeing we are supposed to be the lucky country, many of us are not so lucky it seems.

Many people wake each day to find themselves not wanting to face the day, but rather stay in bed and hide beneath the doona to escape the day that confronts them. Life can seem dark, gloomy and almost not existent. The thought of facing the day, let alone people, can seems like a day in the dark fires of hell. One minute you can be having a laugh and the next minute someone could say the minutest thing and have you in tears.

While you feel so exhausted, sleep can be very erratic. The exhausting takes over, the negative thoughts set in and everything just seems so damn hard and overwhelming. The back dog takes its huge bite and the spiral into the dark realms of a typical day with depression sets in like ground hog day once again. The feels like there is no end in sight, no help and life seems almost pointless.

For millions of people this is how the day starts and the day ends. If this is you, you most likely have depression. But the good news is that there is help out there and there is a way to end the internal fight within.

Multimodality approach

Before I go into what can help, let me be 100% clear about treating depression. It requires a multi-modality approach to treat it, not just a pill. So many people come to see me for help with depression and just want a pill to help it. While there are treatment (medical and complementary medicine) that help with treating depression, there is no one pill to fix it. Because the medical treatment involves a pill, people get so used to wanting a quick fix of a pill, but the honest truth is that anti-depressants, or a pill of any kind, do not fix depression.

Yes, they help with serotonin levels, but they do not treat the root cause of depression. Worse still, long term use of anti-depressants (while beneficial short term) can lead to cardiovascular disease, dementia, Alzheimer’s and other cognitive conditions.

Alcohol and other stimulants

Secondly, alcohol and other stimulants only make depression worse. They not only interfere and affect medications and are contraindicated while taking medications (SSRI’s), but they also interfere with the chemicals in your brain, making depression worse.

Withdrawal effects of medications

The next thing I need people to know is that when it is time to come off any medications (SSRI’s), you will have side effects, even when tapered down slowly. Medications should never be stopped suddenly and always tapered down slowly.  Like any drug, you will have withdrawal effect and this is the cause of many people getting scared and go back to the safety net of medications again. Withdrawal is a normal process that you are going to go through and if done properly and in conjunction with natural medicines to ease this process, this transition process will take about two weeks and should be much easier.

The only way to assist with helping depression properly and effectively is a combination of counselling, medications, complementary medicines, diet, exercise and lifestyle modifications. If you miss out one of those components then you aren’t going to treat depression properly and the reason so many people do not get their depression sorted out.

Complementary medicines

Research has shown that Acupuncture on its own, by a series of treatments, may be as effective as antidepressants, without all of the side effects. Research has also shown that Acupuncture may be equivalent to talk therapy (counselling) when used in a series of treatment. Chinese herbal medicines may assist depression and you will need to see a qualified Chinese Medicine practitioner to have individualized care, treatments and medicines just for you.

Omega oils have also been shown to help with depression as have many complementary medicines and supplements.

Diet and lifestyle modifications, especially low GI anti-inflammatory based diet will definitely been shown to be of benefit with depression too. As I said before it is about a multimodality approach alongside counselling that is needed to treat depression effectively and properly.

Restoring the microbiome with beneficial good bacteria has also been shown to assist depression and mood disorders. This is due to the gut/brain interconnection. But as mentioned previously,there is no magic pill to make depression go away on its own.

Become creative, dynamic and effective

As one of my old lecturers used to say, the best way to treat depression is making someone creative, dynamic and effective. By that we mean get them into something they love to do (Creative). Get the passion for life back. Get them exercising (Dynamic) to get those natural endorphins, dopamine’s, melatonin and serotonin levels working. Give them the right diet, the right supplements and lifestyle adjustments and they will then be on their way to feeling better all over (Effective).

Nobody needs to suffer with having a good day sometimes. There is help out there and it does require a multimodality approach to assist with better moods and a better life.

If you do need help with having more better days, contact my friendly staff and find out how I may be able to assist you.

If you are in crisis, please call lifeline on (131114). You can also attend your nearest emergency center.

You can also see your general practitioner for a referral to a counsellor, psychologist, or psychiatrist. Beyond blue also have some great resources too.

Regards

Andrew Orr

-No Stone Left Unturned

-Women’s and Men’s Health Advocate

 

References

  1. Acupuncture and Counselling for Depression in Primary Care: A Randomised Controlled Trial – https://doi.org/10.1371/journal.pmed.1001518
  2. Hugh MacPherson, Andrew Vickers, Martin Bland, David Torgerson, Mark Corbett, Eldon Spackman, Pedro Saramago, Beth Woods, Helen Weatherly, Mark Sculpher, Andrea Manca, Stewart Richmond, Ann Hopton, Janet Eldred, Ian Watt. Acupuncture for chronic pain and depression in primary care: a programme of researchProgramme Grants for Applied Research, 2017; 5 (3): 1 DOI: 10.3310/pgfar05030
  3. https://www.sciencedirect.com/science/article/pii/S1551714417306353
  4. The role of inflammation and the gut microbiome in depression and anxiety-https://doi.org/10.1002/jnr.24476

mother and daughter 1

Parents, Don’t Let Your Daughters Suffer With The Wait & See Approach For Period Pain

One of the things I find myself saying to parents often is “Please don’t let your daughter suffer with the wait and see approach for period pain.”

The reason I often say this is because daily I get messages from parents, mainly mothers, asking if they should wait and see if their daughters pain (and other symptoms) is miraculously going to go away. Many of these young girls have been putting up with pain for months, or longer, and still many parents are using the “wait and see” approach.

Many of these messages often start with the story that their daughter is laying on the bathroom floor in excruciating pain. The stories usually add in that their daughters may also have symptoms of nausea, headaches, vomiting and even stories of these poor young girls passing out with pain.

Then there is the usual response of “I used to get period pain and associated symptoms like this and I just had to learn to live with it”

Then comes the question I always hear so often- “Do you think I should wait and see if this just goes away, or do you think I should take her to someone to have her checked out?”

I often have to bite my tongue when responding to questions and stories such as this. If my daughter was laying on a bathroom floor each month, and in excruciating pain, there is no way I would be waiting and seeing if her pain is going to miraculously disappear. The first time she had pain, I would be off doing something about it, and I would not be taking no for an answer.

Many parents suffered period pain themselves

There is always several ways to look at this and why I always offer an empathic response. Many parents were in pain themselves and went through similar experiences. Many of these same parents were told to suck it up and that this is what a woman has to put up with each month. So to them, this is reality. This is their norm. They suffered, so it is natural for them to believe that their daughter just has to wait and see and suffer it out too.

But, as I say to these parents, these symptoms that your daughter is experiencing are not normal. Period pain and all the other terrible associated symptoms are not normal. No woman, young or older, should have to put up with excruciating pains related to her cycle, or an undiagnosed gynaecological condition.

I then go on to explain that I have daughters and that there is no way I would wait and see, before getting help. I also explain that on a health perspective, there are many dangers in letting a young woman suffer such a horrible experience.

The cause of period pain could affect future fertility

I often have to explain the implications of leaving a disease and not intervening early enough. The explanation of by not getting early intervention could mean that they may not ever have grand children, is usually enough to spur many a mother into prompt action. But, it should not have to take these words to prompt someone into action.

Gynaecological conditions cause period pain

The facts are clear now. There is enough education out there. The simple fact is that period pain (and associated symptoms) is not normal and this usually means that there is an undiagnosed gynaecological condition causing the issue. One of the most common causes being endometriosis, or adenomyosis, or both combined. There could be other facts such as pelvic congestion syndrome, or worst still, though rare, there could be something more sinister such as cancer.

Sexually Transmitted Infections

The other thing that parents may not like to admit is that their daughter may actually be having sex and has a Sexually Transmitted Infection (STI). I often have parents interject when asking if a teenager is sexually active. Many a parent answer “No” on the teenagers behalf, only to then learn that their little girl is having sex.

Sexually transmitted diseases (STI’s) can cause permanent damage to reproductive organs and future fertility if not treated early enough. The reality is that many young girls, and boys, are having sex at a very young age, regardless of what parents may believe. Parents do need to open to the possibility that their child’s pain could in fact be related to being sexually active.

The things parents need to know

The things I am trying to educate all parents on are the following:

  1. No matter what anyone tell you, health professional included, ‘period pain is not normal’
  2. Please do not use the wait and see approach when your daughter is in pain, and has been for months.
  3. Women do not needlessly need to put up with pain each month.
  4. Early intervention is the key to treating and managing any disease or health issue
  5. Teenagers are not too young to have endometriosis, or other gynaecological issues.
  6. Many gynaecological issues are hereditary, so if a parent had period pain, or a diagnosed gynaecological issue, then there is a good chance their daughter will have the same.
  7. Parents should not feel guilty, or blame themselves for passing on hereditary issues. All of us have faulty genes.
  8. Regardless of upbringing, or moral stances, teenagers are having sex earlier these days
  9. Teenagers can have sexually transmitted diseases
  10. The earlier intervention is enacted and proper treatment and health management administered, the better the future fertility and health outcomes are for young woman.
  11. Without early intervention, some parents may never become grandparents.
  12. General practitioners are no gynaecologists, so please make sure you get referred onto a proper specialist. If not, find another GP.
  13. If you don’t get help with the first healthcare practitioner you see, please remember the value or a second, or tenth opinion.

I do get that many parent’s have been led to believe that period pain, and other associated symptoms are just part of live and something that I woman just has to put up with. I am sorry for those that were told this and then have put up with this when they didn’t have to.

Period pain is not normal

Please know that you daughter does not need to put up with these symptoms. Period pain is not normal and early intervention is the key to help your daughter live a happy and pain free life. It could really also help save her from the heartache many women have to live with daily. It could also help with her being able to have children of her own.

Do not use the wait and see approach for period pain

Never use the wait and see approach when it comes to period pain and the other associated menstrual symptoms. You daughter will thank you one day and I am sure her children will thank you too. Lead by example so that your daughter can lead by example to daughter, or daughters too.

Final word

If you do need help with your daughters period pain, and other associated symptoms, please give my friendly staff a call and find out how I may be able to help. There are in person and online consultation available. Conditions may apply with online consultations. My staff will explain all this to you when you make your enquiry, or book a consultation.

Regards

Andrew Orr

-No Stone Left Unturned

-Master of Women’s Health Medicine

-The Women’s Health Experts