Feel Good Fridays!

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Friday already??  This is  an exciting Friday for me because my 37th birthday is just around the corner!  Come Sunday, May 1st, I’ll be one year older!

Normally, I don’t care to celebrate birthdays.  It’s not that I don’t like them, but they’re just another day for me.  I love getting older and wouldn’t go back in time for the world!  And I think I’m just so excited about this one because I’ve looked back on the past year and love all that has happened.  Looking forward to what Year Thirty-Seven brings!

So today’s quote is inspired by the birthday!  Author, Ned Vizzini, once wrote,

“Deep down I believe my year was a special year : it produced me.”

Is this a quote just about MY birthday? No.  I wanted to share it with you so you could each embrace it – YOU are special.  And your year…your vintage…created one hellava great person.  So when you have your next birthday, think highly of yourself.  Celebrate!

Aaaaand…have a GREAT weekend!

Inflammation & Endo

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The Oxford Dictionary defines inflammation as, “a localized physical condition in which part of the body becomes reddened, swollen, hot, and often painful, especially as a reaction to injury and infection.”

An article which is slated to be published in June 2016’s Frontiers in Bioscience reviews previous studies and literature which discuss how inflammation may cause Endometriosis to develop.  It states, “…inflammation is crucial in the pathogenesis of endometriosis…” Pathogenesis is the development of a disease; the cellular events and mechanisms that lead to a disease.

It also discusses how estrogen can affect inflammation which, in turn, affects Endometriosis.  It points out that anti-inflammatory medication and GnRH analog drugs (such as the highly-controversial Lupron Depot which depletes our estrogen production) have been found to reduce inflammation in Endometriosis patients.

Remember our blog about stress and Endometriosis?  This June 2016 study identifies that stress hormones may also play a role in creating inflammation and aggravating Endometriosis.

The authors theorize that inflammation may not only play a role in the development of Endometriosis, but that Endometriosis may contribute to pelvic inflammatory disease.  Imagine if you will a snowball effect : stress = inflammation + estrogen = Endometriosis + more inflammation = pelvic inflammatory disease or other illnesses.

A study published in Fertility & Sterility (Oct. 2017) also showed that inflammation may play a role in the development of Endometriosis, especially peritoneal cavity inflammation.  It concludes “therapeutic strategies focused on reducing peritoneal inflammation may be effective in limiting the development, progression or recurrence of endometriosis.”

I may not have understood a lot of the science mumbo-jumbo of the article, but I did certainly walk away with one thing : inflammation is noooo bueno and I will do anything I can do to naturally reduce my body’s inflammation.

Diet plays a huge role in reducing inflammation.  You have to decide what aids and hinders your body…not just do what “works for everyone else.”  You may have heard this all before, but :

  • Omega-3 fatty acids, like those found in salmon or tuna, are great at reducing inflammation.  Don’t like fish but take fish oil caplets?  Be careful; Omega-6 fatty acids, which may be found in fish oil supplements, may spurn inflammation rather than quell it.
  • Nuts are also a great sort of antioxidants and Omega-3s.  Try walnuts or almonds.
  • Whole grains contain a lot of fiber, which may decrease inflammation.
  • Eat your fruits & veggies.  Leafy greens, broccoli, tomatoes, beets, garlic, onions, berries, and cherries (the tart ones) all have amazing properties that combat inflammation.
  • Ginger and turmeric, two very ugly roots which are common spices, also have properties which are well-known to fight inflammation.  Cinnamon has also been found to be anti-inflammatory.
  • Don’t forget about herbs!  Rosemary, thyme, sage, and oregano are among the top 10 herbs and spices for fighting inflammation.
  • Extra virgin olive oil has been found to have similar anti-inflammatory properties to NSAIDs (i.e, Ibuprofen, Naproxen Sodium).

Dr. Andrew Weil has created a fun graphic known as the Anti-Inflammatory Food Pyramid.  If you like visual aids, click here.

There’s also a list of foods that promote inflammation, which you may want to avoid (if you’re able to).  These include dairy, soy, red meat, and foods that are high in saturated fat and sugar. Some people are affected by a gluten sensitivity or intolerance, which flare up their inflammation and symptoms.

Also, try to reduce your stress levels.  In any way : stretching, meditation, yoga, medication, rest, a different job, removing toxic people from your life, etc.

I repeat : do what feels good and works well for you.  Pay no mind to someone else if they say “this works,” but you’ve tried it and it doesn’t make you feel any better…or if it makes you feel worse.  You, and only you, really know your body.

*Updated September 12, 2017*

Resources:

Body Ecology10 Top Foods that Prevent Inflammation in Your Body

Center for Disease Control and Prevention – Pelvic Inflammatory Disease

Fertility & Sterility (Article; Oct. 2017) – Effect of Inflammatory Environment on Development of Endometriosis in Murine Model

Health.com14 Foods that Fight Inflammation

Mercola Top Anti-Inflammatory Food, Herbs, and Spices

U.S. National Library of Medicine (Abstract; June 2016) – Inflammation and Endometriosis; the full article is available for purchase from Frontiers in Bioscience

Women to WomenReducing Inflammation – The Natural Approach

A biiiig thank you to Gary for his help in securing the entire article for me to read.  I truly appreciate you.

~ Again, I am a layman.  I do not hold any college degrees, nor mastery of knowledge.  Please take what I say with a grain of salt.  If curious, do your own research 😉 Validate my writings.  Or challenge them.  And ALWAYS feel free to consult with your physician. Always.  Yours ~ Lisa

Surgeries for Diaphragmatic Endometriosis

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A video released on April 19, 2016, discusses three surgical options for removing diaphragmatic Endometriosis.   As you may know, I have Endometriosis on my diaphragm (and I’m not talking about the birth control), as do several other women that I know.  What does that mean?  Read all about Endo and the lungs here or diaphragmatic Endo here.  If you’d like to know what Endometriosis looks like inside some women, fast forward to the 4:01 mark of the video…

This video was particularly interesting to me because I may, one day, require the thoracoscopic surgery to remove the lesions/implants from my diaphragm.  My surgeon let me know that he wasn’t able to get it all in 2014 because you simply cannot see all of the diaphragm via laparoscopic surgery.  This video confirms it.

Warning : the video is graphic and is not safe for work.

I’m grateful to Gary for helping me access this video, and for his interest in helping others.  Thanks, Gary. ❤

Recap : Nigeria’s 2016 Endo Awareness

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Abuja is the capital of Nigeria, located in West Africa.  I contacted the organizers of the 2016 Awareness Walk for Abuja to get some information about how their walk went.  Chukwudi Eze responded to my inquiry went above and beyond! Not only did he provide me info on their walk, but supplied a recap and photographs of several other Endo events The Endometriosis Support Group Nigeria (ESGN) hosted over the past few months.  The ESGN was founded in 2005 by Dr. Abayomi Ajayi, who was also recently awarded the Endo Hero of the Year Award by the EndoMarch Worldwide in recognition of his contribution to the cause.  Dr. Ajayi has been the financial and moral backbone for the ESGN and I’m very glad that he’s been recognized for his efforts.

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Nigeria had two Endometriosis Awareness walks, one on February 18, 2016, in Abuja, and another in Lagos on March 5, 2016.  They had over 1,000 people attend!  There was also a fundraising gala on April 9, 2016, in Lagos, themed “Come Yellow for Endo.”

Mrs. Dolapo Osinbajo, the wife to Nigeria’s Vice President, made an appearance and spoke to the guests at the gala event.  She encouraged doctors to rise up and find a cure for Endometriosis, stating, “It is scary and disturbing to me that millions of women and girls are living with this condition without diagnosis and more sad that several are misdiagnosed and heartbreaking to think that as we speak, so many are suffering because of the condition.”  The wives of 5 state governors also attended!  Nike Oshinowo and Millen Magese, two very strong women who have been very public about their Endometriosis battles also appeared at the Lagos fundraiser.

The ESGN also partnered with the Physicians Roundtable to fly in Dr. John Dulemba (The Womens Centre; Texas, USA), Dr. Klaus Buhler (Germany) and Dr. Victor Ajayi (Nordica, Nigeria) to train and educate medical doctors about Endometriosis and share their experiences in treating the condition.

Congratulations to all involved for such a successful and highly-publicized series of events! It’s so encouraging and uplifting to know that you only have the attention of the medical community, but the attention of politicians in your area! Together, you will accomplish greatness!  Thank you for all that you do, and all that you will continue to do, to help raise awareness, research, and funds toward combating this disease!

Know that I am saluting you from San Diego, California, USA, right now.

All photographs used with permission.

Resources:

Dr. Klaus Buhler

Endometriosis Support Group Nigeria

Newswatch Times

Nordica Fertility Centre – Dr. Victor Ajayi

Physicians Roundtable

The UnionNordica Boss Urges Nigerians to Unite Against Endometriosis

The Womens Centre – Dr. John Dulemba

This DayESGN to Hold Gala Night

Uberstyle Nike Oshinowo, Tiwa Savage, Millen Magese, Betty Irabo & More for the Endometriosis Support Group in Lagos

Vanguard – Find a Cure for Endometriosis, Dolapo Osinbajo tasks Nigerian Doctors

 

 

Feel Good Friday

We made it through yet another week! Today’s quote is about taking time for yourself, something many of us do not do.  Eleanor Brownn once said,

“Self-care is not selfish. You cannot serve from an empty vessel.”

Remember this.  Do not stretch yourself too thin, physically or emotionally, without taking care of your own needs first.

 

 

Reader’s Choice : Endometriosis & Bipolar Disorder

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I was contacted by one of our readers who shall remain anonymous.  She suffers from Polycystic Ovary Syndrome (PCOS) and Bipolar Disorder.  Her OBGYN suspects she has Endometriosis; however, she had to return to college out-of-state and wasn’t able to have her diagnostic surgery.  In the meantime, her physician is encouraging her to remain on birth control pills to suppress the possible Endo symptoms.  Her symptoms are worsening…

She had heard that there may be a link between Endometriosis and Bipolar Disorder, and that it may be difficult to treat both at the same time due to complications with the medications interacting with each other, or even cancelling the medicinal effects of the pills.

She piqued my interest.  And the research begins!  Is there a link?  What about negative interactions with medication?  What can she do now?

If you’re reading this, you’re probably already familiar with Endometriosis.  If not, click here to read more about what it is and how to treat it.  But what is bipolar disorder?  I’ve heard of it, but haven’t actually asked what it is.

It’s considered a chronic illness which affects the brain and moods, often switching between extreme emotions : happy moods (manic) and incredibly depressed moods (depressive).  They don’t know what causes bipolar disorder, but it can run in families.  There are ongoing studies to greater understand and hopefully one day cure bipolar disorder (for a list of clinical trials, click here).  Treatments can include medications which help soothe and control moods, therapy, and/or electroconvulsive therapy.

There is; however, one very interesting theory by Dr. Jory Goodman that many people who have been diagnosed with Bipolar Disorder have been misdiagnosed and instead suffer from hormone imbalances, including PMS and PCOS.  I’m not saying this to lessen your bipolar diagnosis, if you are reading this and suffer from it.  I’m simply pointing out another person’s perspective.  As they say, “knowledge is power.”

There are several studies that find women with Endometriosis seem to be more prone to mood disorders.  In 2006, 16 women with Endometriosis (diagnosed via laparoscopy) were evaluated.  Seven of them were bipolar disorder mixed, 3 for bipolar disorder manic, and 2 suffered from major depression.  Of those women, 9 had a parent, sibling, or relative who also suffered from a severe mood disorder.

In 2011, the study was revisited, but this time compared 27 women with Endometriosis to 12 women who suffered from pelvic pain, but did not have Endometriosis.  It found that there was a “significantly greater proportion” of women with Endo and Bipolar Disorder than women without Endometriosis.  They suggest as part of managing Endometriosis, a psychiatric evaluation may be conducted to diagnose or rule out the comorbidity (existence of 2 chronic conditions at the same time) of Bipolar Disorder.

A review of 18 English studies in 2015 found that 56.4% of women with Endometriosis met the criteria of suffering from a psychiatric disorder.  It does not identify a cause/effect relationship, nor what the relation between the two conditions may be.  But it is a staggering figure.

Many women who suffer from Endo and Bipolar Disorder have issues balancing out their medications.   They cancel the effects of one another, or heighten the symptoms of the other disease.  Doses, or types, of medication may need to be adjusted to lessen any potential interactions.  It is a balance game; one which needs to be carefully monitored by your physician until a proper dosage (of either medication) can be found for you.

Are you worried about possible interactions between your Bipolar meds and Endo meds?  Please, talk to your doctor.  HelpGuide.com offers this amazing list of questions to ask your:

  • Are there any medical conditions that could be causing or exacerbating my mood swings?
  • What are the side effects and risks of the medication you are recommending?
  • When and how should I take this medication?
  • Are there any foods or other substances I will need to avoid?
  • How will this drug interact with my other prescriptions?
  • How long will I have to take this medication?
  • Will withdrawing from the drug be difficult if I decide to stop?
  • Will my symptoms return when I stop taking the medication?

A wonderful resource to check if your medications have interactions may be found at Drugs.com.  I ran a few common Bipolar meds with Endo meds to see if they had any interactions and/or lessen their effectiveness. I’ve listed a few of them below:

Amethyst (birth control pill) & Depakote – may cause loss of seizure control, tremors, poor muscle coordination, increased seizures, and changes in behavior.

Amethyst (birth control pill) & Klonopin – may prolong the half-life of benzodiazepines in your system

Amethyst (birth control pill) & Lamotrigine – may reduce blood levels that effect lamotrigine.

Amethyst (birth control pill) & Topamax – can make birth control pills less effective.

Amethyst (birth control pill) & Xanax – may prolong the half-life of benzodiazepines in your system

Depo-Provera & Depakote – may cause loss of seizure control, tremors, poor muscle coordination, increased seizures, and changes in behavior.

Depo-Provera & Lamotrigine – may reduce blood levels that effect lamotrigine.

Lupron Depot & Celexa – may increase the risk of irregular heart rhythm, which may be life threatening.

Lupron Depot & Lithium – may increase the risk of irregular heart rhythm, which may be life threatening.

Lupron Depot & Prozac – may increase the risk of irregular heart rhythm, which may be life threatening.

Lupron Depot & Seroquel – may increase the risk of irregular heart rhythm, which may be life threatening.

Lupron Depot & Trazodone – may increase the risk of irregular heart rhythm, which may be life threatening.

Lupron Depot & Venflaxine – may increase the risk of irregular heart rhythm, which may be life threatening.

Mirena (IUD) & Depakote – may cause loss of seizure control, tremors, poor muscle coordination, increased seizures, and changes in behavior.

Mirena (IUD) & Lamotrigine – may reduce blood levels that effect lamotrigine.

Naproxen Sodium (NSAIDs) & Celexa – may increase the risk of bleeding.

Naproxen Sodium (NSAIDs) & Lithium – may increase blood levels, which effects the lithium.

Naproxen Sodium (NSAIDs) & Prozac – may increase the risk of bleeding.

Naproxen Sodium (NSAIDs) & Venflaxine – may increase the risk of bleeding.

Naproxen Sodium (NSAIDs) & Yasmin (birth control pill) – may increase potassium levels in the blood, which may lead to the development of hyperkalemia (elevated levels of potassium in the blood).

Yasmin (birth control pill) & Depakote – may cause loss of seizure control, tremors, poor muscle coordination, increased seizures, and changes in behavior.

Yasmin (birth control pill) & Klonopin – may prolong the half-life of benzodiazepines in your system

Yasmin (birth control pill) & Lamotrigine – may reduce blood levels that effect lamotrigine.

Yasmin (birth control pill) & Naproxen Sodium (NSAIDs) – may increase potassium levels in the blood, which may lead to the development of hyperkalemia (elevated levels of potassium in the blood).

Yasmin (birth control pill) & Topamax – can make birth control pills less effective.

Yasmin (birth control pill) & Xanax – may prolong the half-life of benzodiazepines in your system

If you suffer from Endometriosis and Bipolar Disorder, know a few things :

  1. You are NOT alone.  Many women have been diagnosed with both conditions;
  2. Talk to your doctor about any potential interactions with treatments for both conditions;
  3. Hold onto hope.  There are ongoing studies and trials to help with Endometriosis and with Bipolar Disorder.

I hope I was able to answer some questions and offer some guidance today.  I would like to thank our reader for bringing this to my attention.  I never would have known otherwise…

 

 

 

Resources:

Bipolar Reddit – Bipolar & Endometriosis: Meds that Do Not Cancel One Another Out?

Depression and Bipolar Support Alliance – Research Studies : Bipolar Disorder

Depression Forums – Endometriosis & Bipolar 2

Disassociated Press – Remission?

Drugs.com – Drug Interaction Search

Examiner.com – (Dec. 2015, Article) Endometriosis Associated with Psychiatric Disorders, Say Researchers

HelpGuide.com – Bipolar Medicaiton Guide : Medications and Drugs for Bipolar Disorder Treatment

Journal of Obstetrics and Gynaecology Canada – (Nov. 2015, Article) A Systematic Review of the Association Between Psychiatric Disturbances and Endometriosis

National Institute of Mental Health – Bipolar Disorder

Psych Central – Endometriosis, Bipolar, and Birth Control

Psychology Today – (Oct. 2013, Article) Hormone Imbalance, Not Bipolar Disorder

The American Journal of Psychiatry – (April 2006, Abstract) Bipolar Mood Disorder and Endometriosis : Preliminary Findings

US National Library of Medicine – (Nov. 2011, Abstract) Revisiting the Association Between Endometriosis and Bipolar Disorder

~ Again, I am a layman.  I do not hold any college degrees, nor mastery of knowledge.  Please take what I say with a grain of salt.  If curious, do your own research 😉 Validate my writings.  Or challenge them.  And ALWAYS feel free to consult with your physician. Always.  Yours ~ Lisa

Feel Good Friday!

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Happy Friday!

Today’s quote is just for you. Yes, you.

“Life is too short to waste any amount of time on wondering what other people think about you. In the first place, if they had better things going on in their lives, they wouldn’t have the time to sit around and talk about you. What’s important to me is not others’ opinions of me, but what’s important to me is my opinion of myself.” ~ C. Joybell C.

 

Guam : Endometriosis Care & Support

 

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Hafa Adai!

I’ve been wanting to look into territories and countries around the world to see how they are dealing with Endometriosis.   Not only does it give me a chance to learn about other areas in our world, but it is a very fun research tool for me (I love to look things up, to reach out to facilities, physicians, and people)…This blog lets me know where my viewers are located, so it’s fun when I see views from places I either have NEVER heard of, or places that I don’t know much about…

As of today (4/14/16), our blog has received nine views from people in Guam.  That to me shows that someone in Guam is searching for answers about Endometriosis; which made me wonder what sort of medical care and support there is in Guam for someone suffering from Endometriosis.  So…I’ll start this geographical project off with GUAM!

Guam is considered a territory of the United States and anyone born on this small island is a citizen of the U.S.  Yet, it is only inhabited by 162,000…and when I say small, Guam is 30 miles long and 12 miles wide and could take a little over an hour to drive from tip to tip (but that’s in a perfect world without any traffic or stop lights…).  It’s about a 3.5 hour flight to Tokyo (and for perspective, it’s about an 8 hour flight from Guam to Hawaii).

Most of the medical care facilities are in the northern central portion of the island.  The island’s main healthcare facility is Guam Memorial Hospital in Tamuning, which is run by the Guam government.  There is the US Naval Hospital in Agana Heights for active-duty personnel and their dependents.  It boasts of 42 beds and offers inpatient and outpatient services.  Guam Regional Medical City is a privately owned hospital in Dadedo which opened it’s doors in 2015 after four years of planning and construction.  It has 130 beds and was a $240 million investment by The Medical City.

With Endometriosis proving to be such an expensive disease to have and handle, I thought I’d look into the economics of Guam.  The standard household brings home roughly $50,000 per year, although these figures may be skewed by the presence of military jobs and families.  A friend of mine who lived on Guam said that most non-military families make less than $40,000 per year.  That means that household makes about $24.00 per hour, assuming they work full-time.  Keep in mind, though, that Guam has a 13% unemployment rate and 20% of it’s citizens are uninsured.  The passing of the Affordable Care Act (aka Obamacare) has left Guam in a bit of an insurance tizzy…some of the policies of Obamacare apply to Guam, but not all.  However, since Guam is considered a US territory Medicare is an option for certain people, although I’ve been told a lot of medical facilities don’t take Medicare in Guam.

In 2007, an editorial report was published which identified various toxins and chemicals that may be found in Guam’s air, water, and food.  Many people believe Endo may be caused or aggravated by exposure to certain elements, many of which are identified in this paper…You can read the report here.

An article was published in the August 3, 2015, edition of the Pacific Daily News, following the story of Catherine Manlapaz and her Endometriosis journey.  Her OBGYN, Dr. Thomas Shieh, also offers some insight into Endometriosis.  It’s exciting to see the media of Guam sharing such stories!

There are also about a dozen other physicians identified around Guam that treat Endometriosis.  If you’re in Guam and searching for a physician in your area, please click here.   All appear to practice out of Tamuning.  I emailed as many of these physicians as I could hoping to get further information their practices and Endo experience, but realize that they are all so very busy.  To date, I haven’t received a response.

Catherine Manlapaz now works at Mantrasana Fitness Studio in Barrigada, furthering her passion of health, diet, and exercise.  I got in touch with Catherine and she agreed to answer some questions for us.  If you would like to reach out to her, you can email her at catherine@mantrasanafitness.com.   See below for my Q&A with Catherine about her experience with Endometriosis while living in Guam:

  1. How long had you been suffering from your symptoms before going to your doctor to be checked out?

I was diagnosed in 2009, suffering for how long is questionable. I was age 24 when diagnosed. It’s possible I had it since high school. Of course as a young girl I was unaware that having a menstruation period for 2 days was abnormal especially with major abdominal pain. I thought it was part of having a period growing up. A month before I was diagnosed, I felt an annoying slight pain thinking it was appendicitis. After a month I went to the doctor to have it checked (April 2009), turns out it was my ovary was the issue in which they saw was a cyst the size of golf ball. By June 2009 I had my first surgery to remove it.

  1. How was your diagnosis process? Lots of women get bounced around from doctor to doctor or receive multiple misdiagnoses. Do you feel Endo is well understood in Guam?

Dr. Shieh was my main doctor at that time and still is my doctor till now. My mom wasn’t too comfortable with Guam’s hospital, so we did go Manila for a second opinion. My mother also has endometriosis also, and preferred I see her doctor. I don’t think Endometriosis is understood in Guam by women, because not many individuals share their stories. I only know of two women who are twins about 10 years older than me that have Endo. I only know because mainly they had miscarriages and have no kids until now.

  1. I know you were referred to a specialist.  Was that specialist Dr. Shieh, or someone else? If someone else, who?

Dr. Jose Moran of St. Lukes Philippines was the main doctor to do my surgery, and it turns out he has quite few patients from Guam. He is also part of the Guam Regional Medical City, as he travels to Guam once a year for them.

  1. Did you have medical insurance to pay for your surgery/Lupron/BC?  Or was it all out-of-pocket?

I had medical insurance to pay for my surgery.

  1. Was your surgery a laparotomy (big incision across abdomen), a laparoscopy (little incisions and little tools), or was it a robotic-assisted laparoscopy?

The surgery performed was actually oophorocystectomy in which was a small bikini cut (like modern day c-section I’ve been informed). A tool was utilize to vacuumed the cyst out. I did not have the laparoscopy as most women do. I think the reason for a different type of surgery is that St. Luke’s Philippines is advanced.

  1. Do you know of other women in Guam with Endo?

Yes, the twins I mentioned that are 10 years older than I.

  1. Are there support groups for Endo in Guam?  

No support groups.

  1. What do you do for the fitness studio?  Anything I can say to point gals to the studio?

My studio was just newly opened on February 15. I am the instructor for Prenatal Yoga, Mommy Baby Yoga, and the Aerial Yoga classes. Other types of classes are taught by instructors. The studio is open to both male and female, all levels are welcomed. No experienced required. Only the advanced classes in future will require the experience, but because Aerial Yoga is brand new to Guam. Everyone has to take the basic classes first.

  1. Do you know of any other “Endo experts” or “specialists” in Guam?

Unfortunately No.

  1. Any words of advice for EndoSisters on Guam, and worldwide, you’d like me to share?

I recommend everyone to do research. What really helped me battled Endometriosis is my diet (which doctors never told me). Basically, estrogen is good for women, but not for those with Endometriosis. Any food that affects hormones will aggravate the pain. I stay away from tofu and edamame (my favorite food too), but they contain soy, which affected me most in my symptoms. They say wheat and dairy is bad also, however, after testing what’s good for me or not. I eat wheat and dairy in moderation, the effect they have on me is very low – it’s possible because I work out at the same time as well. Before, I didn’t work out much that wheat bread really got to my body that my hands would swell a lot. Now, I eat wheat every day and it doesn’t bother. Only soy products affect me much.

  1. Are you on any medications now? Or just keeping your Endo in check with diet and exercise?

I stay away from medications such as Lupron and the pills because they have a huge side effect on my mood. It made me unhappy or emotional. I’m more happy not being in medication and focus on the diet and exercise, less symptoms as well. If I feel bad symptoms it’s a sign I’m not working out much or I’m eating bad. Therefore, I work out harder and be more mindful of my diet

You’re welcome to add the studio page www.facebook.com/MantrasanaFitnessStudio

However, me opening the studio didn’t relate much to Endometriosis. I pursued Yoga on a different level of inspiration. For me working out was going to the gym and lifting weights. I always figured, if estrogen is bad for me, I need more testosterone then to battle Endometriosis. Somehow, it worked for me that way.  Unfortunately, I don’t have time for the gym weights anymore. But Aerial Yoga works the body out a lot that it helps me exercise still.

**

I would like to thank Catherine for taking the time out of her busy schedule to answer our questions!

If you’re living in Guam and have Endometriosis, let me know!  I’d love to be able to get you women together…you are not alone!

Or if you’d like me to research your area, drop me a note 🙂

Resources:

Blue Water Navy

Dr. Shieh’s Clinic

Global Security

Guam Chamber of Commerce

Guam Memorial Hospital

Guam Regional Medical City

MediCare

Military Installations

Pacific Daily NewsDiet & Exercise to Combat Endometriosis

The Washington PostThink Your State has Obamacare Problems? They’re Nothing Compared to Guam

Wikipedia

~ Again, I am a layman.  I do not hold any college degrees, nor mastery of knowledge.  Please take what I say with a grain of salt.  If curious, do your own research 😉 Validate my writings.  Or challenge them.  And ALWAYS feel free to consult with your physician. Always.  Yours ~ Lisa