Understanding Why Hysterectomy Does Not Cure Endometriosis

Hey everyone. I’ve just recently put up a post about the facts about why hysterectomy does not cure endometriosis.

It seems this is a very contentious issue and many people are not understanding the facts, or how endometriosis presents in the body. I also think that some people just haven’t read the actual article, as I do explain all of the reasons why.

But, it does seem some people are still not getting the reasons why, or have been told the wrong things. As usual, I am here to give the facts and this is what I am here to do with this post.. Give the facts.

I am sorry for many of the journeys you have been on too and that some of you are not being listened too as well. That is why I am here. To raise awareness and give the facts and help women with endometriosis have a voice.

This is to also raise awareness about adenomyosis too. Many really do not realise that they have this disease state, or have it coinciding with endometriosis as well.

So, I have done up the video blog to explain things in more detail and hopefully it helps all of you understand things better. It is also so people can see a visual explanation and see why hysterectomy will not “Cure” endometriosis.

The Man-Bashing of Male Healthcare Practitioners Who Help Women’s Health Issues. It Needs To Stop

All to often I hear some women “Man-Bash” male healthcare practitioners who specialise in Women’s Health issues. Often when male healthcare professionals are trying to bring awareness to female health issues it is now seen as the buzz word “Mansplaining”

What these individuals need to know is that there are many men at the forefront of women’s health issues and they are here to help women, not hinder them. These men do what they do because they care and they are passionate about what they do. Some do so because of partners, or family with gynaecological issues and they want to help any way they can.

These Male Specialists have had years of training and clinical experience and research behind them and actually know more about the female body than many females know about themselves. Being a female, or having a gynaecological disease does not make one an expert. The same goes for males with male health issues too.

Many of these male Women’s Health specialists are also some of our best advanced trained laparoscopic surgeons as well.  Many of these health experts also specialise in women’s diseases such as endometriosis.

We also have women specialists who are at the top of their field in male health issues. This should not be a gender thing and unfortunately some misinformed people tend to make it so. Too many people try to make it about self, rather than the bigger issue, or collective.

Many men give up their own time and are not paid for the work they do with women’s health issues. Some of  them are working at government level, media level and all sorts of areas to bring awareness to diseases that affect women.

Let’s not forget the men whose partners are affected by disease states. These men offer great support to women who suffer around the world and while they do not suffer the disease, they go through it all with their partners on differing levels.

In this video, I tackle two issue that really need to be talked about

  1. Period pain is not normal and no matter what anyone says, this is a fact
  2. We need to end the Man-Bashing of males who specialise in women’s health issues because many men are at the forefront and are trying to help women get the recognition they deserve.

Let’s end the silence for women who suffer disease states like endometriosis. Let’s end the myths around women’s health issues.

Period pain is not normal and women need to know about it.

Just like we need to end the silence about women’s health issues, we also need to end the Man-Bashing of male healthcare practitioners and educators out there at the forefront of women’s health.

Being a male does not mean we do not understand women’s disease states and it does not mean we do not understand pain. By taking away from these men’s messages and their dedication to women’s health, it is also causing damage to the bigger picture and is actually sabotaging women as well.

Have a listen to my latest video blog and explanation of this important subjects that we all need to talk about.

I myself am a male healthcare professional who helps with treatment, management and education of women’s health issues. I genuinely care about issues such as period pain, endometriosis, PCOS and fertility.  I have family with gynaecological issues and I have cared for thousands of women with gynaecological and fertility issues. It is a very special interest of mine and I want to see women get the care and help they need. Being male should not even be bought into this.

Lastly, if you are in pain and needs help, please give my clinic a call and make a time to book in a consultation.

Take care

Regards

Dr Andrew Orr

-Women’s and Men’s Healthcare advocate
-No Stone Left Unturned

-The Endometriosis Experts

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Endometriosis Awareness Teenagers are not too young to have endometriosis 1

Teenagers “Are Not” Too Young To Have Endometriosis

Teenagers are not too young to have endometriosis. Many teenagers and young women are missed and dismissed when they mention they have period pain. Period pain may be a sign that a young woman has endometriosis.

Endometriosis has been found in very young girls, especially as some are getting their period as young as 9 years old, or younger. They have found endometriosis in girls as young as 7 years old when looking for causes of abdominal pain.

Endometriosis and The Causes of Period Pain Can Be Hereditary

Just remember that endometriosis can be hereditary and if someone in your family, or yourself, has endometriosis, or has pad period pain, then there is a good chance a daughter could have this problem too.

Early Intervention and Treatment is Crucial

Early intervention is the key to treating and managing this disease. If your daughter is experiencing period pain, you need to see someone who specialises in endometriosis not just your GP. Do not ever be fobbed off by any healthcare practitioner, or just get told to put the young girl of the pill.

I often get really upset hearing stories of young girls told that they are too young to have endometriosis, or that period pain is normal and just to put up with it.

Young girls are often told to put up with the pain, go on the pill and “We will deal with it when you are ready to have children”

The problem with BS statements like this is that the longer the disease is left there the more damage it can do internally. By not getting early intervention and the right treatment early enough, it could also affect a young girl’s future fertility and potential to even have children. It makes me so angry hearing things like this.

Contraceptive Hormones Do Not Fix Endometriosis

The pill does not regulate menstrual cycles and it can mask and then exacerbate conditions such as endometriosis. The pill does not regulate a proper menstrual cycle. The pill causes a withdrawal bleed and not a proper period. Women with endometriosis need certain types of hormones to help with the suppression of the disease, but only after proper investigation, diagnosis and treatment of the disease first.

Make sure that young girls are properly assessed for the causes of period pain and then managed properly moving forward. Period pain is not normal and young women can be suffering endometriosis.

No matter what anyone tells you, teenagers are not too young to have gynaecological issues such as Endometriosis and PCOS.

We Need To Stop Telling Women That Period Pain is Normal

We need to stop telling young women that things like period pain, irregular periods and absent periods etc are normal. They are far from normal and early intervention and early management could save them a lifetime of heartache and fertility issues later on.

There Is Help Out There

If your daughter is experiencing period pain, or there is a chance that she may in fact have endometriosis and she needs help, please call my staff and book in a consultation with me.

Take care

Regards

Dr Andrew Orr

-No Stone Left Unturned

-Women’s and Men’s Health Advocate

-The Endometriosis Experts

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Endometriosis Awareness Endometriosis can only be definitively diagnosed by a laparoscopy

The Only Way To Definitively Diagnose Endometriosis Is Via Surgical Intervention–

The only way to definitively diagnose endometriosis and the causes of period pain is via surgical intervention. Scans, blood tests etc do not diagnose endometriosis. You cannot have a scan to diagnose endometriosis and you cannot have a blood test to diagnose endometriosis either.

The definitive diagnosis of endometriosis needs to be done via a laparoscopy

The definitive diagnose IS and ALWAYS WILL BE via a laparoscopy/laparotomy, along with histology (biopsy) and tissue samples taken to examine. Most times a hysteroscopy is done at the same time and if there is an evaluation for fertility, dye studies for tubal patency will be done at the same time.

Women with endometriosis need to see an Advanced Trained Laparoscopic Surgeon

A laparoscopy is the goal standard investigation of examining the pelvis and for investigating gynaecological disorders such as endometriosis. The laparoscopy also needs to be done by what we call an Advanced Trained Laparoscopic Surgeon, who has extra years of surgical training, and who specialises in this disease and specialises in the excision of endometriosis.

It can’t just be done by a regular obstetrician/gynaecologist and this is where many go wrong. Many women just haven’t seen the right surgeon first up who has he proper skills to deal with endometriosis effectively. The first surgery should always be your best surgery and early intervention and management of this disease is crucial. The longer it is there, the worse it can become.

Ultrasounds and Bloods Tests etc Cannot Diagnose Endometriosis

All too often I get women telling me that they do not have endometriosis because their doctor has ruled it out via an ultrasound, or blood test. This is so distressing to hear and this is why so many women are missed and dismissed with this horrible disease that affects 1 in 10 women world wide.

Endometriosis Management Requires a Multi-modality Approach

But, please know that surgery does not cure endometriosis. It is just the first stage in the management of the disease and the active lesions that have been expressed and are present now. Endometriosis can, and will return for many suffers and this is why endometriosis needs ongoing care and a multimodality approach to treat it effectively. It needs a team to manage it properly. While surgery is an important part of evaluation, management and diagnosis of endometriosis, it is to help with symptomatic pain and then other treatments are needed to suppress the disease from further developing and also managing ongoing symptoms.

If you need help with period pain, or  assistance with endometriosis, please give my clinic staff a call and book in a consultation.

Regards

Dr Andrew Orr

-No Stone Left Unturned

-Women’s and Men’s Health Advocate

-The Endometriosis Experts

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Endometriosis Awareness Period Pain IS NOT Normal

Period Pain IS NOT Normal

We need all women, and men, to know that Period Pain IS NOT normal and it is about time healthcare professionals knew this as well. We are getting there, but it is not quick enough for my liking.

Millions of women around the world are told that period pain is normal and then go on to endure years of suffering and even fertility issues because it. Some women have endured so much pain and been “missed” and “dismissed” by so many healthcare professionals so many times that they have ended up taking their own life because of it. It just should not happen and it needs to stop.

Endometriosis and Adenomyosis are a major cause of Period Pain

One of the major causes of period pain is Endometriosis, or its sister disease Adenomyosis. These crippling diseases can cause period pain, pelvic pain, joint pain, pain with bowel movement, irritable bowel syndrome, pain with ovulation, swollen painful belly (known as endo belly), chronic fatigue, anaemia, heavy painful menstrual flow and can lead to infertility. Some women will quite literally not even be able to work due to debilitating symptoms of this disease.

A significant portion of women with Endometriosis are Asymptomatic

One thing to note is that some many women with endometriosis get lots of pain and associated symptoms, a significant portion of women with endometriosis are actually asymptomatic (No symptoms at all). These women are usually diagnosed by accident or through fertility evaluation when they could be having issues conceiving. Just remember that just because a woman does not have pain and associated symptoms of endometriosis, it does not mean that she can’t have it.

Period Pain IS NOT Normal

Period pain IS NOT normal and the sooner we get everyone to know this important fact the better. Sure, a little bit of discomfort can be normal. By that I mean just a tiny bit of pressure and basically knowing your period is about to come. But pain…. That is not normal.

I’ve spoken about this many times before and if you click on the links below here, you can read my previous articles about this

  1. Stop Telling Women That Period Pain is Normal
  2. The Facts About Period Pain & Endometriosis. What Women Need to Know
  3. Period Pain IS NOT Normal and Doctors in Australia and The Rest of The World Need to Start Listening

There is help

If you, your friend, your daughter, your sister, your wife, or any other woman you know, has to have days off work, days of school, is laying on the floor in pain, taking pain killers to get through the day, or beginning of their period, then that IS NOT normal.

Period pain is not normal and if you need help and assistance with period pain, then please give my clinic a call and book in a consultation.

Regards

Dr Andrew Orr

-No Stone Left Unturned

-Women’s and Men’s Health Advocate

-Endometriosis Experts

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Endometriosis Does Not Always Cause Infertility

Endometriosis DOES NOT Always Cause Infertility

Many women are led to believe that if they are diagnosed with endometriosis, that they will be infertile. The one thing I do want all women to know is that Endometriosis DOES NOT always cause infertility.

Over the years I have helped over 12,500 plus babies into the world and many of the women who went on to have these babies had endometriosis.

I have had women who have been diagnosed with endometriosis being told that they cannot fall pregnant, based on the diagnosis and AMH (Anti-Mullerean Hormone) levels alone, and no other fertility investigations. This is disgusting and should never happen. It is so sad hearing things like this and women believing they are infertile and cannot have a baby, when it fact they actually may be able to.

Endometriosis can make it harder to fall pregnant

While having endometriosis can increase your chances of having fertility issues (about 50%), it does not mean you are infertile. To be honest the word infertility is often wrongly uses. Unless you have absolutely infertility and have been diagnosed with a condition that would render you infertile, then we should really be using the word subfertility. Subfertility is a better word to use for those that may be experiencing difficulty falling pregnant, but may need assistance of some come.

Biology 101 tells us that it takes two people to make a baby

Let’s not forget that just because you have endometriosis, it does not mean that the fertility issue falls solely with you. Men are just as big an issue when it comes to fertility issues and could be the bigger part in you not being able to fall. The problem is that many fertility clinics will solely focus on the women because she has a diagnosed condition and this is wrong. Many times I have seen a women with endometriosis blamed as the main cause of the fertility issue, when in fact it is actually the man’s sperm that is at fault. Please remember this. Biology 101 tells us that it takes a sperm and an egg to have a baby, not just an egg.

Endometriosis can make it harder to fall pregnant and can affect egg quality, fertilisation and implantation, due to the resulting inflammation from the disease. But this is where it gets a bit tricky.

Pregnancy rates are not necessarily related to the extent of the disease

It isn’t always about the amount of the disease either. We know that pain levels and the associated symptoms of endometriosis are not related to the extent of the disease. I will address this in one of the other facts posts sometime in the future. The hard thing is that sometimes stage 4 endometriosis sufferers, with lots of the active disease, will have not issues falling pregnant at all. Meanwhile a woman with stage 1, or minimal disease, may have lots of issues falling.

Then we have the women who are having issues falling pregnant and will not even know that they have endometriosis and then it is found as part of fertility investigations, via a laparoscopy. Just remember that a significant portion of women with endometriosis are asymptomatic (meaning no symptoms).

Like I always say to my patients, Endometriosis can make it harder to fall, but having the disease does not mean that you are automatically infertile, or will have trouble conceiving. This is why it is important to see someone who specialises in Fertility, not just a regular OB/GYN or a GP, and also specialises in the area of endometriosis.

Fertility Program

If you are having issues falling pregnant, please give my clinic a call. I can help you and assist you in receiving proper fertility evaluation and investigations and treatment moving forward. This is for the couple, not just the woman. Like I mentioned before, my multi-modality fertility program has helped and assisted over 12,500 babies into the world and it may be able to help you too.

Take care

Regards

Dr Andrew Orr

-No Stone Left Unturned

-Women’s and Men’s Health Advocate

-The Endometriosis Experts

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Endometriosis Awareness Month March 2019

Dr Andrew Orr has an honest and open talk about Endometriosis Awareness Month and also about the disease itself.

Dr Andrew Orr talks about the facts, the myths and what women with endometriosis go through on a daily basis.

He also discussed that there is help out there and what is needed in a multi-modality (team like) approach to care and ongoing management of the disease

Lastly, he wants every women, and man, to know that Period Pain IS NOT Normal and that women do not need to suffer in silence. There is always help out there and you just have to find the right people who will care, listen and help you in every aspect that you need.

Dr Andrew Orr has a special interest in Endometriosis and does research and lecturers about this horrible disease that affects 1 in 10 women world wide. If you do need help with period pain, or endometriosis and the associated symptoms, please give his clinic a call. Please do not suffer in silence alone. There is help out there. Dr Andrew Orr’s motto is “No Stone Left Unturned” and he uses this to assist all his patients.

Take care

Regards

Dr Andrew Orr

-No Stone Left Unturned

-Women’s and Men’s Health Expert

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The Importance of Following Through With Advice, Treatments & Change

I see so many people who have been ‘missed’ and ‘dismissed’ and who have suffered in silence with their disease state.

But the biggest shame is when those that are offered real help, then do nothing with that advice and continue on the vicious, merry-go-round cycle of their disease.

My motto is “No Stone Left Unturned” and I apply that to every patient that I see. My initial consults are usually 1-2 hours in length and I also do lots of preliminary work prior to see a patient as well. I make sure all my patients are now only sent health appraisal questionnaires, but are also evaluated with mood and stress questionnaires for their mental health too. I really want to delve into every fine detail of a persons life to see what may be driving their disease state and symptoms. It is to also help with diagnosing those that have not been properly diagnosed either. I then write up a comprehensive report for all my patients, with everything they need to do, the changes they need to make, the medicines they need to take, the investigations and testing they need to have and all their step by step health management moving forward. No Stone Is Left Unturned as I mentioned before

As I mention in this video blog is that the greatest shame is those that come to get the advice and help and then do nothing with it. Just remember that if you do not change anything, or do the work needed, then nothing changes. The key to real change is actually within you.

If you so need help with a particular health issue, or you just aren’t getting the right answers and care, then please book in a time to see me and let me be your guide to better health and getting your life back to normal.

 

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Endometriosis IS NOT an Autoimmune disease

There are many statements made about endometriosis and many of them are not factual. This goes for the statement that Endometriosis is an autoimmune disease. In this article I will explain why this statement is false, and not true, and the reasoning behind it.

Everyday I get people telling me all sorts of facts and fictions they have heard on Dr Google. As I always say to people, Dr Google is not a reliable source of health information, unless it is from peer reviewed medical sites. Even then these sites are pretty much restricted to the general public.

Many people are looking for the miracle cure for endometriosis, or the holy grail of causes of it, and why wouldn’t you if this was affecting your life. I know from personal experience with health issues, I do want to know what the cause is and how to treat it.

But like so many conditions many people face each day, sometimes there is no answer just yet. Sometimes we don’t have all the answers and that is just how it is. When this is the case for a disease, I always tell my patients to not get caught up so much on the cause, but rather do the known treatments and management to get better. This is what really matters the most. Plus, like any disease, we need to look at treating the individual and not treat the masses.

Many diseases like endometriosis need a multi-modality approach to treat them effectively and this how I treat my patients and why I have so much success with treating endometriosis. It is about employing the right treatments and treatments that work.

Endometriosis does not fit the classification of an Autoimmune Disease. 

What we do know is that endometriosis is made worse through diet and lifestyle and external influences. We also know that internally there are many things that exacerbate endometriosis too. Behind it all, it is an inflammatory based disease. Any inflammation in the body makes it worse. Plus, endometriosis itself can inflame the body too.

Endometriosis is very much an ‘autoimmune like’ disease, because inflammation is a major driving factor, but it isn’t an autoimmune disease. Endometriosis does not fit the classification of an autoimmune disease as it does not produce auto-antibodies. We also know that endometriosis is normal tissue growing in abnormal areas. Again not producing auto-antibodies.

What we do know

We know that retrograde menstruation is a big factor for some women, but we also know that retrograde menstruation isn’t a factor for others. What we do know is that estrogen is a big driving factor and that endometriosis is estrogen driven. It isn’t from estrogen dominance, or estrogen excess either. What we do know about endometriosis, is that like autoimmune diseases, it is also passed on via genetic and hereditary factors. But again, endometriosis is not an autoimmune disease and does not fit the classifications of an auto-immune disease at this stage.

Like many diseases we get in our body, we often have other disease states expressed at the same time and can be purely coincidental. Some can come from hereditary factors and people are just predisposed to getting this diseases and when the body is inflamed, it just causes this other diseases to be expressed too. If someone has an autoimmune disease and also has endometriosis, this does not mean that endometriosis is autoimmune. There are many women who have endometriosis and who do not have autoimmune diseases as well.

Inflammation is a driving factor 

If a woman has an autoimmune disease at the same time as endometriosis, this is purely coincidental, or it is another hereditary factor that may have been passed onto them through their parent. It needs to be treated independently and not as part of endometriosis. It is all inflammation at the end of the day, so addressing inflammation and immune response will not only help the secondary autoimmune disease, but it will also help the endometriosis.

I’ve talked about the facts and fictions of endometriosis before and we really cannot say endometriosis is an autoimmune disease, because there is no credible, or conclusive research to back that up at this stage.There maybe in the future, but at this stage there is not, so we cannot say that endometriosis is an autoimmune disease.

Is the immune system and inflammation a part of endometriosis? … It sure is

Is endometriosis and autoimmune disease? … It isn’t at this stage

Hope this helps to shed some more light on this disease that affects so many women around this world. Hopefully one day soon we will have all the answers and we can end the horrible world of endometriosis.

If you want to find out more about how endometriosis is not an autoimmune disease, have a read of this great article by A/Prof Jason Abbott from Endometriosis Australia’s page. Click Here

Regards

Dr Andrew Orr

-Women’s Health Expert

-Endometriosis Expert

-No Stone Left Unturned

-“Period Pain is Not Normal”

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Endometriosis a burden on women’s lives

Research published in the Journal of Family Planning and Reproductive Health Care found that endometriosis affects women’s sex lives, personal relationships, work life, and emotional well-being.

Endometriosis often takes a long time to be diagnosed and affects all areas of a women’s life, a study has found. Endometriosis is a chronic, recurring disease that is experienced by approximately 10 per cent of women worldwide. This number could be greatly understated as many women have not being diagnosed properly and many women still think period pain is normal.

But, while period pain is part of endometriosis, a significant portion of women with endometriosis are asymptomatic (meaning no symptoms) and only get diagnosed when there is a need for fertility treatment.

Common symptoms include of Endometriosis
• Painful menstruation,
• Heavy menstrual bleeding,
• Painful sex
• IBS like symptoms
• Bladder issues (UTI like symptoms)
• Ovulation Pain
• Pain with bowel movement
• Chronic Fatigue
• Infertility

The Research Unit at the School of Public Health and Preventive Medicine, reviewed a number of papers that documented women’s experiences of endometriosis. The most common theme was that women had experienced delays in diagnosis.

Many women feel they are being dismissed and this is evident in the fact that it often takes up to “10 years, or more” for women to be diagnosed properly.

The study found that women were more likely to be diagnosed sooner when they approached their doctor describing symptoms as fertility-related rather than a menstrual issue.

The study showed that some women initially delayed seeking help for their symptoms because they believed all women had painful periods. When women revealed their symptoms to a family member, friend or medical professional their experiences were typically normalised as being what all women must endure. Period pain is not normal and all women need to know this.

The study also found that women often felt frustrated and angry at unsatisfactory experiences with healthcare providers, and had concerns about the effectiveness and side effects of treatments.
Women want their doctors to really listen to their experience and concerns. They want to explain the true impact of the condition on their lives, rather than simply rank their pain on a scale from one to 10, or be dismissed each time they try to have their doctor listen to what they are going through on a daily basis.

The study found that further research was needed to gain a comprehensive understanding of endometriosis as experienced by diverse groups of women.

This research will contribute to the improved health care of women with endometriosis in Australia, and around the world.

Too many women being ‘missed’ and ‘dismissed’

I see so many women who have been misdiagnosed, had symptoms missed and been dismissed for years and seen multiple healthcare practitioner, both medical and complementary.

There are clear-cut signs and symptoms that point to endometriosis and we need for healthcare practitioners to start to know this. We also need for practitioners and the public to know that endometriosis can only be diagnosed by a laparoscopy (surgical intervention) and that scans and blood tests, do not diagnose endometriosis.

Lastly, my message to all women is ….. “Period Pain IS NOT Normal” and people need to stop telling women it is.

There is too much BS out there about endometriosis and we need all women and all healthcare practitioners to start knowing the facts. 10 years, or more, to a diagnosis is unacceptable for any health condition. It means many women are being ‘missed’ and ‘dismissed’ along the way.  Let’s put an end to Endometriosis.

If you do need help with period pain, or help managing endometriosis properly, then please book in a consultation with me and I can help you get the help and proper care you need.

Regards
Dr Andrew Orr

-Endometriosis Expert

-Women’s Health Expert

-No Stone Left Unturned

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