The Top 24 Things That Will Cause A Flare In What You Thought Was Endometriosis & Adenomyosis Symptoms, But Maybe Isn’t (13-24)

Posted on October 25, 2020October 25, 2020 by Andrew Orr

In the second part of my posts about the top 24 things that will cause a flare in what you thought was endometriosis and adenomyosis symptoms, but may isn’t, I continue with the next 12 causes of what you think is endometriosis, or adenomyosis symptoms, may just be caused by something else?

In this post I continue to bring awareness to the fact that sometimes it is not always Endometriosis, or Adenomyosis causing your current symptoms. It may be one of the following facts only, or in combination. What we need to remember is that many women with endometriosis, and adenomyosis, often have other issues that are flaring their current symptoms, and often present the same as endometriosis and adenomyosis, in their symptomology.

We also know that many other causes of flares of symptoms are often overlooked, and even dismissed, just as endometriosis and adenomyosis is often missed and dismissed.

Many women may have other issues going on at the same time as having endometriosis, or adenomyosis, and it is possible to have both endometriosis and adenomyosis combined and well as having other health issues in combination as well. Just remember that not all your symptoms may be endometriosis, or adenomyosis, and why it is so important to see and expert in these conditions.

If you do need and expert and need help with endometriosis and adenomyosis, please give my friendly staff a call and find out how I may be able to assist you.

Let’s have a look at the next 12 causes of “What You Thought Was Endometriosis and Adenomyosis Symptoms, But Maybe Isn’t”

Causes of a Flare of What You Thought Was Endometriosis and Adenomyosis Symptoms, But Maybe Isn’t ( 13-24)

13.Tight pelvic floor muscles – Pelvic floor hypertonus occurs when the muscles in the pelvic floor become too tight and are unable to relax. Many women with an overly tight and non-relaxing pelvic floor experience pelvic health issues such as constipation, painful sex, urinary urgency, bladder issues and pelvic pain. Women with pelvic floor hypertonus may also have musculoskeletal issues that cause tightness and tension in surrounding hip, sacrum and pelvic muscles. Have a read on my previous post about this. (Click here to read)

14.Interstitial cystitis– Interstitial cystitis (IC) is a chronic inflammatory bladder condition in which there is persisting chronic pelvic pain, urinary frequency and urgency, bladder pain or pressure, and it can also resemble the symptoms of a urinary tract infection, but there will be no infection present. The pain can range from being mild to severe. Women with interstitial cystitis may experience many of the same symptoms as those with endometriosis. Women can have both Interstitial Cystitis and endometriosis at the same time. Some people with IC may also have irritable bowel syndrome (IBS), Fibromyalgia and other pain syndromes. This is why proper differential diagnosis is very important as this can be missed very often, or completely overlooked. Have a read of my previous post about IC (Click here to read)

15.Pelvic Congestion Syndrome– Pelvic congestion syndrome (PCS) is a chronic condition that occurs in women when varicose veins form below the abdomen within the pelvic region. Pelvic congestion is just like the varicose veins that some women have in their legs, but it affects the veins of the pelvis. Blood backs up in the veins, making them become enlarged and engorged. Pelvic congestion can also cause chronic pelvic pain in some women. Pelvic congestion syndrome does share many of the same symptoms of endometriosis and adenomyosis and it important to have proper differential diagnosis and rule other causes of pelvic pain out first. Sometimes the varicose veins that cause pelvic congestion syndrome can be present alongside endometriosis and adenomyosis, or other pelvic issues. Have a read of my previous post about PCS (Click here to read)

16.Constipation and full bowel- A common cause of pelvic pain and abdominal pain and bloating and caused by constipation and a full bowel that is slowly backing up and starting to compact. In serious cases, the bowel can compact and even perforate if not addressed soon enough. When the bowel is not fully voided, it can lead to backing up of the bowel. Many people are still moving their bowel each day, but just do not realise, it is not being voided properly. This can lead to pain, gastrointestinal issues and also feeling unwell, due to not voiding waste from the body. It is a very commonly overlooked issue. This is why women need look at restoring the microbiome properly and also drinking enough water, eating enough fibre and also creating good bowel habits and not holding on too long at work.

17.Lack of sleep – Lack of quality sleep is a major issue for many women and is a common cause of their fatigue, increased pain, and exacerbation of symptoms, interference of moods, and a whole range of health issues physically and mentally. Sleep deprivation leads to reduction in hormones such as melatonin, which is a precursor to serotonin and then affect the moods etc. Lack of sleep also interferes with the other hormones in our body too. Lack of sleep also stops the body from repairing and can lead to increased inflammation within the body. We know that shift works do have a lot more disturbances with their menstrual cycles and also have lower fertility rates.

18.Over-exercising– Over-exercise can lead to tight pelvic floor muscles and hypertonus, but it can also lead to decrease body fats as well. Body fat plays a regulatory process with hormones and fertility. A significant decrease in body fact (10-15%) can lead to decreased hormone production and actually stop the menses and interfere with fertility. Over exercise can also cause stress and inflammation in the body and can also lead to adrenal exhaustion and fatigue. It is all about balance.

19.Lack of exercise– Lack of exercise if a big factor in a lot of people’s health issues. Lack of blood flow and lack of circulation to muscles and tissues, especially the uterus and vagina, can have some serious consequences for women’s health and gynaecological conditions. Without proper microcirculation into the uterus, and vagina and reproductive organs, these areas can become highly stressed, lack vital nutrients and then leads to inflammation, pain and other irregularities. It is a catch 22 situation. Too much exercise is not good, but similarly, not enough exercise is just as bad for us. While sometimes we may not feel like exercising, the fact is, research has shown that regular exercise can, and does help with pain, and other symptoms of endometriosis and adenomyosis.

20.Environmental Estrogens– According to a landmark US study published by the US department of environmental health, there are 87,000 plus environmental estrogens we are exposed to in all countries around the world, some being worse than others. These can be anything from plastics, detergents, petroleum products, chemicals and even the contraceptive pill ending up in our water ways. These endocrine disruptors (AKA as environmental estrogens) can interfere with hormones within our body and also lead to inflammation and many health issues. They have also been linked to the increase in lower fertility rates and the increase in expression of genetic mutations within the body. Endometriosis and adenomyosis is driven by estrogen and this may be a big factor in the increase in women with endometriosis and adenomyosis.

21.Lack of blood/increase of blood circulation– The microcirculation of the uterus, vagina and reproductive organs is a very important one and one of the reasons getting proper blood flow and improving microcirculation into these areas is important. I talked about this in the lack of exercise part. It is also important to check women for hereditary blood clotting and also bleeding disorders. All women with gynaecological and fertility issues should be screened for blood clotting disorders via prothrombotic studies and also bleeding disorders such as Von Willebrands Disease, when suspected.

22.Musculoskeletal issues– Women with postural issues, or their spine out of alignment can also experience referral pain, and pelvic pain due. It is important to have musculoskeletal causes of pain assessed by a qualified healthcare professional (physio/chiropractor/osteopath). When muscles are too tight, it can cause sublaxations, which can then impinge on nerves and also cause referral pain and other health issues within the body. Damage to nerves and tissue, such as pudendal nerve neuralgia can also cause pain and referral pain in the lower abdomen, pelvis and vagina.

23.Excess weight and body fat– At present up to 70% (or more) of Australians, and Americans, are either overweight, or obese, so we can no longer ignore what the consequences of these statistics mean. We know that excess weight and excess body fat is linked to serious health consequences. Excess body fat in men and women leads to higher levels of the hormone leptin. Excess body fat is also now referred to as obestrogens, as they cause the same health consequences as environmental estrogens (known as endocrine disruptors). These excess body fats and higher levels of leptin do impair production of sex hormones and also reduces fertility. It can also lead to poorer sperm quality, poorer egg quality and can also increase the risk of miscarriage. Excess body fat, especially excess abdominal fat, is also linked to insulin resistance, metabolic syndrome and other health issues. It also interferes with the regulation of sex hormones and sex hormone binding globulin (SHBG). This can then increase the risk of irregular cycles, PCOS, endometriosis, adenomyosis, miscarriage and other factors affecting fertility. Excess body fat can also be a major driving factor of endometriosis and adenomyosis, due to the estrogenic effects it has. This is why reduction in body fat and a healthy diet and healthy lifestyle is imperative in the management of women’s health and fertility.

24. Iron Deficiency– Iron deficiency can be a very serious issues, and many women do not realise the health risk associated with it, and how often it goes undiagnosed. It can lead to disruption of hormones, and can lead to fatigue and exacerbation of pain and emotionally generated symptoms. Let’s face it, without iron, you aren’t going to be transporting oxygen around your body and then your muscles, brain, hormones and circulation suffer as a result of this. Women with endometriosis and adenomyosis are nearly always iron deficient from the heavy blood losses they suffer, or the internal bleeds they get from flares of endometriosis lesions. Have a look at my previous past on the serious consequences of low iron and why managing iron levels is so important (Click here to read)

The Top 24 Things That Will Cause A Flare In What You Thought Was Endometriosis & Adenomyosis Symptoms, But Maybe Isn’t (1-12)

Posted on October 24, 2020October 24, 2020 by Andrew Orr

Many people often talk about how they get flares of their endometriosis and adenomyosis symptoms often. While in some cases it may actually be the endometriosis, or adenomyosis causing their flare, in truth, many times it is other things actually causing their flare and it is so important to understand this. Maybe what you think is endometriosis, or adenomyosis symptoms, may just be caused by something else?

In this post I want to bring awareness to the fact that sometimes it is not always Endometriosis, or Adenomyosis causing your current symptoms. It may be one of the following facts only, or in combination. What we need to remember is that many women with endometriosis, and adenomyosis, often have other issues that are flaring their current symptoms, and often present the same as endometriosis and adenomyosis, in their symptomology.

We also know that many other causes of flares of symptoms are often overlooked, and even dismissed, just as endometriosis and adenomyosis is often missed and dismissed.

If you do need and expert and need help with endometriosis and adenomyosis, please give my friendly staff a call and find out how I may be able to assist you.

Let’s have a look at the first 12 cause of “What You Thought Was Endometriosis and Adenomyosis Symptoms, But Maybe Isn’t”

Causes of a Flare of What You Thought Was Endometriosis and Adenomyosis Symptoms, But Maybe Isn’t ( 1-12)

1.Stress – Stress is the one of the biggest causes of ill health, or in exacerbating current health issues and their symptoms. Stress also heightens pain pathways, it increases inflammation, interferes with moods, disrupts hormone pathways and also increases acidity in the body. This then leads to increase in symptoms such as pain, gastrointestinal issues, fatigue, and increase in emotionally generated symptoms. Have a read of my previous article of this (Click here to read)

2.Anxiety– Anxiety is also a big cause in aggravating and exacerbating symptoms of endometriosis/adenomyosis. When control issues are heightened, the body spirals out of control and anxiety kicks in and exacerbates symptoms. This also heightens pain pathways like stress does, and also disrupts hormone pathways as well. This then drives pain pathways, upsets the gastrointestinal system, disrupts sleep and also creates fatigue. I have done a previous post of anxiety and pain pathways previously (Click here to read)

3.Busyness– Busyness is one of the number one drivers of stress and anxiety issues. Lack of time out and on the go, pushes the body to exhaustion, and also activates adrenalin and cortisol levels, which in turn interfere with hormone pathways. Busyness is really stress under another name, and can produce all the same symptoms as stress does. Busyness can also be a big factor with fertility and pregnancy too. See previous post (Click here to read)

4.Alcohol– One of the number one things to flare endometriosis/adenomyosis symptoms and any gynaecological issue is alcohol, especially excess alcohol. Alcohol can also be a big factor in period pain and also irregular cycles. It can also exacerbate heavy bleeding, especially with adenomyosis. Alcohol is full of sugars and it really is a drug and a toxin, especially in higher doses. Alcohol is also inflammatory and will exacerbate inflammatory conditions in the body. Alcohol also adds to fluid retention and body fat, and can interfere with moods.

5.Smoking – Smoking not only adds to inflammation in the body, but it also increases the risk of certain cancers, including gynaecological The byproducts of cigarette smoke have been found in the cervical mucus of women and these toxins are literally leaching into your uterus, your vagina, and surrounding tissues and organs. Ewwwww. Smoking definitely increases inflammatory processes in the body and leads to increases symptoms.

6.Refined foods– Highly refined foods increase blood sugar levels, which then makes the body store fat, and stops the burning of fat.
Excess body fat also drives inflammation, and is also estrogenic. Estrogen drives endometriosis/adenomyosis.
Excess refined carbs also cause increase insulin, which in turn causes inflammation in the body too. This increase inflammation exacerbates pain pathways and other symptomatic responses in the body.
A lot of refined foods are from grains, which also contain gluten. Gluten causes gut irritation and inflammation – a lot of people won’t even realise that their problems are caused by gluten. Have a listen to my video blog about a proper diet (Click here to read)

7.Too much sugar– Excess sugars and things such as chocolate (big one) is a big driver of inflammation in the body. The excess sugars also make the body store fat, and they also increase pain and exacerbate pain pathways. The excess sugars also disrupt the gut microbiome and increase bad bacteria, which also drive inflammation and increase gastrointestinal issues such as bloating and abdominal pain. It can also affect bowel function. Have a read of my post about the toxic consequences of sugar ( Click here to read)

8.Legumes (chickpeas, lentils, soy etc)- Lentils, beans (i.e. kidney, pinto, broad etc),peanuts (they aren’t nuts, despite the name), soy beans, garbanzos and chickpeas are alllegumes. Like grains, legumes too contain harmful substances such as lectins and phytates, inhibiting nutrient absorption and causing inflammation. They also cause gas and bloating and many people do not realise the reactions they can cause in the body.
Raw legumes are toxic, so they need to be prepared (by soaking,rising, cooking, sprouting or fermenting) – however, preparation doesn’t entirely negate the harmful effects of the lectins. Despite soaking and activating, many people still react badly .
Soy is particularly bad, since the phytoestrogens content acts like the female sex hormone estrogen. This has been shown to have some damaging effects with healthy hormone functions. Endometriosis and adenomyosis is estrogen driven and women should stay away from soy and soy based products where possible.

9.Excess bad bacteria – Buildup of bad bacteria, called dysbiotic bacteria can cause inflammation and ill-health, physically and emotionally. A buildup of bad bacteria is a common cause of abdominal pain and bloating in women with endometriosis and adenomyosis. I have discussed dysbiotic bacteria is a previous post (Click here to read)

10.Acidic foods– Acidic foods may cause or aggravate certain digestive disorders, such as acid reflux gastroesophageal reflux disease, otherwise known as GERD. Acidic foods can also add to inflammatory processes in the body and why there is now mounting evidence to use a more alkaline diet for those with chronic inflammatory disease states. Common acidic foods are alcohol, certain citrus fruits, soft drinks, processed foods, refined foods, junk foods, and tomato based products.

11.Junk foods – Junk foods contain all sorts of nasty things, from trans fats(carcinogenic fats), additives, preservatives, saturated fats, acid, gluten, soy, refined grains, processed foods, environmental estrogens, high sugar and a whole lot of others things that can create inflammation in the body and add to exacerbating someone’s symptoms. This one goes without saying, yet some many people do not realise that just one serving of junk food could exacerbate symptoms for days, or longer.

12.Certain medications– Medications can be both friend and foe, depending on the length of time someone has taken them, and also the side effect profile of a certain medication. Certain medications can also cause withdrawal effects each day, and they can exacerbate symptoms of your health issue, including pain. This can also go for natural medicines taken wrongly, or taken for too long a period. This is why it is always important to be properly managed and monitored by a qualified healthcare professional. Have a read about this issue in a previous post (click here to read)

The facts you need to know about surgery, and everything that should happen afterwards- Part 1

Posted on October 17, 2020October 18, 2020 by Andrew Orr

After my 8th operation, and just having had extensive 3 hour surgery for a disease process in my sinuses, which is very similar to endometriosis actually, I thought it was important to talk about this much needed subject.

Sometimes, surgery is very much needed and will be the only thing that will help your current symptoms and health issues.

I also want to talk about the importance of proper ongoing management, following surgery, and why this is actually the most important component, that many just do not end up doing. This then just creates another vicious cycle of needing more surgery later on, or sooner that should be needed.

Surgical Intervention- “But what if they don’t find anything?”

Posted on August 17, 2020August 17, 2020 by Andrew Orr

One of the things I often gets asked is “If I have surgery, what if they don’t find anything?”

All sorts of things go around in people head, and rightfully so, but may think that if nothing is found that that their symptoms are all in their head. Not so.

Just because there is nothing found via surgical intervention, does not mean that there is nothing there, or there is no disease state. It just means it cannot be visually seen.

Here in this video I explain all this and more.

Many Fertility & Women’s Health Issues Could Be Traced Back To Mismanagement At Around Age 13

Posted on July 17, 2020July 17, 2020 by Andrew Orr

Early this week, I was talking with a colleague about how I would love to be able to see all women before they head into IVF, or see them when they were a teenager to educate them and help the with a better future for their fertility and gynaecological health.

My colleague then said to me “The issue is that most women are mismanaged at around age 13 and this is why they end up having fertility issues and ongoing gynaecological and menstrual related issues later on.”

The truth is, if we really to trace back the cause, or start of a woman’s fertility, gynaecological, or menstrual related issues, it would most likely be due to mismanagement at around age 13 when she first got her period. In this video I bring light to this very introspective, and very interesting topic that many probably have not thought about. It isn’t always mismanaged by the people you think it is either.

Let’s bring better education and awareness to women’s health issues because we know that early intervention and early management if the key to better future outcomes. It all starts with education first. Have a listen to my video on this very important topic (click on the youtube video link to watch

If you, or your daughter needs help with a menstrual issue, or period pain etc, please give my friendly staff a call and ask how I may be able to assist you.

Regards

Andrew Orr

-No Stone Left Unturned

-Master of Women’s Health Medicine

-Master of Reproductive Medicine

-The Endometriosis Experts

-The Experts Program

Let’s Talk About The Current Opioid Crisis & Pain Prescription Crackdown

Posted on June 8, 2020June 8, 2020 by Andrew Orr

Recently there has been so much news about pandemics such as COVID 19, but nobody is talking about an epidemic that is causing more deaths than this global crisis. The Opioid Crisis is an epidemic is expanding on a global scale. In Australia, the rise in prescribing of pain medications, particularly opioids has increased signficantly. This is having has had devastating results, with the levels of harm and deaths due to opioid misuse rising exponentially.

In Australia, over three million people were prescribed 15.4 million opioid scripts in 2016–17. What is most concerning is that opioids now account for 62% of drug-induced deaths, with pharmaceutical opioids now more likely than heroin to be involved in opioid deaths and hospitalisations. In 2016–17 there were 5,112 emergency department presentations and 9,636 hospitalisations due to opioid poisoning, with three deaths per day attributed to opioid harm – higher than the road toll.(2)

The global crisis of opioid crisis is increasing and is very concerning. About 275 million people worldwide (5.6 per cent of the global population aged 15–64 years) used drugs at least once during 2016. There were an estimated 27 million people who suffered from opioid use disorders in 2016. Roughly 450,000 people died as a result of drug use in 2015. Of those deaths, about 118 thousands with opioid use disorders.

Overdose deaths contribute to between roughly a third and a half of all drug-related deaths, which are attributable in most cases to opioids. Lifetime prevalence of witnessed overdose among drug users is about 70%. There are effective treatments for opioid dependence yet less than 10% of people who need such treatment are receiving it. The inexpensive medication naloxone can completely reverse the effects of opioid overdose and prevent deaths due to opioid overdose.

Due to their pharmacological effects, opioids in high doses can cause respiratory depression and death.

In Australia today, unrelieved pain is a major issue. Up to 80 percent of people living with chronic pain are missing out on treatment that could improve their health and quality of life. Some of these people are dismissed and feel isolated and suffer constant pain, anxiety, depression and even attempt suicide. It is big issues that needs to be address.

Opioids and pain medications should never be regarded as the sole approach to people with chronic pain. They should be regarded as one component of a multimodality approach and management plan, and should only be used on a limited basis and monitored regularly so as not to develop and addiction.

A well-defined and well-structured multimodality management pain plan, set out be a qualified healthcare professional, is essential in improving pain outcomes, improving overall health and helping with the complications of withdrawal of pain medications and opioids.

In this video I talk about the current reforms here in Australia and the ongoing opioid crisis that needs urgent attention and people do need to be managed better on all levels.

Regards

Andrew Orr

-No Stone Left Unturned

-Master of Women’s Health Medicine

-Men and Women’s Health Advocate

-The Headache, Migraine and Pain Experts

References

Deloitte Access Economics (2019), The cost of pain in Australia.
Royal Australian College of General Practitioners (2018). Australian overdose deaths are increasing – and the demographics are changing. News GP. Access online here.
WHO- Information sheet on opioid overdose (click here to access)
Pain Australia (fact sheets)