Naturopathy and Endometriosis

1. Naturopathy and Endometriosis

2. Naturopathyand Endometriosis Presented by Justine Evans B.Sc N.Med, ITEC, M. CThA, M.NNA, PTLLS

3. Agenda • What/Who is a Naturopath? • The 5 Principles • Endometriosis – What Is It and Its Underlying Causes? • Conventional Treatment • The Naturopathic Approach to Treating Endometriosis • Questions and Answers

4. What/Who is a Naturopath? • A health practitioner who applies a range of approved natural therapies and healing practices. • A Naturopath usually includes Nutritional Therapy, Herbal Medicine, Homeopathy, Acupuncture • Holistic Modalities – such as Reflexology, Massage • Functional Medicine, Bio-Resonance, Ozone-Therapy • Colon Hydrotherapy .

5. How Does a Naturopath Work? • Use a range of alternative methods to assess predisposition(s) in the body whilst considering the 5 principles. • Then support the patient with specific therapies and changes in the patient’s lifestyle to (re)balance health.

6. The Origins of Naturopathy • The principles of Naturopathy were first used by the Hippocratic School of Medicine in about 400B.C. The Greek philosopher Hippocrates believed in viewing the whole person in regards to finding a cause of disease, and using the laws of nature to induce cure. It was from this original school of thought that Naturopathy takes its principles.

7. The Principles • Nature has the innate ability to heal • Identify and treat the cause - treating the “whole” • Do no harm- never use treatments that may create other conditions • Empower – educate/teach the patient to take responsibility for his/her own health through self-care • Prevention is better than cure - remove toxic substances and situations from a patient’s lifestyle to prevent the onset of further disease

8. Endometriosis

9. Endometriosis • A condition where the lining of the womb implants and grows outside of the womb itself. • Pelvis, Fallopian tubes, ovaries, bowel, bladder, even the lung, brain and heart.

10. Endometriosis

11. Endometriosis • Wherever the growth, the tissue will respond to the hormonal cycle and bleed at menstruation. • Blood has no outlet to leave, becomes trapped causing inflammation, cysts and scarring.

12. Endometriosis • Very common gynaecological condition • Can affect up to 15% of female population • Most commonly, childless women over 30 • Half of all women with endometriosis will have fertility issues

13. Endometriosis Symptoms • Extremely painful periods. Pain may start 5-7 days prior to a period although some people suffer from “ovulation” • Also associated with PCOS/ Chocolate cysts • Painful sex and/or post sex • Possibly recurrent bladder or bowel disturbances including IBS symptoms/digestive disorders • Recurrent pain - similar to appendicitis. Some people experience painful legs, lower back ache • Fatigue and depression • Skin – acne, spotty, “strange cyst like spots”

14. What’s the Cause? • ‘Backwards’ menstruation – migration of endometrial tissue up and out of Fallopian tubes • Provoked by muscle spasms during a period

15. So How Come…… • Some women with tied Fallopian tubes (sterilization), still experience endometriosis? • Endometrial patches have been found around the body, even ending up in lungs and noses • Some men get it!

16. What’s the cause? • We now believe that the dis – ease can be initiated during foetal development and that • Young displaced endometrial cells start to grow when the woman reaches puberty

17. What’s the cause? • Genetic link? • Some 15% of cases are believed to be inherited

18. What’s the cause? • Endometrial tissue transported from womb to other areas of the body via the lymphatic system – through illness, operations etc or plain bad luck!

19. What’s the cause? • An immune imbalance – natural killer cells ineffective in ‘mopping’ up endometrial debris • Debris migrates to other parts of body provoking inflammatory responses (Dmowski et al, 1994)

20. What’s the cause? • Metaplasia theory – cells can change into endometrial cells • Changes provoked by exposure to hormones, chemicals, infection.

21. Endometriosis • This theory seems to stack up as endometrial patches have been found in bladders of men on oestrogenic drugs for cancer treatment (Oliker & Harries, 1971)

22. Conventional Treatment • Shut down menstrual cycle: • weak male hormones to prevent ovulation and development of womb lining. • Synthetic GnRH hormones to prevent pituitary gland from releasing LH and FSH I.e. provoking temporary menopause • contraceptive pill – tricks your body into thinking its pregnant

23. Conventional Treatment • Surgery • Remove endometrial patches with laser surgery • Cysts and adhesions • Hysterectomy – complete removal of womb (and sometimes ovaries)

24. Naturopathic Alternatives • Nutritional Therapy • Herbal Medicine • Acupuncture • Homeopathy • Reflexology

25. Naturopathic Approach • Endometriosis grows in the presence of oestrogen. • Naturopathic support will focus on regaining hormonal balance by improving excretion of oestrogen through the liver and bowels and removing environmental toxins.

26. Xenoestrogens – What Are They? • Xenoestrogens means foreign estrogens. Research concludes that there is a link between dioxins and development of endometriosis. • Xenoestrogens are found in Plastics, Spermicide, Detergent, Cosmetics and Personal Care Products, Dyes, Solvents, Weed Killers, Paints Farmed Foods and Drinks (http://www.endo101.com)

27. Research - Environmental Toxins • “Chemicals found in food packaging, upholstery and carpets may be damaging women's fertility according to US scientists.  Per fluorinated chemicals (PFCs) are used to make products like Teflon, as well as waterproof clothing, pesticides and upholstery. A new study found that exposure to high levels of the chemicals, which can remain in the environment and the body for decades, could leave women struggling to get pregnant” (Infertility Network UK, 2009)

28. Weight – Research • Bates et al (1982) indicated that nearly three quarters of women conceived naturally once they stopped dieting and achieved their optimal weight • Foreyt etc al (1998) published an article in the International Journal of Fertility and Women’s Medicine which suggested that being overweight disturbed hormonal balance and stopped ovulation. It went on to state that by losing just 10% of weight it is possible to stimulate ovulation.

29. Weight and Endometriosis • Women with high intakes of trans fats were found to be significantly more likely to suffer from endometriosis than women with lower intakes ... • Food & Nutrition Australia – Research update for AECL Feb 2010 . • Ratliff, J., et al Nutrition Research, 2010. 30(2): p. 96-103.

30. Exercise • Exercise raises the levels of endorphins (brain chemicals which act as natural painkillers), elevates the mood and promotes a positive outlook • Encourages the proper excretion of oestrogen and cholesterol from the body • Increases metabolic rate thus supports weight loss.

31. Dietary Protocol

32. Nutrient Effect with respect to Female Fertility & Reproduction Vitamin A Antimutagenic. Healthy skin and cell membranes. Protects against infections and cancer, Antioxidant, Immune system,. Essential for night vision, reduces menstrual cramps. Vital for growth & development of foetus esp. heart, hearing & visual development. B vitamins Synthesis of sex hormones. Create new blood cells for growing baby.Folic acid key for prevention of spina bifida – needed in first 28 days of pregnancy. Daily intake of 400ug recommended by the Government. Vitamin C Essential for formation of collagen – keeps protective membrane around baby strong. Vitamin D Oxygenates and prevents blood clots, improves breast tenderness, aids sperm, has an anti inflammatory action. Aids egg implantation and needed for antibody production. Vitamin K Manufactured by gut flora but baby is born sterile so must rely on mother’s supply Vitamin E Protects vital RNA and DNA reducing risk on congenital defects Zinc Probably plays biggest role in reproduction. Deficiency increases miscarriage rate. Needed for hormone balance, development of egg, successful fertilisation & enzymes of implantation. Selenium Protective against oxidative damage and risk of congenital defects Iron As many as 32% of pregnant women show mild anaemia Needed to carry oxygen to every cell in body and developing foetus Calcium For development of babies bones, heart and nervous system

33. Measures • “Alkaline Based Blood Sugar Diet” – A low GL diet has been shown to reduce weight, acne severity and hormonal imbalance • High fibre with small portions of lean organic protein. Include oily fish, sprouting seeds, fresh nuts, sea vegetables such as wheatgrass, spirulina, chorella, algae etc, reducing carbohydrates • Plenty of organic seasonal rainbow coloured vegetables, this helps enable oestrogen clearance • 1-2 portions of fruit daily and 1 raw meal daily. Wash well – you need 40g fibre daily

34. Stimulants • Alcohol – Alcohol interferes with nutritional utilisation, digestion, absorption. It also deplets zinc and folic acid.Total avoidance is essential to support nutrient absorption, blood sugar regulation and hormonal balance. • Caffeine – Caffeine intake can substantially lengthen the time it takes to become pregnant”Stanton et al, 1995. This includes cola, black tea, most fizzy drinks

35. Nutrient Requirements • Sea greens including chorella, spirulina, wheatgrass, beetroot, watercress, spinach, rocket, peppers, lemons, parsley - offer high mineral and vitamin nutrient support • Support detoxification • Essential Fatty Acids – Omega 3 • Probiotics, digestive enzymes • Natural anti inflammatories - Turmeric, Procydin, Vitamin D together with antioxidants - Vitamin A, C, E, Selenium • Herbal support

36. Other Naturopathic Support

37. Acupuncture • Acupuncture is an ancient system of medicine originating in China. The earliest records of its use date back five thousand years. • According to the ancient Chinese, vital energy (chi) travels through your body along pathways called meridians. When you are in good health the flow of chi is smooth and uninterrupted, but when illness strikes this flow is disturbed. • An acupuncturist works by stimulating precise points along the meridians to restore your flow of chi and return you to full health.

38. Acupuncture • Acupuncture and Endometriosis ResearchIn a study published in the December 2002 issue of The Journal of Traditional Chinese Medicine researchers selected 67 women diagnosed with dysmenorrhea (painful periods) due to endometriosis. It was reported that 81% of these women had less painful periods after receiving the acupuncture treatments.

39. Acupuncture • Acupuncture and Endometriosis ResearchResearch shows that acupuncture promotes blood circulation, regulates the endocrine system and suggests that acupuncture could act as an analgesic by elevating levels of endorphins in the blood. Xiang D, Situ Y, Liang X, et al. Journal of Traditional Chinese Medicine December 2002;22(4):282-285.

40. Homeopathy • Homeopathy is a complete system of medicine which is based on the principle of “The Law of Similars” - the principle of like curing like A substance which can cause symptoms in a healthy individual can also be used to treat those symptoms • It was developed about 200 years ago by a German Doctor called Samuel Hahnemann - a medic disillusioned with the ineffective and often barbaric treatments of the day.

41. Homeopathy Continued • Homeopaths consider that everything is interconnected as facets of the patient’s suffering. • Homeopathic preparations are made in a special way which involves repeatedly diluting and shaking the medicines until they contain virtually no trace of the original substance. It is thought that the processes of preparation somehow imprint a characteristic energy pattern or blueprint of the substance into the water in which they are diluted.

42. Reflexology • The earliest evidence of Reflexology and its practice dates back to ancient Egyptian times. • This therapy treats the whole person by focusing on areas of the feet (and hands) which correspond to different organs and systems of the body. • There are approximately 7,000 nerve endings in the feet and reflexology uses specific nerve reflexes (pressure points) to stimulate these nerves and create positive change in your body.

43. Reflexology and Endometiosis • 50 patients aged between 20-51 who were diagnosed with gynaecological diseases including dysmenorrhea, hysteromyoma, pelvic inflammation, cyst and mass, endometriosis, menstrual disorder, infertility and chocolate cyst, were treated with foot reflexology either daily or every other day with a minimum of 10 sessions, up to 2 years. • 42 (84%) of patients symptoms completely disappeared • 8 (16%) of patients had symptoms that almost disappeared. Hui Song, Senior Doctor, Nanjing Obstetrical and Gynecological Hospital (http://www.universalreflex.com/index.php?topic=AU_Research_Women)

44. Summary • This powerpoint has offered an explanation about endometriosis and the possibility of applying naturopathic measures to restore “homeostasis” • It has included Nutritional therapy,acupuncture, homeopathy and reflexology plus functional tests • We have considered balancing 21st century stress factors and considered weight management and regular exercise. • Disclaimer: This article is meant for general information only and should not be construed as guidance or recommendation. It does not take into account any medication you may be taking, food sensitivities or allergies, nor any form of health issue. Naturopathic consultations and assessment are recommended on an individual basis and it is important to speak with a health professional or your GP before changing your diet.

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