PCOS 101

September is PCOS awareness month and so for today’s episode, I wanted to do a quick deep dive into some basics about PCOS. It is actually the number one hormonal imbalance condition among reproductive-aged women and sadly, the leading cause of female infertility. So, this condition affects a lot of women and like many other hormonal issues, it can take a long time to get a proper diagnosis. So I want you to be informed about what PCOS is, what some of the common symptoms are, and if you or someone you love has PCOS, what we can do to help with it!

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PCOS is a common hormone and metabolic condition that affects up to 15% of reproductive-age women. It is associated with a higher risk for long-term health issues such as heart disease, diabetes, hypertension, sleep apnea, and infertility. Higher instances of insulin resistance, IBS, and depression/anxiety are also reported with PCOS. 

Symptoms often associated with this disorder are absent or infrequent menstrual cycles, excess weight gain or inability to lose weight, excess facial or body hair, head hair thinning or loss, severe acne, and often (but not always) insulin resistance and polycystic ovaries. 

PCOS is the most common form of hormonal imbalance and while experts know that it is rooted in inflammation and insulin dysregulation, what actually triggers PCOS is not understood. There seems to be a genetic factor, as women with moms or sisters diagnosed with PCOS are likely to have it as well. Also, as with any hormonal condition, gut health plays a major role. Some believe that it can possibly be linked with a combination of imbalanced gut flora and increased intestinal permeability, which leads to increased inflammation in the body. This can cause cells to become rigid and unable to receive the signal from insulin to let glucose into the cell (which leads to your pancreas continuing to pump out more insulin, and left untreated eventually becomes insulin resistance). Although ovaries do not become insulin resistant, when bombarded with insulin, the ovaries can respond by secreting testosterone. An excess of insulin can also inhibit the secretion of sex hormone-binding globulin (SHBG) which is the protein that binds excess sex hormones like testosterone and estrogen. This creates a perfect storm for these common PCOS symptoms.

PCOS is a clinical diagnosis, which means that it’s based on having a grouping of some PCOS symptoms and ruling out other diagnoses. Often a physician may want to perform an ultrasound to check the ovaries for cysts, but it is important to note not every woman with PCOS will have polycystic ovaries (despite the name). Most women with PCOS do have insulin resistance, but again - not all. It’s important that you work with your physician and be informed on the recommended lab tests that can be helpful for making a diagnosis. Functional medicine practitioners recommend a full thyroid panel, a full hormone panel including estrogen, testosterone, DHEA, SHBG, progesterone, prolactin, LH, FSH, and AMH, as well as a lipid panel and fasting blood glucose and insulin, and A1C. There may also be other tests as well as research about PCOS continues to be published. 

Once someone receives a PCOS diagnosis there really aren’t a lot of great conventional treatment options. The most common option is to take hormonal birth control and while that can help with symptoms, unfortunately, it doesn’t do anything to actually heal the cause of the symptoms. Not only that, but some believe that it may actually worsen the condition over time. Metformin is also a common medication given to women with PCOS. Just be sure to research and speak with your doctor about the common negative side effects that can be associated with it. 

While there is no cure for PCOS, there are things that a woman diagnosed with PCOS can do to help with symptoms as well as target the underlying known contributors to PCOS - blood sugar dysregulation, poor gut health, and inflammation. 

When I work with clients who have PCOS the first two things that we work on are supporting balanced blood sugar and healing their gut. So let’s talk about some foods, supplements, and lifestyle modifications that can help with those things.

When it comes to food, the first thing to remember is that your body needs to feel safe and know that it can count on adequate fuel throughout the day. The best way to do this is to eat a balanced meal (meaning fiber, protein, and fat) about every 3-4 hours. So that typically looks like breakfast, lunch, dinner, and at least 1 snack, maybe 2. You don’t want to eat continually or fall into grazing throughout the day, but also don’t skip meals or go long periods of time without eating. 

Some specific foods that can help:  

• clean sources of protein: wild-caught, omega-3 rich fish such as salmon, cod, trout or sardines; bone broth, grass-fed beef

• High fiber carbs:  cruciferous veggies, pumpkin, beans, rice, berries, goji, cherries, onion, parsley, garlic, freshly ground flax seeds 

• Healthy fats: walnuts, coconut, olives, 

• Herbs, spices, teas: cinnamon, turmeric, ginger, decaf green tea, Holy Basil tea, liver support teas - like milk thistle or dandelion 

There are some supplements that may also be helpful. I do just want to remind you that everyone’s body is different and may respond differently to herbs/supplements. It’s really best to work with a practitioner who is knowledgeable about these supplements and your particular healthy history. With that said, Vitamin D and methylated B-complex can be helpful because a lot of women (in general), especially with PCOS, are deficient in these. Herbs like Vitex, Dong Quai, saw palmetto, nettle root, and licorice can help with some of the common PCOS symptoms. Inositol is another common supplement given to help with insulin sensitivity and other common issues with PCOS.

There are also some lifestyle recommendations and alternative therapies that can be helpful as well. We all know that regular exercise is good for us, but especially for women with PCOS daily movement is vital for reducing inflammation, balancing blood sugar, and supporting gut and liver health. It’s also important to participate in weight training at least 2x per week (either bodyweight or added weights) which has been proven to help increase insulin sensitivity, allowing it to be more useful in the body. It’s also recommended that women with PCOS prioritize getting 8-9 hours of sleep each night and commit to stress-reducing routines like daily walks and downtime from social media and other emotional stressors. Acupuncture can also be helpful. Many women have also found seed cycling to be helpful - and that probably needs its own episode but essentially is eating certain types of seeds in the follicular phase of your cycle and then switching to other seeds in the second type of your cycle. This can help the body get rid of excess hormones more efficiently and may support more balanced hormone levels. It also provides a great source of fiber which is helpful for gut and liver health  

Ultimately, if you or someone you love has PCOS it’s important to know that even though there isn’t a cure, symptoms can be managed and your body can be supported in such a way that the condition doesn’t have to take over your life. Make sure to get a good team of healthcare professionals on your side that can help you with all aspects of your health and really take the time to learn about PCOS and about how your own body responds - what works for you and what doesn’t. 

Friends, I hope that this episode has been helpful for you. If you’re struggling with PCOS know that you aren’t in this alone and that there is help available for you. Start with some of these things that I’ve mentioned today and build a team of people around you that can support you in this journey. As always if you have any questions, you can send an email to info@yourhealthforward.com. 

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How Acupuncture Can Improve Fertility with Sarah Prater, L.Ac

Hi friends! I’m so excited to welcome Sarah Prater back to the podcast today! Sarah is a Reproductive Acupuncturist specializing in infertility. She the founder and acupuncturist at the TN Center for Reproductive Acupuncture here in Knoxville and is just an amazing resource for those navigating their infertility journeys. 

Sarah has been a huge part of my personal journey with both infertility and endometriosis, so I asked to her share the effect acupuncture can have on fertility as well as any other health benefits that can come from it. She also explains the details of what an acupuncture appointment is like as well as what kind of fertility journeys are best paired with treatment by a licensed acupuncturist.

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Questions found in this episode:

What is acupuncture?

How does acupuncture affect fertility? What are the benefits?

Does acupuncture only work with natural cycles or can it help with advanced reproductive treatment options as well?

Can you give us an idea of what a typical cycle with acupuncture would look like?

Is there anyone that acupuncture may not be a good choice for?

Are there any other resources you suggest for those walking through infertility?

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Alternative Treatment Options for Chronic Pain

Hey friends! Today’s episode is all about alternative treatment options for chronic pain management. As I mentioned in the last episode, March is Endometriosis Awareness Month and if you know anything about the disease, then you know that the most commonly associated symptom of Endo is chronic pain, often debilitating pain. So that’s what inspired the thought behind today’s episode, but these treatment options apply to all different types of chronic pain. It’s been estimated that chronic pain affects around 50 million Americans - 20 million of whom have such debilitating pain that it has altered their everyday lives. It has been linked to an increased risk of major mental health conditions including depression, anxiety, and PTSD. This is a topic that affects a lot of people and I think it’s important to talk about.

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What is pain? It’s your body communicating to you - trying to tell you that something isn’t right. Listen and treat the cause, don’t just silence the symptom. Often when the pain is chronic, the cause is inflammation of some sort. Other times it’s something like dehydration and occasionally something more serious. Whatever the cause, we want to actually address the root of the issue and not just slap a bandaid on it - especially when some of our most commonly used “bandaids” can end up causing more problems in the long term. 

Some of our “go-to” pain relievers can have negative effects on the body, especially when used long-term. Tylenol or acetaminophen can be very hard on the liver because it reduces levels of glutathione in the body, which is the body’s master antioxidant and is very important for neutralizing harmful free radicals, which when left unchecked can cause inflammation and disease. In high doses or chronic use, it can also lead to increased intestinal permeability - which as we know leads to all kinds of other negative health issues, including increased inflammation (which usually equals more pain).

Other common pain relievers such as NSAIDs like ibuprofen, naproxen, and aspirin do actually help to reduce inflammation, but when used often can cause damage to the gut, including negatively affecting the microbiome and creating an imbalance of the good gut bugs vs the opportunistic ones, increasing intestinal permeability, and possibly leading to ulcers, GERD, and sometimes even IBD or colitis. 

Opioids are also often prescribed for chronic pain, which in addition to all the same side effects just mentioned can lead to addiction (leading cause of death in people under 50 years old in the US) and major changes in brain chemistry and function. We are in a horrible opioid epidemic in this country and it’s absolutely ruining people’s lives and families. Things have got to change when it comes to first-line of defense when dealing with chronic pain! 

So what are some alternative pain management techniques? Here are a few ideas that can not only help manage symptoms but often can help heal the root of the issue altogether. And even better, each of these options works with your body, helping it to function better as opposed to working against it and possibly creating unwanted side effects and new problems to address. 

Hands-On Therapies 

Acupuncture is great for treating chronic pain (especially Endometriosis - more on that here) by increasing circulation (faster healing) but also thought to stimulate nerves, muscles, and tissue which can help the body release its own pain-relieving hormones and neurotransmitters. It’s been proven effective for pain and general wellness for thousands of years. 

Physical Therapy and Chiropractic Care can both help to correct structural issues and treat the root cause of chronic musculoskeletal pain. These modalities work great in conjunction with each other.

Essential Oils

Oils like peppermint, frankincense, lavender, and evening primrose oils all help to reduce inflammation and pain. Using these oils topically (with the proper dilution) can be greatly beneficial for healing and relief as well as diffusing, which can have similar effects, plus help with mental clarity and mood. 

CBD 

Cannabidiol is one type of cannabinoid from the cannabis (hemp) plant.  It is non-psychoactive (it won’t get you high) but has been used (for thousands of years) to help a wide range of health issues, including chronic pain. It helps to reduce inflammation and put your body in a more relaxed state (rest and digest mode) so that it can heal more easily. CBD has also been shown to be a neuroprotective antioxidant - which means it helps to safeguard the health of your brain. It can help reduce anxiety, promote sleep, and even be beneficial for gut health. Do make sure that you get CBD oil from a trusted, verified source that isn’t loaded with additives and extras like sugar, dyes, etc. 

Lifestyle changes

Ensuring that we are properly hydrated (water + optimal electrolytes), moving our bodies regularly (increases blood flow and healing), eating anti-inflammatory foods (some faves: leafy greens, cruciferous veggies, pumpkin, berries, bone broth, wild-caught fish, grass-fed beef, avocados, olive oil, coconut oil/milk, walnuts, chia seeds, flaxseeds, green tea, turmeric, ginger, garlic), and prioritizing good sleep (allows for repair and renewal of the body) will all reduce chronic inflammation and promote healing.

Supplements 

One of my favorite supplements for pain and inflammation is PRANA by Leefy Organics. It’s a potent combination of turmeric, ginger, and black pepper formulated in a way that allows for max absorption into the bloodstream, making for quick-relief and benefit. It helps lower inflammation, reduces pain, helps with digestive health and brain function. 

Another important supplement (food, really) when thinking about inflammation is Bone Broth and Collagen powder. Our health starts in the gut - we can’t ignore it! Bone broth helps to rebuild the gut lining which helps to lower inflammation but also to increase the body’s ability to absorb nutrients and antioxidants, which help your body to be able to optimally create and use pain-relieving neurotransmitters. Both bone broth and collagen can also help with joint health, which can be a common source of chronic pain. 

Omega-3 Fatty Acids have also been shown to reduce inflammation, provide proper lubrication for joints, and increases blood flow allowing for faster healing. 

Magnesium is an essential mineral that plays a lot of really important roles in the body including helping with circulation and blood pressure, immune system function, nerve and muscle function, and many more. A lot of people are deficient in magnesium, so taking a supplemental form of magnesium (specifically magnesium glycinate) can be really helpful for dealing with muscle soreness and cramps, menstrual cycle pain, headaches and migraines, and even neuropathy. 

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So as you can see there are a lot of alternatives when it comes to dealing with pain. Am I saying that we should never take an over-the-counter pain reliever ever again- especially for something acute? No! That’s just not realistic. However, what I am saying is that there are many safe and just-as-effective options that we can use as a first-line defense that will actually work with our bodies and help our bodies function optimally without causing negative side effects.

One thing that I try to help my clients think about is that everything we do in relation to our health - everything we eat, everything we take - has an effect on the body both short-term and long-term. Sometimes it’s just easier to look at the short-term because we are so wired for instant gratification, but we can’t forget that these things also affect our bodies long-term. So let’s educate ourselves and consider how something will affect us in 6 months, 1 year, or even 5 years, down the road. I think that principle especially applies when we are deciding how to deal with chronic pain. 

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5 Tips for Managing Endometriosis

Endometriosis is an inflammatory hormonal condition in which tissue similar to the lining of the uterus (endometrium) is found in other parts of the body outside of the uterus. This tissue responds to hormonal shifts of the menstrual cycle (just the same as the tissue within the uterus) and as such causes inflammation, pain, and often scar tissue/adhesions. It is estimated that about 200 million women worldwide have endometriosis. It is a complex disorder, and because of the wide variety of symptoms that can be associated with it, it can often take several years and multiple providers to actually receive an endometriosis diagnosis. 

If you want to know more about Endo including the symptoms, what we know (and don’t) about possible causes, and current treatment options, I recorded a podcast all about that last year - it is episode 30. I also have a few other endo-related episodes including more of my personal journey with it, as well as an episode all about acupuncture and helpful it can be for managing endo. 

This leads me to the topic for today - 5 Tips for Managing Endometriosis. Whether you have already received an endo diagnosis or maybe just suspect that you have it, there are some things that you need to know that can help you along your journey. 

Be an advocate for your health 

Unfortunately, it can take multiple years, sometimes even a decade, and multiple doctors and providers to get a receive an Endo diagnosis. Sadly a lot of endo symptoms are often overlooked, downplayed, or even dismissed and labeled as just being tired, overwhelmed, or dramatic. Hopefully, this will not be your experience but know going in that you are going to need to be your own health advocate. Even with the most skilled and compassionate providers, no one knows your body or your symptoms the way that you do. 

Make a list of questions before each appointment and be willing to voice your concerns if you aren’t comfortable with a particular treatment plan. 

Remember that your provider is there to help you but they can’t read your mind - so you have to speak up, and they don’t have the final say about your care. If you feel uncomfortable or dismissed, find another provider. 

When it comes to symptoms, deal with the root cause

There is not yet an agreed-upon root cause of Endo. There are several theories that are being researched but as of now, that is all that they are. What we do know is that women with endometriosis often also have poor gut health, stagnation within both the circulatory and lymphatic systems, and hormonal imbalances as well as chronic inflammation. So while we don’t know what thing/things triggered the condition, we can address these other issues. 

Working on gut health by addressing leaky gut or any gut lining issues, as well as ensuring a good balance of gut flora, can be a great place to start as all other processes and systems of the body are affected by our microbiome. 

Acupuncture can also be a great starting place as it can benefit stagnation, hormone imbalances, and inflammation.  

Create a support system 

A condition like Endometriosis affects your entire life, not just part of it, so you will likely need to address each area with multiple providers. Creating a care team may involve many different types of providers including a surgeon (this will often be someone like a Reproductive Endocrinologist that is specifically trained in excision surgery for Endo), acupuncturist, pelvic health physical therapist, health coach, or a nutritionist trained in hormone health, and often a  mental health professional or licensed therapist. Your care team may have more or fewer providers, but it’s important to remember that this is a complex condition, so it’s good to support yourself in all of these different areas - it doesn’t make you extra. 

In addition, to have different trained providers, it’s also important to surround yourself with friends and family that can support you along your journey. Endometriosis can be a lonely diagnosis because it’s still such a hush-hush topic. Some still think of it as a period problem when in reality it is so much more. When trying to manage a chronic condition of any kind, you will need an outlet. A small group of people that you can share your worries, struggles, and feelings with. 

Design a plan that works for you

Similar to the last tip, you need to create a plan to deal with your specific symptoms that is helpful for you. Although there are many shared symptoms among those with Endo, every case is unique and individualized. No two women are exactly the same - they have different genetic makeups, different environmental factors, different lifestyles. So what may help one person may not be the golden ticket for another. 

Pay attention to the signals (symptoms) that your body is giving you and do some research into what may help that also work with your phase of life, schedule, etc. For example, if you deal with chronic fatigue, waking up at 5 am and working out first thing in the morning may not be a good idea for you, even if it seems to be working just fine for your friend. We can always learn from other people, but be careful when comparing your journey with someone else. 

Be gracious with yourself 

As I mentioned before, apart from divine healing, there is currently no “cure” for Endo. However, that doesn’t mean that there can’t be relief or a reversal of symptoms, maybe even a state of remission, but it’s not something that is “cured” and you never have to think about it again. 

So make sure to set realistic expectations for yourself when making changes to your lifestyle. Remember that healing isn’t linear. This is a common frustration for those with any chronic condition. Healing is a process of ups and downs. Doing really well for a while, having a setback, learning how things affect your body, adjusting, and on and on it goes. Try to remember this when you start to feel frustrated with your body. 

Another common thought that those dealing with chronic pain or a condition can be the feeling that their body is betraying them. I just want to encourage you to really work on your mindset around this. You are not defective. Your body isn’t betraying you. You were fearfully and wonderfully made - just like everyone else. We just live in a fallen world where pain and disease still exist, and your body needs some extra support. Your journey isn’t going to be like someone else’s and that is a good thing! It’s uniquely yours. Be gracious with yourself and find gratitude in the ways that your body serves you every day. 

I hope that this has helped to encourage you. If you know someone who has endometriosis, check on them and see how they’re doing. Send them this podcast - odds are that they probably need some encouragement too! 

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Endometriosis Awareness: Part Two - My #Endo Story

Welcome back, friends! Today is part two of the Endometriosis Awareness series and in this episode, I’m sharing my story with Endometriosis. 

I want to mention in the beginning of this episode that this is my story and how Endometriosis has affected my life and the things that have been helpful for me, so while some of these things may also be true for you, and may even be helpful for you, make sure you are working with a physician and other health professionals that can help you implement any changes you want to make or treatment methods you’d like to try. 

So here is my story: 

I was diagnosed with Endometriosis in 2014 after an exploratory laparoscopy - I had just turned 26. Although I had been having symptoms of hormonal imbalance and even a PCOS diagnosis a few years before, I hadn’t even really known anything about Endometriosis. I didn’t have chronic pain and at that time I would say I really had no symptoms at all (once I learned more about it I realized that I had been having symptoms just not the bad cramping or heavy periods that were so often thought to accompany Endo). 

The summer before my first surgery I experienced my first severe pain episode. I don’t remember a lot about it but I do remember yelling for my husband from the bathroom because I had never felt pain that intensely before and I had no idea what was happening. After an hour or so it finally eased off and I went right back to my normal life without missing a beat. 

The next time it happened was probably several months later but that time, the pain was unbearable. It came on suddenly again and I can distinctly remember rolling around my bed in pain. Again, I had no idea what was happening but thankfully I had a good friend who was a nurse and suggested that maybe it was a cyst rupturing and I needed to see my Dr. That time the intense pain lasted for an hour or two, but I couldn’t stand up straight afterward without having sharp pains in my lower abdomen. I went in for an ultrasound the next day and I remember being scared out of my mind! Was it a tumor? Ectopic pregnancy? Was it going to happen again? 

I remember crying during the ultrasound and the tech trying to calm me down but seeming very concerned herself. The ultrasound didn’t reveal much other than that there was a large cyst on my ovary and that I likely needed surgery to see what was going on. 

So as I already mentioned, I had that surgery a few weeks later which revealed that I had Stage 4 -Endometriosis, with lots of adhesions and several of my reproductive organs stuck together. My doctor told my parents that it was so severe that there was basically zero chance of conceiving if I hadn’t had the surgery. I actually remember being relieved in my very foggy post-op state that it was Endometriosis because I was terrified that it was a tumor. And while I’m so thankful it wasn’t cancer, I had no idea the weight of a Endometriosis diagnosis. 

I recovered pretty quickly from that surgery and the next several months following that are really fuzzy to me. I don’t think my surgeon / OB really explained much to me other than if we wanted to get pregnant, we needed to start trying as soon as I was healed from surgery. 

I ended up changing physicians during that time because of a friend’s recommendation that this doctor was experienced with Endometriosis management. At my first visit with her, she ran a few lab tests, including the antibody marker CA-125 which can sometimes show endometriosis in the body. I was so surprised when she called me a week later to say that my levels were already high again and that she was going to refer me to a Reproductive Endocrinologist. I was so frustrated because it hadn’t even been a year since my surgery and it was already back. 

One of the blessings of my Endo story is that I didn’t have the chronic pain that I know so many women experience, but in this case, it was also a curse because I had very little ability to monitor what was going on inside my body. 

After seeing my new RE, I had my second surgery in July 2015. This one was way harder for me. I was under anesthesia a lot longer (which is a whole other story in itself) and even though it hadn’t even been a year, I already had a lot of adhesions and endometrial tissue growing again, and my organs were getting stuck to each other again. Recovery was more difficult physically, because of the invasiveness of the procedure in order to get it all, as well as some allergic reactions and other complications I developed. In addition to that, this surgery was harder on me mentally as well. 

I distinctly remember the feeling that my body was betraying me - that it was doing all these things and I had absolutely zero control over it. I didn’t know why it was happening or what was causing it and I felt like there was nothing I could do to fix it. As a type A, fix-it, kind of girl this was very, very hard for me. I felt like I was doing all the things - I was trying to eat healthily, I was getting chiropractic adjustments, I was exercising, I was following my doctor’s recommendations - and yet this disease was still growing in my body. If it were not for my faith, my relationship with Jesus and the comfort and peace he allowed me to have, and the encouragement and support of my husband, my friends, and family - I don’t know how I would have gotten through that time.  Just as a side note, that is my number one piece of advice for someone with Endometriosis (or any chronic illness, really) don’t try to do this alone. It’s so much harder that way. That is one of the number one tools of satan - the enemy of our souls - to make us feel isolated, especially as women. To make us doubt God’s goodness, to make us think that no one could possibly understand or that no one really cares - and none of those things are true! So I just want to encourage you, fight back against that. Don’t isolate - find someone to talk to. Let people in, tell your friends, talk to your family about it, see a counselor. Endometriosis is a physical condition but just like so many other things in this life, it also wreaks havoc on your mind and your emotions. 

Following that surgery, we immediately started trying to conceive and I was regularly seeing my Reproductive Endocrinologist for that. We tried IUI and a few other of the conventional medicine options but unfortunately, were still not able to conceive. 

It was really at this time that my desire to really dive into more of an integrative/alternative medicine approach increased and I started researching as much as I could. I changed my diet, read books and articles constantly, took all kinds of different supplements, but I was just kind of lost in it all. I really needed someone to guide me and help me figure out what my body really needed. 

I had a friend of a friend that had a very similar story to mine and she had gone to see an herbalist in North Carolina and had drastic improvements and was even able to get pregnant and it just kept popping into my head that maybe this was something to try. To be honest, I had a lot of reservations about it. I definitely had zero understanding of what an herbalist did or how they were trained and I was extremely skeptical, but at this point, I figured it couldn’t hurt anything. So in the fall of 2016, I made an appointment and drove the two hours to see her. Honestly, the whole experience was so crazy and I will maybe have to do an entire episode about that experience because it’s way too much info for this episode, but to sum it up I’ll just say that I was totally caught off guard. This sweet lady starting explaining things to me about how the body worked that I had never heard before - and they made sense. Before even reading my medical history she was telling me that I had stagnation in my reproductive organs and all kinds of digestive issues that were driving a lot of my hormonal imbalances and inflammation - just by looking at my eyes and doing some muscle testing. She told me that I had an overgrowth of Candida in my gut and I needed to make changes to my diet and prescribed several different herbs and vitamins that I needed to take for the next 3-6 months. I’ve never experienced anything like it but I took her word for it and followed her recommendations. 

During this time I had also heard a lot of good things about acupuncture and how it could be beneficial for Endometriosis as well as aid in fertility. So around December of that year, I also started seeing a reproductive acupuncturist (spoiler: more on that soon!). 

I noticed a lot of my GI symptoms started to improve and I felt less stressed about everything. I realize now that it was a combination of the supplements, acupuncture, and really being able to release the control and fear over to God. And in February 2017, 4 months after seeing the herbalist and following her protocol and after two cycles of acupuncture, I found out I was pregnant (on valentine’s day)! Shocked is a major understatement for sure! I was able to have a healthy pregnancy with zero complications and delivered a very healthy baby girl. 

I can’t tell you what exactly it was that made the difference for me - was it the herbs? The acupuncture? Divine healing?  I honestly don’t think it was any one thing. I think that it all worked together! I think the surgery removed the adhesions and put things back in their proper place, the combination of the herbs and the diet helped to heal my gut and some inflammation, I think acupuncture helped my body relax and also helped with the hormone imbalance and inflammation. I know that God was in control of the whole thing - from start to finish. He has blessed us with science and medicine, and holistic healing modalities like acupuncture and plants/herbs and I think the whole time he was working on my heart to learn to trust Him. 

As far as where I am today with my Endometriosis story - the honest answer is that I don’t fully know. I had labs done again about a year ago and my hormone levels were good and my CA-125 levels were still low, which I’m so happy about but that isn’t 100% reliable. I still follow an anti-inflammatory diet and try to really preserve my gut health which I am sure is helping, but being someone that doesn’t have extreme symptoms from Endo, I can’t gage 100%. I plan to continue with this lifestyle and monitor my labs and go from there! We do hope to have more children, so I’m sure that will reveal more about how things are functioning for me. 

I hope that my story has just given you a little insight into the life of someone with endometriosis - and really, I’m one of the luckier ones. I’ve for sure had my fair share of difficulties with it, but not to the degree that a lot of women suffer. So many women live in chronic daily pain and have unbearable pain and horrible symptoms and debilitating anxiety every month. Many women have to miss work and school regularly because of their symptoms. It is a major financial burden and takes a huge emotional toll. If they are also trying to conceive, even more so. If you are someone with endometriosis, I hope my story has just given you a little hope to know that you aren’t alone, you aren’t crazy for feeling the way that you do, and that there are options out there to try that may help you. No one’s story is exactly the same but there is something for us to learn from each of our stories and I appreciate you taking the time to listen to mine. 

If you’d like to do your own research and maybe try some of these things I’ve mentioned for yourself, here are a few helpful links and resources: 

Integrative Women's Health Institute: https://integrativewomenshealthinstitute.com/?s=Endometriosis+

Dr. Jolene Brighten: https://drbrighten.com/causes-endometriosis-5-natural-treatment-strategies/

Natural Fertility Info: https://natural-fertility-info.com/?s=Endometriosis+

Acupuncture for Endometriosis Relief: https://www.healthcmi.com/Acupuncture-Continuing-Education-News/1770-acupuncture-beats-drug-for-endometriosis-relief

Tennessee Center for Reproductive Acupuncture: https://www.tennesseereproductiveacupuncture.com/phone/index.html

Sunshine Herbs and Vitamins Clinic in Asheville, NC: http://sunshineherbsandvitamins.com/practice.html

If you know someone who has endometriosis, share this episode with them! It was always helpful for me to read other people’s stories so I know it will be helpful for them too!