My Experience with the DUTCH Test by Precision Analytical

Hi friends! Several months ago - back in the spring - I told you guys that I was taking the DUTCH Complete test and then life got crazy and I never really mentioned it again, so in today’s episode, I’m going to give you an update on my experience with the DUTCH test, what I’ve learned from it, and how it’s benefited my health.  

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The DUTCH test is a functional hormone test made by a company called Precision Analytical, a CLIA-certified laboratory. DUTCH stands for Dried Urine Test for Comprehensive Hormones and as the name indicates, their tests evaluate various hormone levels. Some of their tests evaluate sex hormones like estrogen, progesterone, and testosterone (as well as their metabolites - more on this later), and some look at adrenal hormones like cortisol and DHEA-S, and some tests look at all of it. Their tests also evaluate oxidative stress markers as well as certain vitamin and organic acid markers. 

My Experience

I chose to go with the DUTCH complete test as it was the most comprehensive test at the time. I wanted an overall look at my sex hormones as well as my adrenal hormones. Some of you may remember that I posted a few stories on Instagram right before I sent my test back in where I showed you what all was included in the test, what it looks like, etc. (those are still in my Endo highlight if you’d like to go back and see those). As I mentioned, this is a dried urine test, so the kit includes cards for you to collect several urine samples over a 24-hour period. It also includes a health history form for all of your medical history as well as places for you to indicate any symptoms you’re experiencing or concerns that you have. Once you’ve completed all of your samples, you seal everything up and mail it back to Precision Analytical in a prepaid package envelope. It’s honestly very easy to do and the instructions are very detailed and clear. 

My full report with my results was emailed to me within two weeks of when I mailed in the test.

Who is the DUTCH test for?

In my opinion, this test can be beneficial for anyone, because I always think that more information about your body and how it’s functioning is helpful. Mainly, I think that the DUTCH test can be very helpful for anyone experiencing hormonal imbalance symptoms or a hormone-driven condition like PCOS, Endometriosis, Uterine Fibroids, infertility, etc. Also, this test can be helpful for anyone with a history of estrogen-driven cancer in their families such as breast or prostate cancer, or anyone who is concerned about their risk.

DUTCH Results Report

I’m going to walk you through some of my results so you can better understand what this test looks like and how you can use the results to support your health. I will say that this is a very in-depth report, so unless you are trained in hormone health and detox pathways, you will need the help of a physician trained in these areas - likely a functional medicine doctor. The report does provide a summary at the end of each section of the results, but for an in-depth understanding and how to address/treat any issues that are found, you will need the support of someone trained in this. I do have a few functional med Drs that I can refer you to, if you’d like to send me an email or DM, I can help you with that. 

• The first page starts with a summary of the main 3 sex hormones - Estradiol (E2), progesterone, and testosterone - and adrenal hormones - total DHEA and free Cortisol. (So for me, it showed that my overall estrogen was on the high end of normal, my progesterone was on the low end of normal, and my testosterone was right in the middle of the normal range. My cortisol pattern looked good, although the free cortisol was a little more on the low end. My total DHEA also looked good. No real surprises here for me - it’s pretty much what I expected)

• Page 2 of the report lists the hormone metabolites (the liver breaks down active hormones into water-soluble metabolites in order to be excreted from the body). There are different metabolites for each hormone and measuring these helps you to know how your body is clearing excess hormones. If your body isn’t doing this well, it can increase your risk for hormone-driven disease and cancer. For example, the hormone estrogen actually has 3 primary forms - Estrone (E1), Estradiol (E2), and Estriol (E3) and each can be broken down and pass through a few different metabolite pathways to be eventually excreted from the body. The ideal pathway is called the 2-OH pathway and it is considered the safest or most protective, meaning it’s the least likely to bind to something it shouldn’t or cause any damage to your DNA on its way out. On the other hand, there is the 4-OH pathway that is the least desired pathway because when not properly detoxified these metabolites are more likely to cause damage. When your body seems to prefer this pathway and doesn’t do a good job of detoxification, this can increase your risk of estrogen-driven cancer, specifically breast cancer. This is a big deal and something that is important to know. There are ways that you can support your body’s detoxification pathways but you need to know as soon as possible, rather than waiting until it’s becoming a problem to address it.

• Page 3 is a visual representation of each hormone and its metabolites and their pathways. It also allows you to see how your body prefers to metabolize hormones. 

• Pages 4 and 5 give you a similar structure as 3-4 but with adrenal hormones as well as a helpful diagram that shows the process of how our stress hormones are triggered and the pathways that they follow throughout the body. 

• Page 6 lists the organic acids that are tested which include markers for vitamins B12 and B6, and glutathione (a major antioxidant that is very important for detoxification) as well as metabolites for dopamine, norepinephrine/epinephrine, melatonin, and a marker for oxidative stress/DNA damage. 

• The remaining pages provide a summary of a few clinical notes that would be made on any out-of-range results that you have, as well as explanations for each marker and how to read the report. 

As you can see, this is a very in-depth report that goes into way more detail than a normal hormone panel that your PCP or GYN would order. I also love the fact that since this test is measured with urine, it can look at how your body is detoxing the hormones. This is something that a serum or blood test can’t evaluate in the same way. 

Again, I highly recommend this test for anyone who feels that there is something off with their hormones as well as anyone who knows that they have estrogen dominance issues or who may have elevated risk factors for hormone-driven disease or cancer/has a family history of breast or prostate cancers. 

You can order the test through a DUTCH-affiliated provider by searching their website or you can order the test online for yourself and have it sent to your home. DUTCH gave me a coupon code to share with you if you want to order it for yourself - use the code adhc100 for $100 off the cost of the test. 

If you have any questions about the test or need help getting in touch with a physician that could help interpret your results, feel free to send an email to info@yourhealthforward.com or send me a DM on Instagram. 

Listener Question Mini-Series: Hormone Cycles

Hi friends! We have one last episode left of our summer - listener question series where I have been answering questions that you sent in for me to discuss here on the podcast. I’ve really enjoyed this series and hearing the questions that you guys have and the topics that you want to talk about. Today’s question is about hormones, which oddly enough is a topic that I really enjoy talking about! So let’s dive in!

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This listener asked a very intriguing question. She said she had seen a post talking about men’s hormones being compared to the sun’s cycle and women’s hormones being compared to the moon’s and was wondering if there was any truth to that. 

So here’s the deal. Women’s hormones and our hormone cycle are discussed a lot, but many people don’t realize that men also have a hormone cycle. They also don’t realize that men have the same main sex hormones as women - estrogen, progesterone, and testosterone - in very different amounts. 

So let’s talk about the male hormone cycle for a minute. Unlike women, men’s hormones operate on a 24-hour cycle and their primary sex hormone is testosterone. Generally speaking, a man’s testosterone levels peak in the morning, shortly after waking, and then gradually decline throughout the day, with their lowest levels occurring in the evening. Then their cycle starts all over the next day. However, in men, testosterone levels can be affected by their environment and emotions as well, so there can be fluctuations in levels during the day due to external circumstances. 

Women’s hormone cycles are quite a bit more complex. Generally speaking, women’s hormones operate on a 28-day cycle (although we know that number can fluctuate quite a bit) and estrogen and progesterone are the star players. Our cycles are broken down into 3 main phases: 

• The follicular phase begins on cycle day 1, or the first day of our period. During this phase, estrogen levels are rising and typically peak around cycle days 10-17. Testosterone levels also typically rise within this time leading up to ovulation. 

• Ovulation is the second phase of our cycle and only lasts for 1 day or a 24-hour period.

• After ovulation comes to the third phase which is called the luteal phase. During this phase, progesterone starts to peak and there is another rise in estrogen. If fertilization doesn’t occur, then all hormone levels decrease to their lowest points which triggers menstruation, and the cycle starts all over again. 

So in this way, the analogy used in this question is decently accurate. Men’s hormone cycles are often compared to the sun’s 24-hour cycle and a women’s is often compared to the 28-day cycle of moon phases. 

If you are interested in learning more about hormone health and specific hormonal conditions, check out these past episodes on PCOS, Endometriosis, and Infertility.

Why Optimal Magnesium Levels Matter with Kristen Bowen

In today's episode, Kristen Bowen, from Living the Good Life Naturally, is sharing the importance of optimal magnesium levels and how it affects the body. She also explains how we can know if we are deficient and how to get back to optimal levels to support our health.

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Questions answered in this episode…

How did you start helping people with their health and specifically focusing on magnesium?

Why do you think it’s so important for overall health to really own your own health journey? 

Let’s talk about magnesium for a bit: Why is magnesium so important and what does it do in the body?

Is magnesium deficiency common among women? How can someone know if they are deficient?

Can magnesium deficiency contribute to hormonal imbalances or reproductive challenges? 

What is transdermal magnesium and why is it better than an oral magnesium supplement?

Can Epsom salts help in a similar way to transdermal magnesium?

What protocol do you typically recommend for transdermal magnesium supplementation?

Where can people learn more about ordering magnesium? 

Resources mentioned in this episode: Magnesium soak, magnesium muscle cream, magnesium lotion - USE CODE HF10 for 10% off your order.
Living the Good Life Naturally youtube education videos; follow Kristen on Instagram

Find more from Kristen here.

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"My Endo Story": Rachel Daugherty and Cassie Lawson

March is Endometriosis Awareness Month and in this episode, I'm sharing the stories of two more of my friends who also have Endometriosis. As they share their symptoms, experiences with various forms of treatment, and how their lives have been affected, you will hear many complexities of this common condition. Please help us in continuing to spread awareness by sharing this episode with your friends and family members who may also be affected by Endometriosis.

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Resources mentioned in this episode: Endometriosis episodes on the Health Forward Podcast; Nancy's Nook Education Facebook Page

Topics in this episode:

When did you first start experiencing symptoms and what were they?

In what way did these symptoms affect your life?

How did you realize it was endo?

What course of treatment did you decide to do?

Where are you on the journey now? 

What do you wish more people knew about endo?

"My Endo Story": Kellie Shortridge and Kayla Collins

March is Endometriosis Awareness Month and in this episode, I'm sharing the stories of two of my friends who also have Endometriosis. As they share their symptoms, experiences with various forms of treatment, and how their lives have been affected, you will hear many complexities of this common condition. Please help us in continuing to spread awareness by sharing this episode with your friends and family members who may also be affected by Endometriosis.

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Resources mentioned in this episode: Endometriosis episodes on the Health Forward Podcast; Nancy's Nook Education Facebook Page

Topics in this episode:

When did you first start experiencing symptoms and what were they?

In what way did these symptoms affect your life?

How did you realize it was endo?

What course of treatment did you decide to do?

Where are you on the journey now? 

What do you wish more people knew about endo?

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Why Liver Health Matters

Hi friends! In today’s episode, we are talking about our livers and why it’s so important that we take good care of them! The health of our livers is probably not something that often crosses our minds, but it is one of the most important organs in our bodies both for everyday function and long-term health. So let’s get into talking about the liver…

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The liver is the unsung hero of our bodies. It performs over 500 essential functions and unless something is going wrong, it rarely ever gets noticed. Most people I know don’t go around thinking about their livers throughout the day, yet it’s functions are vital to all other body systems’ ability to function. 

For example, here are a few of the essential functions the liver is responsible for:

Digestion and absorption

Our livers help turn our food into energy. It stores and distributes both fat and glucose, as well as metabolizes both cholesterol and protein.  It produces bile which is vital for digestion and absorption of key vitamins and nutrients and then distributes those nutrients out to the body. It also produces key enzymes that are needed for other chemical reactions all over the body. In addition to distribution, it also stores vitamins and minerals that will be needed in the future. So just by listing these few things, this shows that our livers help regulate our blood sugar, cholesterol, and hormone levels. 

Immune Function

Our livers produce of certain proteins and components of the immune system such as cytokines as well as various other immune cells. Our livers maintain a certain amount of controlled inflammation which assists the body in detoxification, but when this becomes uncontrolled or dysregulated, it can lead to systemic inflammation which damages the immune system and can even lead to auto-immunity or cancer. 

Hormone Function

The liver is hugely important for hormone health. Our livers create proteins and cholesterol that carry hormones all over the body. In addition, it also helps deactivate hormones and assist with ridding our bodies of excess hormones, or ones that we no longer need. This process is vitally important. For example, with the hormone estrogen, our livers actually regulate which kind of estrogens our bodies produce, as well as help with the processes that remove excess estrogen from the body. Without this essential function, an excess of estrogens can build in the body leading to estrogen-dominant diseases and cancer.  

Detox 

The function that our livers are best know for is detoxification. The liver is responsible for the movement of the blood in our bodies. As a matter of fact, almost 1½ liters of blood pass through our liver every single minute in order to be filtered. Through this process it extracts toxins and stores nutrients for later use (which we discussed when talking about digestion and absorption). The liver detoxifies in three phases that must stay in sync with each other. 

Phase One is bioidentification. This is when your body sends out enzymes that put a red flag on all toxins. Phase two is conjugation. This is when the body attaches molecules to those flagged toxins to make them either water soluble or fat soluble. Phase three is elimination. This is when the body actually flushes the toxins from our bodies when we use the bathroom (and sometimes through sweat). If one of these phases isn’t working correctly, it can damage our body’s cells and allow the toxins to continue to circulate in our bodies, further taxing our livers and creating a loop of inflammation. Every single substance we breathe, ingest, or absorb through our skin will pass through our liver, which creates a huge workload for it every single day. 

The point here is that every other system in the body is dependent on the function of the liver and when our livers are healthy, and functioning well, this works great! However, the truth is that the majority of Americans are walking around with less-than-healthy livers. 

What happens when our livers aren’t healthy

It’s estimated that up to 90 million Americans (that’s almost ⅓ of the American population) has Fatty Liver Disease, which is basically inflammation of the liver that occurs when apprx. 5% of cells in the liver are replaced with fat cells. This causes the liver to be unable to keep up with it’s 500+ essential functions and add to systemic inflammation in the rest of the body, which can lead to other chronic diseases like heart disease, diabetes, even Alzheimers and Dementia. 

If Fatty Liver Disease is left untreated, it can progress into Fibrosis, and even Cirrhosis of the liver, which leads to liver failure (fatal). Liver Disease doesn’t just occur because of alcohol or drug use or Hepatitis. Non-alcoholic fatty liver disease is the most common form of liver disease and is caused by a combination of lifestyle and genetics - most commonly high-starch/high-sugar diets, insufficient protein intake, intake of trans fats and artificial chemicals, unresolved emotions and trauma, lack of movement in the lymphatic system, and overexposure to environmental toxins. It’s not usually only too much fat, as the name would suggest.

Symptoms of an unhealthy liver or fatty liver disease

There aren’t always immediate symptoms, which can make it tricky. When symptoms do occur, some common ones are:

• Abdominal pain, fullness in the upper right side

• Nausea, loss of appetite (especially in the AM)

• Swelling in legs/abdomen

• Fatigue

• Brain Fog/confusion

• Waking up at night in the 2-3 am range regularly

You can ask your provider to run labs to check enzyme levels most commonly found in the liver ALT and AST. If either level is over 30, especially ALT, this can be indicative of a damaged liver. It’s important to note that by the time these levels are above normal, damage to the liver is already happening. So we don’t want to wait until then to care for and support the health of our liver. 

The good news is that livers regenerate and that our body has an amazing ability to heal. It will need some support from us, but an unhealthy liver, even most diseased livers, with the exception of cirrhosis, can be become healthy and well-functioning again. 

In the next episode, I am going to share ways that you can support your liver health to prevent an unhealthy, sluggish, or diseased liver, as well as ways that you can help your liver to heal if you are already experiencing liver dysfunction or disease. Make sure you stay tuned for that episode! 

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How I Supported My Body through Surgery

Hi friends!! In today’s episode, I’m sharing about my recent endometriosis surgery and some of the things that I did, both pre-op and post-op, to support my body through the process. My hope is that this episode will help those of you who may be looking at an endo-surgery for yourself or a friend/family member, but also for anyone who may have any kind of abdominal surgery, or really any surgery at all. Surgery is hard on the body and providing it with a little extra support can go a long way in speeding up recovery time and post-op symptoms.

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So in the last episode, I shared with you guys that I was going to be having another surgery for endometriosis and that I would update you on how everything went, as well as how I supported my body through the process. So today, I want to share those things with you. 

I’m about 1.5 months post-op at this point and thankfully, feeling really good! Overall, this was the smoothest and best surgery experience that I’ve had (of the 3) and I’m so grateful for that! I had a whole lot of people supporting me - praying for me and helping out - which I think has played a huge part in how smoothly I’ve recovered, but I also think that doing a few things both before and after surgery has really helped, as well. 

Pre-Op:

As anyone who has ever had surgery knows, it’s quite hard on the body. So, a few weeks before my surgery date I started doing a few things to both strengthen my immune system. I was already taking a prenatal vitamin as well as omega-3 supplements, CBD oil, and a probiotic daily - so I made sure to be very consistent with those. I also started taking an additional dose of liposomal vitamin c and vitamin d. I also tried to be really consistent with moving my body and getting good sleep. I even added melatonin to my regiment a few times a week, just to ensure that I was getting good, deep sleep and because it acts as an antioxidant. (Note- I did stop the omega 3s and melatonin one week before sx as they can thin the blood a bit). 

I also wanted to support my detox pathways as much as possible, knowing that I was going to be given a lot of medication (which I very gladly accepted), so I upped the times of week that dry-brushed and took detox baths. 

The surgery itself went very well. Going into it, I knew that I had cysts on both ovaries, and given that it had been 6 years since my last surgery, I honestly expected for it to be really severe. However, the surgery only took a little over an hour and there were very few lesions, at least in comparison to last time ((where I had stage 4 lesions). My doctor was also quite surprised and happy with that. As I said, I was given so much medication - more so than any other surgery prior, but again - I gladly accepted it. Thankfully, I had no complications (and had a very easy IV stick, which is usually not the case for me), so I was able to go home shortly after waking up. I will say that if you ever find yourself needing to have surgery, get yourself a BFF that’s a nurse to go with you! I basically had my own private nurse who took great care of me, kept me laughing and chatting all day, and was looking over everyone’s shoulder to make sure everything went according to plan. :) {Chrissy, you’re the real MVP here!} 

Post-Op:

So, once I got home, I was given meds to help with both pain and nausea. Thankfully, I didn’t experience that much nausea this time, but I did stay on top of it with the meds for the first 24 hours. Trust me when I tell you that puking and abdominal incisions DO NOT go well together. DO NOT RECOMMEND. I was pretty bloated and uncomfortable from the CO2 that they use to inflate the abdomen for surgery. This is a super common symptom after any kind of laparoscopic abdominal surgery and usually resolves in a day or less. 

The next few days looked like a lot of resting and sleeping as much as I could (hello, 3-yr old:)). I was pretty unsteady for about 24 hours and needed help getting up and down for a couple days. The pain stayed at a moderate level for 3-4 days and was easily manageable with the pain meds and I was able to wean down to just taking Aleve after about 3-4 days. 

During this time I did try to get in as much bone broth / bb protein as I could to start helping my gut recover from all the meds. I also upped my daily dose of probiotics since I was given antibiotics during surgery and also went back to taking the omega supplement as well as CBD, vitamin D, and extra vitamin C. 

Within a couple of days, I found myself wanting to move more, but I quickly had to learn to listen to my body because if I was walking around more than about 5 minutes, I would start bleeding more. That probably lasted for about 5ish days and then I was able to extend that time. 

One of the most challenging parts for me this time was the effect that the anesthesia (and possibly some of the meds) had on me emotionally/mentally. I felt super foggy and kind of just in a funk for about a week. I don’t remember that being an issue in previous surgeries. 

I would say that I was feeling back to myself, at least 90%, at about 2 weeks post-op, and now I am fully 100% back to normal, or honestly probably a little better than I was before surgery. I’m working my way into exercise, prioritizing my core strength and pelvic floor right now, so doing mainly Pilates for that. I’m also continuing with my vitamin/supplement regimen with the extra vitamin c and higher probiotic doses daily, as well as trying to get 3-4 dry brushing sessions and detox baths every week. 

My post-op appointment went really well and so we will resume trying on our own for baby #2 for a while. I will go back in for a follow-up in about 4-5 months, and I am starting acupuncture back next week (a couple of episodes on that if you want to know more - episode 32 and episode 54). So we’re hopeful and will just see what happens. Right now, I’m just really thankful to have the surgery behind me and to be feeling good, less inflamed, and more energetic. 

I hope that this episode has been helpful for you! If you have an upcoming surgery, I hope that you will use some of these tips and ideas as you prepare and recover. If you know someone with #endo or who may have surgery coming up, pass this episode along to them. It can be so unnerving not knowing what to expect or what recovery may look like, so I hope sharing my experience will help a little with that as well as empower you to know that there are things that you can do to help support your recovery. 

Before I leave you for today, I wanted to share with you a little encouragement - especially for those of you who may be facing surgery or any kind of concern over your health. The morning of surgery, I opened my Bible for a few minutes with God before heading to the hospital. I knew I didn’t have a lot of time, so I just randomly opened it, planning to just read a Psalm or Proverb. I opened it to Psalm 35, to a verse I don’t even remember reading before, that said “He takes pleasure in His servant’s well-being” and it brought me so much peace. I hope it brings peace to you as well! 

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Health Update + What's Next for Health Forward

Hi friends! This is episode 62 and this week, I’m just sharing a quick personal health update with you as well as what you can expect for the next several weeks from Health Forward. This is an untraditional episode but as I support you in your health journey, I also want to be transparent in sharing mine with you as well.

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The rest of this summer is going to be a little different around here and I wanted to share a little of what is going on behind the scenes, rather than just disappearing for a month and you wondering what was going on. 

As I’ve mentioned a couple of times now, I started having symptoms of what I call an “endo flare” last fall and after seeing my dr and fertility specialist, both confirmed that it’s time for another excision surgery. That is coming up at the end of next week. So obviously, I’m not thrilled but I’m ready to get it over with and hopefully get back to feeling like myself again. (for more of my endo journey, listen to episode 31 and episode 61). 

That being said, it’s not a super fun recovery and based on my last couple surgeries, I’m not going to really feel back to normal for at least a few weeks - so there won’t be any new podcast episodes again until mid-August.

I am planning to document/share some of my recovery process because I feel that could be helpful for any of you who are also dealing with endo or having surgery soon (of any kind). I plan to share what I’m doing to assist my body in healing and managing symptoms/inflammation after I’ve recovered a bit.

With all of that said, I am really excited for the fall. Episodes will start back in mid-August and I have some guest interviews lined up that I can’t wait for you guys to hear. I think you will really enjoy them and find them so helpful. I will also be taking on a handful of new clients in the fall and may have a few fun surprises brewing as well. 

So, I hope that you enjoy the rest of your summer. I appreciate your well-wishes and prayers, and can’t wait to talk to you again soon! 

Keep moving forward, friends. Go love your people well, and I’ll talk to you soon!

What I've Learned about Body Image and Chronic Disease

Hi friends! In this episode, I’m sharing some things that I’ve learned recently about navigating body image while dealing with chronic disease and how it’s affecting me personally. My hope is that some of these things that I’ve learned will be helpful and encouraging for you too!

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So if you’re thinking, “wow, Alaina - you’ve been talking an awful lot about body image lately…”, let me just say - you’re not wrong. 

A couple of months ago, one of my favorite people to follow online - Jess Connolly - started promoting her new book “Breaking Free from Body Shame” that comes out this month, and instead of a launch team, she created a community called Good Body Gals - if you listen to me here, online, or in real life, you’ve definitely heard me talk about it. :) I joined it because 1) - I’m a Jess fan-girl and 2) because I wanted to learn more about struggles with body image and body shame - especially from a Christian perspective, not only for myself but for the women that I coach. I wanted to be better equipped on how to help them work through some of these issues as well.  

What I did not anticipate is that right about that same time, I would start having Endo symptoms flare up and find out that I need to have another surgery soon. It’s been six years since my last surgery and when I had that last one I was in the thick of a long season with infertility, so I really wasn’t sure how the news would affect me this time around. I certainly wasn’t prepared for the way it would affect my body image. 

Last time, I was so much younger and was so deeply wounded and hurting from the journey I had been on. I remember feeling like my body was broken or betraying me back then but this time, I expected it to be different, I guess. I’m older, I feel like I’ve healed a lot emotionally, I’ve grown a lot spiritually, and by God's sweet faithfulness and grace, I am a mom now! I even went back to school and learned how to help others with Endo and other health challenges… how am I struggling so much with this now?

But it wasn’t different. If anything, I think it hit me a little harder this time. 

My thoughts quickly started spiraling - I thought I was done with this part of my life, you know - the “pain into purpose”, Cinderella story thing. A chapter in my story that I could look back on and credit with helping me know God more and finally figure out what I wanted to do with my life. 

I’m a health coach now! I teach other people how to move through their own health challenges and support their bodies in functioning the best that they can! How can mine be struggling so much? 

I felt frustrated. I felt a little ashamed. I felt like I didn’t do enough, didn’t know enough. That it was somehow my fault. 

I know the reality. I know that Endo is never truly gone/cured (outside of something miraculous- which I do believe can happen but don’t believe that everyone’s story goes that way). If I hadn't learned and applied what I have to try and support my body, things would likely be much, much worse. I probably would’ve already needed surgery again long before now, but the thing is, logic doesn’t really have much of an effect on feelings, does it? 

I’m so thankful that God allowed me to join the Good Body Gals community right at that same time. He knew that I would need to have some truth poured into me and spoken over me to fight these feelings. {Btw, this episode isn’t a plug for Jess or her community - although I highly recommend it to any woman, anywhere, any age}. My point in all of this is that this is a hard issue that so many of us deal with. Whether it’s as simple as feeling disappointed in yourself every time you look in the mirror, or something horrible and derogatory that someone has spoken over you that you’ve allowed to define you and still ring in your ears today, or if it’s some kind of brokenness and weakness that you are experiencing in your body - whatever the circumstance poor body image or body shame is a common struggle that when left unchecked or unmet with the truth, will start to affect the rest of your life and your health. 

I want to share just a couple of the things that I’ve learned or been reminded of over the last few weeks that I hope will help you too. 

My body is not a project 

This one really got me. I didn’t realize it until I heard it specifically addressed and taught on, but this is something that I have subconsciously thought about myself at least since I received the #endo diagnosis, maybe before that. My body being able to function, be fertile, perform, look and act the way that I wanted it to is something I have been striving toward for the past 8 or so years. Don’t get me wrong, I 100% believe in supporting our bodies to be as healthy and functioning as they can be - but for me, especially while I was going through infertility, it crossed over into obsession and consumed me. This idea of always striving, always improving, always optimizing consumed more of my thoughts, time, money, and probably even my prayers than just about anything else during that time. When I realized that I was starting to be symptomatic again, it was so easy for all of those obsessive “need to fix it” type thoughts to start rolling in again and with it these fears and insecurities that maybe I wasn’t worthy enough or knowledgeable enough to do this - to keep teaching you how to support your own health.

My body is not a tool 

Another lesson that was shared recently was the idea that not only is my body not a project, but it’s also not a tool. To be honest, I had some mental/emotional resistance to that one at first. I think I’ve always believed that my body or my health was a tool for me to turn around and use to serve others - and that sounds good, right? I mean, aren’t we supposed to be selfless and all about helping others? 

Here’s the issue with both of these ideas: when we view our bodies, or even our health, as a continual project or as a tool only intended for other people, it can quickly lead us into shame and feelings of failure because the “project” will never be done or complete on this Earth - the goalposts will keep moving and we won’t ever catch them, and at some point, our bodies aren’t going to feel like a very useful tool anymore - they aren’t going to perform, look, act, or be able to be used the way that they once were. Both of these ways of thinking lead us to look at ourselves with shame, guilt, or disappointment. And the real, real issue is that they have us just looking at ourselves.

The actual beautiful truth that we can replace these false ideas with is that God created our bodies as a gift!  He made them so that we would have a way to experience Him and worship Him while we are here on this earth and also be able to experience the rest of His creation. When we adopt this perspective instead, we find ourselves looking at God rather than ourselves and that’s the whole point. He made our bodies good and beautiful because they reflect Him. 

God’s Glory

The last thought I want to leave you with today is something that was so, so convicting to me. God is God - and that means that He is always after His Glory. When we find ourselves getting caught up in how our bodies look, how they are performing, how healthy they are or aren’t - we need to think long and hard about our motives. Why do we want those things so badly? Is it so that other people will see how good we look, how hard we’ve worked, how healthy we are, how much weight we’ve lost or muscle we’ve gained? Do we want other people to see us? If it’s about that, if that’s where our motives are - then we are out for our own glory. If we find ourselves thinking “wow - look at her” or “wow - look what she’s been able to do” (and friends, let's be honest - we have all thought those things at some point), then we are trying to take God’s glory. As believers, as women who bear the image of God, our goals should be wrapped up in people looking at us and saying “wow - look at God”, “Wow - look what God has done.”

I know that is tough and kinda stings because it got me too. I’m still preaching it to myself as much as I am to you - but if we are going to experience true freedom in our health and our body image, we are going to have to align ourselves with the truth of what God says about it (He created us after all) and then we will be able to care for our health and our bodies as the gifts that they are. 

Some exciting news… 

Lastly, I want to share some exciting news with you today! As we are talking about aligning ourselves with truth and caring for our bodies as the gifts that they are - I have created something that I believe will help you do just that! 

For a long time, I have been wanting to provide an option for women just like you who are wanting to support their bodies and improve certain areas of their health but want to do it in a way that actually moves their health forward with a real, lasting impact. I know how overwhelming it can be to try to figure out what to do first and which thing is best for you, specifically - and I want to make that easier for you than it was for me,  which I why I started coaching - but I also know that not everyone has the budget or schedule margin for one-on-one coaching. So I’m so excited to share with you that I have created an eCourse! Hooray! 

The Move Forward, Feel Better course is a 4-module course, in which you will learn the exact steps needed to:

• Sustain your energy throughout the day, without the afternoon crash

• Support a healthy weight that’s right for your body

• Improve the clarity of your skin, from the inside out

• Increase your mental clarity and ability to focus

• Build a strong, well-functioning immune system

• Stabilize your mood and reduce frustration with yourself

• Foster a healthy body image that’s based on the truth of who you are

• Support your gut health and overall function of your body

So now you’re thinking “sounds great… but what’s the price?” {See, I told you that I’ve been where you are. ;)}

While I’ve seen other courses similar to this one that retails anywhere from $300-$400 and I could easily charge that for this course, I want to make this as affordable and accessible to you as possible, which is why I’m offering this course for only $79. 

And as a special gift, you can also get a follow-up, 1-hr, group-coaching session with me for absolutely FREE when you enroll in the course by next Thursday, June 17th (that’s one week from today).

Once you enroll in the course, you will have lifetime access to all the videos, course guides, a private FB community where you can be in community with other women, just like yourself so there is no better time to take advantage of this offer - start moving forward in your health journey, and caring for your body as the gift that it is. And don’t forget, when you enroll with the code HFpod you will also get a free group coaching session with me! 

I’m so excited to be able to offer this course to you! You can get all the details, as well as enroll in the course by going to yourhealthforward.com/course. 

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CBD: What You Need to Know

Hi friends! In today’s episode, we are talking about CBD. CBD can be a controversial topic (what isn’t these days?🙃 ). Some people have found it to be extremely helpful and rave about it, others are skeptical or downright condemning of it. I’m not here to be a CBD pusher, but I do want you to be educated as to what it is, how it works in the body, and how it may be beneficial for your health so that you can make an informed decision. 

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It’s common to think that CBD is a recent trend in the health/wellness world, but actually, various forms of the cannabis plant have been used for thousands and thousands of years. Chinese medicine textbooks, dating back to 2900 BC (like early Bible, pre-Abraham times) note its use for its healing properties, including pain relief, sleep aid, and anxiety reduction. Its use is also noted in medical texts from India and Greece dating back thousands of years ago. As a matter of fact, the cannabis plant was a commonly used medicine in the US in the 1800s (apparently they even prescribed it to help with baby’s teething pain) until fears about it began to circulate in the 1940s, and then it was actually banned in the US in 1970. CBD has now been made legal again at the federal level across the US and the FDA even approved its first CBD-derived medication in 2018. So even though it may feel new and trendy - it most certainly is not. 

What is CBD?

CBD (cannabidiol) is a cannabinoid, which means it’s a therapeutic substance derived from part of the cannabis plant. There are actually lots of different kinds of cannabinoids, and CBD along with many others primarily comes from the leaves and flowers of the Hemp plant (which is a type of cannabis plant). Hemp is also used to make clothing, paper, etc. 

Although CBD is the one we hear the most about, the hemp plant contains many different types of cannabinoids including CBG, CBN, and THC (which is likely what you know as the intoxicating component of hemp).

So, I think it's important to realize that these terms mean different things. CBD and hemp are not synonymous. CBD is one component of the hemp plant. CBD is not marijuana, although both can be derived from different parts of the hemp plant. 

Each component has a different way that it affects systems in the body. 

How does it work?

Our bodies actually house a system made up of neurotransmitters and receptors called the endocannabinoid system. These receptors are found all over the body (brain, skin, muscles, GI tract, immune cells, heart, and blood vessels - just to name a few) and respond to chemicals released by the endocannabinoid system naturally to help keep our bodies healthy. This system plays a part in regulating many different functions in the body, including mood, memory, gut health, hormone balance, pain, inflammation, immunity, and appetite. Its overall purpose is to keep our bodies in homeostasis- or a steady state of function. 

The different types of cannabinoids from the hemp plant, actually connect to our internal endocannabinoid receptors and cause them to release healing effects on the body. 

What are the health benefits of CBD?

When talking about CBD specifically, it connects to TR PV1 receptors in the body and can help in reducing anxiety, nausea, pain, and inflammation, it has also been reported to help with seizure disorders, improve sleep, aid digestion, and help with hormone balance. 

It helps our bodies move out of the “fight or flight” (sympathetic) state and into a more relaxed, “rest and digest” (parasympathetic) state so it’s great for dealing with stress. 

CBD is also an antioxidant that is believed to be more potent than even vitamin C and is protective of the brain as well.  

So as you can see, there are a lot of possible health benefits from taking CBD. So maybe you’re wondering if it would be good for you. There aren’t any known serious adverse effects of taking a pure CBD oil, although some have experienced GI upset, some drowsiness, and fatigue - although in a lot of those instances, it’s possible that the dosages were too high. 

Recommendations

It is recommended to take a full-spectrum CBD oil, that will include other types of cannabinoids (CBG, CBN) and terpenes, which all work together and each has receptors in the endocannabinoid system. This does mean that it will include THC, but only at or below the federally legal level of .3% - which means it will not cause any intoxication. 

There are also brands that are completely THC-free, just be aware that you may not get quite as many benefits from it as you would a full-spectrum option, but it would still be beneficial. 

For general wellness purposes, a daily dose of 10-50 mg is recommended. For dealing with chronic pain or inflammation, a daily dose of 10-100 mg is recommended. As with most herbal supplements, it’s best to start with a small dose and then work your way up until you feel it’s at a good level.

Personally, I’m a big fan of the Ancient Nutrition brand of CBD products. They have oil, capsules, and a powder option that is mixed with collagen peptides. All of their CBD products are organic and third-party tested, so you can trust that they are pure and completely safe to take. They are also full-spectrum CBD products that also include other inflammation-fighting ingredients like turmeric, black pepper, and MCT oil, so you get the maximum health benefits.

Q&A

On social media this week, I asked what questions you guys had about CBD, so I’m going to answer a few of those very quickly: 

Will CBD show up on a drug test? 

In order to be legal in this country, a CBD product must contain less than .3% THC, which means it should not show up on a drug test. However, I would think about a few things if this is something that concerns you or if you need to consider it for your job, etc.: A full-spectrum CBD product will contain THC, so there is always a small chance that it could show. If you are worried about that, I would just opt for the THC-free options, also known as a CBD isolate, which means that the whole hemp plant wasn’t used, only the Cannabidiol. Also, just be mindful of where you purchase CBD. Personally, I wouldn’t buy it from just any pop-up shop or tent on the side of the road :). I would only purchase for a source that I know does extensive third-party testing and guarantees a pure product. 

Is it really beneficial to consume CBD orally? 

I guess most of this episode has already answered this question but I also wanted to point out that there are also some brands that offer CBD-infused creams and lotions for topical pain relief. These can also be helpful, but you won’t get the systemic benefits that I mentioned before in just a topical product. Also, I would recommend opting for an organic option even in a topical option, because hemp plants can often be sprayed heavily with toxic chemicals, which then will be sitting on your skin.  

Is CBD good for a sleep aid? 

A great question! Overall, CBD is going to help your body be in a more relaxed state, which should naturally lend itself to better sleep. There is also specific research, a study done in 2020 by Digestive Disease and Sciences, that looked at people with a painful disease that caused insomnia who used CBD for relief and 87% of those participants said it improved their sleep.  So I think the chances of it helping are pretty high.

So ultimately, you have to decide if you feel that CBD is right for you and would be helpful for you, but now I hope you can confidently say that you understand what it is and how it works. I personally do take it and have felt that it’s been beneficial for me with dealing with anxiety, as well as dealing with inflammation and pain.

Giveaway

This is the 60th episode of the #HFpodcast, which I think deserves a little celebration, so I am going to be giving away a bottle of the Ancient Nutrition brand CBD oil, along with a couple other of my favorite stress-relieving favs to one of you!

In order to be entered into the drawing, make sure you are following me on Instagram, like the post talking about this episode, and tag a friend in the comments who may need to learn more about CBD. For a bonus entry, leave a rating and review of the podcast and share it on social media. All the details of the giveaway will be in the Instagram post, as well and the giveaway will run through next Wednesday,  6/9/20.

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What I Wish I Could Have Known at the Beginning of Our Infertility Journey

Infertility can be a long journey and as with anything difficult or challenging, there are certain things that you learn as you go through it. So often I hear people say, “if I only knew then what I know now”, so as we observe #infertilityawarenessweek, I want to share some things that I wish I could have known at the beginning of my infertility journey. Not because I think it will change your outcome or really even your timeline, but because I hope that it will help you find a little more joy in the journey (and yes, I do believe that is possible) and because I hope it will encourage your heart, whether you are walking through infertility or some other hard time in your life. 

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What I Wish I Could Have Known

Some things about myself...

• My body isn’t broken. My body, my health, and my fertility are not projects. While there are things I can do to support the functions of my body, that’s not my sole purpose in life. 

• It’s better to have all the information instead of spending time being too scared to find out. Just go ahead and get the labs done, make the fertility appointment, see what the options are, and then make an informed decision. 

• I am a whole person, outside of being a mom. Infertility doesn’t define me and neither will motherhood.

Some things about marriage… 

This is going to be very hard on our marriage, but we can choose to be all in, no matter how ugly and challenging it may get, and have a stronger marriage because of it. Do the work and don’t expect it to just be okay. 

• Go to counseling

• Have open communication with each other without expecting one another to handle things perfectly. Don’t try to fix each other. 

• Learn to be okay with the other person not being okay sometimes - just be there for each other

• Keep intimacy fun and not only for purposes of “trying”

• Enjoy being with each other and doing all the things that come easier without kids - take the trips, never skip date night, do home projects, etc. While wonderful in every single way, a baby makes everything more complicated.

• Don’t miss what we have now because we are so focused on the future.  

Some things about other relationships...

• I cannot do this by myself. I need to let some people into it to walk along with me. They won’t completely understand and that’s okay. Your people will love you even when you aren’t okay. 

• Finding a support group or at least another couple or two that are walking the same road is so helpful (online resources if none local) 

• Take some of the pressure off. I don’t have to attend every single baby shower or gender reveal party. I don’t need to isolate and wallow in self-pity but I also can’t hold myself to an impossible standard either. I can love people well and still hold healthy boundaries. 

Some things about God...

• God isn’t being cruel or holding out on me and He isn’t punishing me for something. He doesn’t treat his kids like that. My grief and heartbreak break His heart too. 

• God made my body good because it’s made in His image. Even if the brokenness of this world is affecting the way it’s functioning, it is still a creation of the Father, and He cannot make bad things. 

• There is beauty within this pain and if I lean into trusting God through it, there is treasure on the other side of this journey. I can trust Him with this deep desire. 

• That void that I feel, that hole in my heart - it’s a God-shaped hole and only He can fill it.

Friend, there is nothing that I can say that will make this journey easy. Nothing that will take the pain away but my hope and prayer is that something I’ve said here today will resonate with you and help you know that you aren’t alone. You are seen and loved and there are a lot of other people out there feeling the same way that you do. 

If you ever need to reach out and connect with someone who understands, feel free to send me an email or a DM on Instagram. I’d be happy to connect with you. 

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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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Infertility and the Holidays

Hey friends! Today’s episode is geared towards those walking through infertility or for those who have close friends or family experiencing infertility. As I’ve shared from my own experience and from the experiences of several friends who have also dealt with infertility, it’s a very challenging and difficult experience - physically, emotionally, financially, relationally - really it affects all aspects of your life. This is especially true during the holiday season. 

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While the holidays are a joyful time, often filled with fun and celebration, they can also be incredibly difficult for those dealing with infertility. This is true for pretty much every holiday, but especially so during this time of year with Thanksgiving and Christmas so close together. The emphasis on family traditions, making fun memories, etc. that come with these particular holidays can really highlight the void and lack that couples with infertility can find themselves feeling. 

I wanted to share a few ideas of things that helped us as well as things that friends have shared with me that were helpful to them.

Acknowledge that it’s hard

If you’re walking through infertility, acknowledge when you’re having a hard time. It can feel tempting to just suck it up and act like everything is fine, but that is only going to make things harder on you emotionally. It’s okay for you to feel how you feel. If this season isn’t hard for you, that’s fine too! Just take the pressure off of yourself to feel a certain way. 

If your family member or friend is dealing with infertility, acknowledge that this is probably a difficult time for them. Be intentional about checking on them, giving them a little extra love, and making yourself available for them to talk to you about it if they want to (without pressuring them). A simple text that says “Hey - I know this can be a tough time of year. Just wanted you to know I’m always here to listen if you want to talk.” can be a huge encouragement to them - just to know that you haven’t forgotten them and what they are going through. 

Remove expectations

This is going to look like giving yourself (or your friend/family member) lots and lots of grace. If you don’t feel like going to the Christmas party where everyone brings their kids, be okay politely saying no. If you know that certain “holiday” things are going to be triggering for you, maybe just skip those this time. If something is going to cause you to be in an unhealthy place, it’s okay to say no. This also applies to social media! The comparison game is difficult with social media regardless, but I feel like it’s even more difficult during the holiday season, especially if you are dealing with infertility. It may be a good time to take a social media break through the holidays and come back to it in January (or not :P). 

If your friend or family member is the one dealing with infertility, just make sure you’re being considerate. It’s not that anyone expects or wants you to walk on eggshells around them or never invite them to be around your kids, etc. Just be conscious that it may be difficult for them and don’t place extra pressure on them to come to things or be okay. On that note, don’t just not invite them either. I know that feels a little complicated but there is a balance there. Just be gracious. Invite them to the party, feel free to talk to them about your life, your kids, your pregnancy, etc. Just consider their feelings and ask them how they are feeling about things. One of the things that make infertility even more difficult is how isolating it can feel, so don’t let them feel alone - make sure they know you are there for them. They likely feel like they need to act okay even when they aren’t, so make sure they know that they are supported regardless of how they feel. 

Have your ‘safe place’

This one is more for those actually experiencing infertility - make sure you and your spouse have a ‘safe place’. (If you have seen the movie “Four Christmases” think of the scene where they agree on a safe word before they see their families for Christmas - that’s kind of where I’m going with this!) Family get-togethers can get uncomfortable (for everyone at times), especially during a time like this, so talk about these things before the holidays really get started. Agree on a ‘safe word’ if one of you just really needs to go. Have a ‘safe place’ where you both are free to express your emotions and frustrations without judgment or needing to “fix” the other person - where you can just vent (you know, when Aunt Bertha asks for the tenth time, “well when’s that baby coming?”, or Uncle Fred asks, “do y’all need a reminder on where babies come from?”).

I think it’s also helpful to have a friend or two, other than your spouse, that you can really be open with. Maybe someone who has walked a similar road before or someone who you can just be very vulnerable with, who will listen to you vent, but then who will lovingly remind you of truth, pray for you, cover for you if you need a minute away, etc. Remember, this journey is way harder when you try to go it alone. Find your people and let them in. 

Find a way to make the holidays fun

Even though this season can be tough doesn’t mean that it can’t also be fun and joyful too. Plan some holiday activities that you can do - just you and your spouse or maybe with a group of friends - that are fun! Think of the things that you can do that would be way more challenging if you did have small kids right now. Remember that this a season and chapter in your life - not the whole thing - so enjoy what you have right now. Go Black Friday shopping at 2 AM (safely, of course - maybe virtually this year :P), plan a super romantic Christmas date, spoil your spouse or friends with gifts, take a trip, etc. It doesn’t take away the pain, but joy and sadness can coexist, so let yourself have fun and find some things to get excited about!

Give to and serve others

This is a big one. Listen, I know firsthand that you may not feel like giving and serving during the holidays, but we were created to give and serve. We were made in the image of God and something in us comes alive and more joyful when we are reflecting His character. Giving to and serving others is a big part of that. 

There are tons of opportunities for giving and serving during the holiday season, but one of the main ones that come to mind for me is Operation Christmas Child with Samaritan’s Purse. This year, you can pack a shoebox by either physically shopping for items to fill your shoebox with or pack one virtually through their online portal. It’s such a great opportunity to love on a sweet child that may not get to experience the joy of opening gifts at Christmas. There are also tons of toy drives, coat drives, food pantry needs, etc. during this time of year. 

Maybe there are some kids in your family or friend group who could use some extra love and attention this time of year. Ask if you can buy them gifts or take them to do something fun and give the parents a break. There are always people who need our help and support - especially during the holidays. 

Lastly, I just want to encourage you to keep your focus on the reason and meaning for these holidays. I know it sounds cliche - “the reason for the season” and all - but it’s still true. Where we place our focus matters… what we allow our minds to dwell on matters. As I’ve already said, I’m in no way saying ignore your feelings or just “be happy”, “fake it til you make it” or any other garbage advice like that. The truth though is that both Thanksgiving and Christmas have a purpose, they aren’t purely just for fun. Even in the midst of some of the hardest, darkest day of our lives, we still have things to be thankful for. Research shows that gratitude has a positive effect on our brains, maybe even lessening the effects of depression. It also changes our perspective and shifts our focus from what we may feel that we lack (even as significant as it is) to what we have been blessed with. And the entire point of Christmas is that we all were given an incredible gift that we can never deserve - the gift of a Savior, of one who will bear our burdens and never leave us in our heartache, who will fill our longing and lack, if we will simply choose to accept Him. So this holiday season, make the time to focus on the meaning. Maybe start a gratitude journal, do an Advent study, read through the Christmas story - just do something that shifts your focus. 

I want to wrap up this episode with a little advice from someone other than me. I reached out to a few friends who have also experienced infertility and asked if they had advice for those of you who have close friends and family that you may see this holiday season who are also experiencing infertility. Here’s what they said:

• Don’t say things like “You can always adopt”, “Just relax! It will happen when you least expect it.”, “Don’t stress about it.”, and the most infamous “When are YOU going to have a baby?” 

• Don’t go into the holidays expecting a pregnancy announcement even though those can be common at holiday gatherings

• Don’t add any pressure for couples to have more children, just because their child has gotten older. Secondary infertility is just as real and painful. 

• Overall, just be considerate of your words and how they may make someone else feel. Think before you speak. 

I truly hope that this episode has helped you and given you some ideas of ways that you can enjoy this holiday season or ways to encourage your friends or family through what may be an extra difficult time. If you are personally walking through infertility, please know that you are not alone, you aren’t forgotten, you aren’t being punished or intentionally left out. You are seen, you are loved, you are valuable. Always feel free to reach out to me on social media, if you need someone to talk to that has been there. You can most easily find me on Instagram or send me an email.

If you want to hear more of my personal journey with infertility and endometriosis, check out Episode 31, and for a panel interview about what it’s like to experience infertility, check out Episode 35.

What It's Like to Experience Infertility

Welcome back, friends! This week is National Infertility Awareness Week and in this week’s episode, I had the opportunity to interview three of my sweet friends who graciously agreed to share their infertility journeys with you. We talk about what it’s like to experience infertility as well as things that have helped us along our journeys and things that have made it more difficult. 

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I know that I can speak for all of us and say that we hope that this episode will help you understand a little more about what experiencing infertility is like and if you are currently walking this very difficult road, we pray that you know that you are not alone. If you know someone who is struggling with infertility, please reach out to them today. Send them a text or drop off some coffee or flowers on their porch - just do something to let them know that you see them, you love them and are there to support them however they need you to. Share this podcast with them as well! 

Click the link below to listen to the full episode!

How Acupuncture Can Help with Endometriosis

Hey friends! In this week’s episode, I am interviewing my personal acupuncturist, Sarah Prater. She is a Reproductive Acupuncturist and has been specializing in infertility since 2012 and started the TN Center for Reproductive Acupuncture in 2016. 

Acupuncture was a huge part of my journey with endometriosis and infertility, so I asked Sarah to share with you how acupuncture can benefit our overall health and specifically help with these hormonal conditions. 

Find out more about the TN Center for Reproductive Acupuncture by following them on Instagram and Facebook. Click here to schedule an appointment with Sarah! 

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What is acupuncture and how does acupuncture help to improve overall health? (05:00)

How can acupuncture be beneficial specifically for someone with Endometriosis? (07:00)

What does a typical treatment protocol for someone with Endometriosis look like? (10:00)

Is an acupuncture treatment plan something that you recommend in conjunction with other types of treatment or lifestyle changes? (15:20)

Are there any tips or resources that you suggest women with Endometriosis follow at home? (24:10)

Where can people find out more about you or schedule an appointment with you? (24:30)

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! 

Endometriosis Awareness: Part One - Endo 101

Hi friends! Today I’m going to be talking about a topic that is really significant to me and something that I’ve spent a lot of time over the past 5-6 years learning about - Endometriosis. March is National Endometriosis Awareness Month and as someone who has been diagnosed with Endo, I want to really take some time to provide some education and awareness around the topic. Unfortunately, there seem to be a lot more questions about endometriosis than there are answers, currently, but the more we can educate women about what we do know about it, the more people can hopefully find some relief and improvement in the symptoms of this condition. 

1 in 10 women are estimated to have been diagnosed with Endometriosis in the US, and really it’s expected that the number is actually much higher than that due to the fact that a lot of women go years with symptoms of endometriosis without having an actual diagnosis. 

So what is Endometriosis? 

An inflammatory hormonal condition that causes tissue similar to the tissue that lines the uterus (endometrium) to grow in other places of the body where it is not supposed to be. This tissue then bleeds on a monthly cycle just like the tissue inside the uterus but the blood has no exit from the body. This is severely irritating to the nerves, especially the abdomen and leads to severe pain and increased inflammation in the body. Over time, this irritation and inflammation lead to scar tissue that can cause the pelvic and abdominal organs to develop adhesions—meaning the organs can all stick together. This can cause bladder and bowel pain, constipation, pain with ovulation, severe menstrual cramping and pain, infertility, chronic pelvic pain, and pain with sex.

What causes Endometriosis? 

Unfortunately, there is not an agreed-upon root cause yet - there are a few different theories that are being studied. However, what we do know is that once developed, it is an inflammatory condition with an abnormal immune response.  Find more information about possible causes of endo here

What are the most common symptoms and how can it be diagnosed? 

Endometriosis is complicated for a lot of reasons but the variability in symptoms and difficulties in diagnosing are some of the most frustrating ones. Symptoms can vary so much from woman to woman. Some women can have extremely painful, heavy periods with a lot of cramping, sometimes even being debilitating to the point that they have to stay home from work or school. Some women have G.I. symptoms specifically around the time of their period - IBS symptoms or constipation, or pain with bowel movements. For some women, they have no pain at all, or at least very little pain. Infertility is also a very common symptom of endometriosis, and sometimes is the first indication that there is some kind of dysfunction in the reproductive system. A few other symptoms are upper leg pain, joint pain, extreme bloating in the lower abdomen (known as Endo-belly) and ovarian cysts known as Endometriomas.

As far as diagnosing Endometriosis, there isn’t an easy answer here either. The only way to be absolutely sure that a woman has Endometriosis is through an exploratory laparoscopy (a surgical procedure where they make a tiny incision and use a scope to explore the abdomen for endometrial tissue). Obviously, this is a pretty invasive diagnostic measure and definitely comes with the risk of anesthesia, plus risk of creating even more scar tissue from the incision. 

Doctors can sometimes make an educated guess based on symptoms and there are a few studies that show that the use of certain lab markers may indicate endometriosis in the body, but that isn’t a widely accepted method for diagnosis. 

The other major issue with diagnosing Endometriosis is how often it’s missed. Because the most common symptom is painful periods, often the patient is just dismissed as having a low pain threshold or being overly dramatic about what they consider “normal PMS symptoms”. Also, it has become an easy-fix to just prescribe pain meds or an oral contraceptive to help with the pain rather than actually exploring the cause or assuming that it may be abnormal. Unfortunately, neither of these options actually fix the problem or provide long-term solutions to the pain. 

What are the treatment or management options? 

Again, there isn’t a super simple answer for this either. There hasn’t been one single treatment that has been found to be effective for everyone. 

One common treatment option is surgical excision, as I mentioned before. Once the operation is done to look for Endometriosis, if found, they go ahead and remove any endometrial tissue they find, as well as adhesions. Even though this option often does provide temporary relief from the symptoms, the endometrial tissue often regrows and the surgery has to be repeated. 

Some women who are not trying to become pregnant may choose a hormonal therapy option, such as oral contraceptives or other medications that suppress ovulation completely, but often still find that they deal with recurring symptoms. Some may even choose a hysterectomy, often out of desperation to find some relief.

It honestly can be such a debilitating and horribly frustrating condition because for many women it just comes back over and over, despite using one of these treatment options. 

The good news, however, is that there are some alternative treatments that have shown to be very helpful in the management of symptoms as well as in reducing the overall inflammation in the body, which helps to address the root cause. 

Based on what has been learned about how the role of a healthy microbiome, or good gut health, plays in hormonal balance and inflammation in the body, we know that taking steps to improve gut health is a great place to start. 

Living an anti-inflammatory lifestyle has also been shown to have positive effects on symptoms and addressing the root inflammation. Eating an anti-inflammatory diet filled with a lot of vegetables (8 cups a day of leafy greens and other fiber-rich veggies), healthy fats like avocado and nuts, and clean protein from fish and plant-sources like legumes is very effective. Also avoiding known inflammatory foods like dairy, gluten, corn, beef, and sometimes even caffeine can help calm inflammation and allow the gut to heal more quickly. Taking a quality, whole-food multivitamin and omega-3 supplement also help to reduce inflammation. 

Also, working to reduce and manage stress levels, getting at least 8 hours of quality sleep each night, and moving the body for 20-30 minutes a day have also been shown to reduce inflammation and improve symptoms. 

In addition, there are other alternative methods like using herbal supplementation and acupuncture that are hugely beneficial to supporting the body’s ability to heal and dealing with painful symptoms. 

The other factor that has shown to be very important in dealing with Endometriosis is reducing exposure to environmental toxins. Whether from non-organic foods - especially meat, plastics, toxic beauty or personal care items, household cleaners, etc. - all of these toxic exposure increase inflammation in the body, are known endocrine disruptors, and greatly increase the toxic load on our liver and other detox pathways in the body. These exposures can lead to increased levels of estrogen in the body which can further create hormonal imbalance and again lead to more inflammation.

There is no question about it - however, you choose to treat Endometriosis, it will take work. It’s estimated that someone with endometriosis will end up spending the same amount in healthcare expenses as someone with diabetes. It is a very real, very difficult condition and for those who are dealing with it on a daily basis, it can become all-consuming. 

There is hope though! There is a lot of research being done and a lot of the alternative treatments that I mentioned are helping so many women regain control of their health and providing relief for them! If you know someone who has Endo, reach out to them this week and let them know you care for them and that you love them. I guarantee you they can use your encouragement! 

In the next episode, released later this week, I’m going to be sharing my story with Endo and the things that have helped me.

Here are a few of my favorite resources for learning about Endometriosis and how some of these alternative therapies may help you:

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

Nancy’s Nook Education Page: https://www.facebook.com/groups/NancysNookEndoEd/

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