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Pumpkin Seed & Chia Cracker Bread with Almond Butter Spread

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Pumpkin Seed & Chia Cracker Bread with Almond Butter Spread




Pumpkin Seed & Chia Cracker Bread with Almond Butter Spread

Intro:

Snack smarter with this Pumpkin Seed & Chia Cracker Bread, a crunchy, magnesium-rich alternative to traditional crackers. Paired with a creamy almond butter spread, this wholesome snack is ideal for muscle recovery and energy replenishment, giving your body the nutrients it needs to thrive.

Health Goal:

This magnesium-packed snack helps to reduce muscle fatigue and provides quick energy post-workout. The combination of chia and pumpkin seeds offers a powerful dose of magnesium to help with muscle function and repair.

Description: Elevate snack time with this avant-garde cracker bread, made with ground pumpkin and chia seeds for a crunchy, magnesium-rich base. Top it with almond butter for a delicious and nutritious spread.

  • Ingredients:
    • Ground pumpkin seeds
    • Chia seeds (whole or ground)
    • Flax seeds (optional)
    • Almond butter
    • Sea salt
  • Cooking Process:
    1. Mix ground pumpkin seeds, chia seeds, flax seeds, and water to form a dough.
    2. Roll out thinly and bake until crisp.
    3. Serve with a side of smooth almond butter, lightly salted.

Magnesium boost: This light, crunchy cracker packs over 120 mg of magnesium per serving and is perfect for an afternoon snack or appetizer.





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What to Know About Periods While Breastfeeding

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What to Know About Periods While Breastfeeding

What to Know About Periods While Breastfeeding

What to Know About Periods While Breastfeeding

New or first-time mothers often have many questions about their bodies, especially regarding menstruation while breastfeeding. Understanding what to expect can help alleviate concerns and ensure a smoother postpartum experience. Here, we answer some common questions about periods while breastfeeding. 

When Do You Get Your Period After Giving Birth?

The timing of your first period after giving birth varies widely among women. For some, menstruation can return as early as five to six weeks postpartum, while others may not see their period for as long as they exclusively breastfeed. This variation is largely due to the hormone prolactin, which is responsible for milk production and also suppresses ovulation. As you start to wean your baby off breast milk or introduce formula and solid foods, your prolactin levels decrease, and your period is likely to resume.

According to Dr. Kelsi Drummond, M.D. at Women’s Health Associates in Kansas City, “It’s common for mothers not to have their period while breastfeeding due to high levels of prolactin, but as soon as you start reducing the frequency of nursing, menstruation can return.”

Your first period after childbirth might be heavier than usual, and you may notice more blood clots and experience increased cramping. If you are concerned about the amount of bleeding or the presence of large clots, it is important to consult your healthcare provider. 

Do Periods Affect Your Milk Supply?

Yes, menstruation can affect your milk supply. Some mothers notice a decrease in milk production during their period, particularly at the end of their cycle or when menstruation begins. This drop in supply is due to the hormonal changes that occur during this time. The decrease in prolactin concentration can make nursing uncomfortable and may cause your baby to nurse more frequently.

Can You Get Your Period While Breastfeeding?

Many women do not get their period until they start weaning their baby off breast milk, but it is also possible to get your period a few weeks after giving birth, even if you are breastfeeding. The timing can vary significantly from one mother to another, and irregular periods are a common effect of both pregnancy and breastfeeding.

If your baby starts sleeping for longer periods at night or begins to eat solid foods, you may notice the return of your period. Mothers who keep their babies close and allow them to nurse on demand, such as using a baby carrier or sling, are less likely to resume menstruation quickly.

Can You Breastfeed While You Have Your Period?

Absolutely, you can breastfeed while you have your period. However, some mothers find that their nipples become sore during their period, making breastfeeding a bit uncomfortable, especially during the first few days. Here are some tips to minimize discomfort:

  1. Frequent Breastfeeding: Try to breastfeed as often as possible. Keeping your baby on the breast helps maintain your milk supply.
  2. Avoid Numbing Creams: These can numb your baby’s mouth and make feeding uncomfortable for them.
  3. Pain Relief: If breastfeeding becomes too painful, talk to your doctor about using an over-the-counter pain reliever.
  4. Pump Milk: If nursing is too uncomfortable, pumping breast milk can help maintain your supply until the tenderness subsides.

Will Breastfeeding Stop You From Getting Pregnant?

Your period and breastfeeding routine could delay a new pregnancy. Some research shows that most women do not ovulate, or drop an egg for fertilization, for at least six weeks after giving birth. 

This period can be longer if you are breastfeeding your child, because nursing may prevent ovulation. But you should not solely rely on nursing if you do not want to get pregnant.

Every mother’s experience with periods while breastfeeding is unique. Understanding the potential changes and being prepared can help you navigate this time with confidence. 

If you have any concerns about your health, don’t hesitate to call our office at 913-677-3113 to schedule an appointment or speak with a Nurse. Our team is here to support every aspect of your pregnancy journey.  

This article is for informational purposes only and does not constitute medical advice. Consult with a healthcare professional for personalized advice.

Master Self-Defence Skills in Melbourne: Empower Yourself with Confidence and Safety – Lazy Girl Fitness

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Master Self-Defence Skills in Melbourne: Empower Yourself with Confidence and Safety – Lazy Girl Fitness

In today’s society, self-defence is crucial for personal safety, empowering individuals to protect themselves from threats and fostering confidence in dangerous situations.

Self-defence is the legal justification for using force to protect oneself from imminent harm, ensuring safety while adhering to proportionality and necessity principles. Learning self-defence skills in Melbourne can empower individuals with the knowledge and techniques to respond effectively in threatening situations. This training enhances personal security and confidence, equipping people with practical tools to handle potential dangers.

Master Self-Defence Skills in Melbourne: Empower Yourself with Confidence and Safety – Lazy Girl Fitness

Real-life situations where self-defence is vital

In critical moments, self-defence proves essential to protect oneself against physical threats, whether in personal encounters or unexpected assaults while navigating everyday life.

Why self-defence is about confidence and safety rather than violence

Self-defence prioritizes personal safety and confidence over aggression, emphasizing the importance of effectively managing threats while promoting awareness and maintaining control in dangerous situations.

Benefits of Mastering Self-Defense Skills

Builds physical strength and improves fitness levels

Enhancing physical strength and boosting fitness levels contributes to overall well-being, promoting a healthier lifestyle through regular exercise and consistent training routines.

Boosts self-confidence

Enhancing self-confidence leads individuals to feel more empowered and assured, enabling them to tackle challenges head-on and pursue their goals with determination.

Enhances situational awareness and critical thinking skills

Improves awareness of surroundings and develops essential critical thinking abilities, fostering better decision-making in various situations and promoting effective problem-solving strategies in real-time.

Encourages self-discipline and self-respect

Promotes the development of self-control and personal esteem, fostering a sense of accountability. This mindset aids individuals in achieving their goals and priorities effectively.

Choosing the Right Self-Defence Program in Melbourne

Factors to consider when choosing a program

When selecting a program, consider elements like curriculum quality, faculty expertise, career opportunities, location, cost, flexibility, and alignment with personal goals and interests.

A brief description of various self-defence styles and their applicability

Self-defence styles vary widely, including Krav Maga for real-world situations, Brazilian Jiu-Jitsu focuses on grappling, and Muay Thai emphasizing striking techniques for effective protection.

Self-defence courses available in Melbourne

Melbourne offers various self-defence courses designed to empower individuals, enhance safety skills, and boost confidence, accommodating all skill levels for personal protection.

Look Inside a Self-Defense Class

Description of the atmosphere within a self-defence class

The self-defence class buzzes with energy, blending determination and camaraderie as participants learn techniques, empower themselves, and cultivate confidence in a supportive environment.

A brief overview of the things you can expect

Here’s a concise summary of what to anticipate: an outline of key elements, essential information, and valuable insights that will guide your experience.

Tips to Maximize Your Self-Defence Training

Role of consistent practice

Consistent practice is essential for mastering any skill, as it reinforces learning, builds confidence, and fosters improvement through repetition and dedication over time.

Integrating self-defence training with your daily routine

Incorporate self-defence techniques into your everyday life by practising moves during workouts, while commuting, or through mindful exercises to enhance personal safety and awareness.

Emphasis on the importance of having the right mentality

Highlighting the significance of adopting the appropriate mindset is crucial for personal growth, resilience, and achieving success in various aspects of life. Mindset matters.

Real Stories of Empowerment through Self-Defense Skills

Share inspiring stories of individuals who have benefitted from self-defence training

Highlight uplifting narratives of people who gained confidence and empowerment through self-defence training, showcasing their journeys toward resilience and enhanced personal safety.

Testimonials from Melbourne locals who have undertaken self-defence classes

Melbourne residents share their experiences with self-defence classes, highlighting increased confidence, improved skills, and the sense of community fostered through these empowering sessions.

Call to Action

Encourage readers to take the leap, join a self-defence class, and invest in their safety

Inspire readers to embrace the opportunity, enrol in a self-defence course, and prioritize their safety for empowerment and confidence in any situation.

Appeal to readers to value confidence, safety, and personal power

Encourage readers to prioritize confidence, embrace personal safety, and harness their inner strength, fostering a sense of empowerment that enhances life experience and choices.

Is self-defence a thing in Australia?

In Australia, self-defence is recognized legally, allowing individuals to protect themselves against imminent threats. However, the response must be proportionate and reasonable.

Which skill is best for self-defence?

Choosing the best self-defence skill depends on personal preference, but often techniques like Krav Maga or Brazilian Jiu-Jitsu offer practical, effective solutions for real situations.

What is self-defence in Victoria?

Self-defence in Victoria refers to legally justified actions taken to protect oneself from imminent harm or danger, allowing reasonable force in response.

What are the 3 activities of self-defence?

Self-defence encompasses three key activities: avoidance, de-escalation, and physical defence. These strategies help individuals protect themselves from potential threats in various situations.

Conclusion

Enhancing your self-defence skills in Melbourne can offer a sense of security and empowerment in your daily life. With various training options available, you can find a program that fits your needs and goals. Investing in these skills not only boosts your confidence but also prepares you to handle unexpected situations with composure and strength.

What to Eat and How to Workout During Each Phase of Menstrual Cycle – Amodrn

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What to Eat and How to Workout During Each Phase of Menstrual Cycle – Amodrn

Introduction

Do you feel like your hormonal symptoms just happen to you, like you’ve never had a say in how you feel and when you bleed? Each month, does it feel like your life just stops as you get caught in the swing of your hormones?

What if instead, you can make your hormones work for you instead of just happen to you? Enter cycle syncing—it empowers you to understand, become more in tune, and maximize your hormonal superpowers during each phase of your cycle.

Each premenopausal female lives in cycles— you are in a constant state of ebbs and flows, undergoing distinct phases that can have major impacts on everything. By listening to your body’s natural rhythm, you can learn to work with it rather than against it. 

Cycle syncing means aligning nutrition, exercise routines, and life choices with the natural rhythm of your monthly cycle1 .

We are not just talking strictly about PMS and menstruation, but all four-cycle phases – the luteal phase, the follicular phase, ovulation, AND your actual period. Throughout each month, many of your hormones fluctuate and can affect how you feel, your energy, mood, appetite, and even sleep2 . You can use these changes to your advantage! 

This article will help you understand your cycle better, show you how to eat the right foods, and do the right exercises at the right times.

Everyone is different—The cyclical changes and what works best for you may be different from those of your girlfriends. It can also evolve as you age. So, instead of a one-size-fits-all approach, tracking and understanding your unique cycle can help thrive during each distinct phase. 

Whether your goals are performance-based or you just want to feel more in tune with your body – this article is for you!

Below, we dive into each phase of the menstrual cycle, specific training and nutrition considerations, and ways you can implement them into your routine. We also break down exactly how to begin cycle syncing so that you can even further tailor your plan specifically to your unique body.  Let’s dive in!

4 Phases of Menstrual Cycle and Nutritional Needs

The Menstrual Phase (Days 0-7)

What’s happening:

The menstrual phase makes up your body’s early follicular phase and is the time when you get your period. When there is no pregnancy, the uterine lining sheds, and you get a drop in estrogen and progesterone, leading to bleeding3 . This phase typically lasts 3-7 days, and you lose about 35-50 mL of blood4.

During this phase, your immune system is also involved in shedding and renewing your uterine lining. This is when you may feel some inflammatory symptoms such as cramps, body tenderness, bloating, and fatigue2. However, some women start to feel better once their bleeding starts. 

Also, preexisting diet and lifestyle-related inflammation such as from food sensitivities or low omega-3 or vitamin D, can make your period symptoms worse.

Progesterone slows down gut movement, so some women go more during their periods or struggle with cyclical constipation which resolves at this time.

What this means for nutrition:

Menstrual bleeding causes a loss of iron. It’s also why premenopausal women are more likely to be anemic than menopausal women and men. When iron is low and inflammation is high, you might notice lower energy levels and mood. This phase also decreases your basal metabolic rate, which is the amount of energy your body burns at rest5.

Focus on the following:

  • Iron-rich foods6 : consuming foods that are high in iron can help your body replete iron stores that are lost during menstruation. These include leafy greens, animal proteins, and lentils. Pairing them with foods high in vitamin C (citrus fruits or colorful vegetables) can help increase iron absorption.
  • Antioxidants7: the process of menstruation can be inflammatory, and low progesterone can leave you more vulnerable to these processes. Consuming foods high in antioxidants can help combat some of these effects. Think colorful fruits and vegetables, and even green tea!
  • Fiber8: consuming enough fiber can help promote bowel movements and prevent constipation, which can be more common during this phase of the cycle. Think whole grains, nuts, seeds, and vegetables.
  • Hydration9: blood loss can help offset some of the fluid loss that occurs during your period, and can help manage symptoms like cramping and bloating. Aim to get in your 8 glasses per day.

What this means for exercise:

You might not feel up to doing strenuous workouts during this time, and that is okay! Either way, staying active might help menstrual symptoms and boost mood10. Low-impact activities (such as yoga or walking) can help improve cramping and help you feel more relaxed11.

If you are a competitive athlete, you may notice reduced exercise performance during this time, but this does not impact everyone12. Some women feel their strongest during their periods. 

During this phase, it is important to listen to your body. If harder workouts feel more energy-depleting than enhancing, it is fine to use this time for rest or engage in lighter activities.

 

The Follicular Phase (Days 7-13)

What’s happening:

The follicular phase is typically when most women feel their best. 

During the follicular phase, hormones from the brain signal to your ovaries to grow follicles. One follicle becomes bigger, called the dominant follicle3. These processes all gear up for a potential pregnancy, with estrogen and progesterone continuing to increase right up to ovulation3

During this time, you might notice more energy, and your metabolism speeds up. At the same time, appetite is lower.

What this means for nutrition:

  • Support estrogen metabolism13 : Estrogen levels increase during this phase of the cycle. Including cruciferous vegetables such as broccoli, cauliflower, Brussels sprouts, and cabbage to help support optimal estrogen levels and help your body process any excess.
  • Continue replenishing iron6: your body is still playing catch up from iron loss during menstruation so continue to include the iron-rich foods above.
  • Complex carbohydrates14: When estrogen levels are rising, the body sways to utilize more carbohydrates than fats for fuel. You also have higher insulin sensitivity during this phase, therefore your body can metabolize carbs more effectively. Good sources include sweet potatoes, whole grains, and legumes.
  • Fermented foods15: fermented foods are high in probiotics, which can support your gut and help with estrogen metabolism. These can include kimchi, kombucha, and yogurt.
  • Magnesium-rich foods16: Magnesium tends to be lowest during this stage of your cycle and can contribute to PMS symptoms. Dark leafy greens, pumpkin seeds, and nuts are great sources.

What this means for exercise:

During the follicular phase, energy levels are high17. This is a great opportunity to engage in high-intensity workouts. Strength workouts are also a good option, as rising hormones have primed your muscles for growth18.

Your body can use more glycogen to fuel endurance-type activities, such as running or cycling19. And, peak lactate response, an indicator of anaerobic activity, can be higher during this phase which can help you push harder during strength training and high-intensity intervals19, 20 .

Ovulatory/Early Luteal Phase (Day 14-23)

What’s happening:

During ovulation, which is typically between days 14-15 of your cycle, there is a surge of luteinizing hormone21. This hormone is released by the brain to signal for the dominant follicle to rupture and release an egg. 

This egg leaves behind a corpus luteum, which produces progesterone to help the body stay ready for pregnancy if it occurs3. Body temperature rises following ovulation. This phase typically comes with increased energy and focus, as well as increased libido21.

Ovulation is often when you have the highest capacity for stress and social activities. Just be careful about making decisions and plans 1-2 weeks from now based on your current energy levels and stress reserve. 

What this means for nutrition:

When estrogen levels are higher, your body can use more fat compared to carbohydrates for energy19. Energy expenditure is increasing compared to the follicular phase, so it is important to nourish your body properly22.

Focus on the following:

  • Mindful carb intake23: insulin sensitivity is still elevated during this phase, Consuming slow-absorption carbs: like rolled oats, whole grains, quinoa, barley, lentils, and beans, can help prevent insulin spikes and reduce hunger cues during ovulation.
  • Hydration: Body temperature is elevated during this phase so you might notice less heat tolerance. This can result in more sweating, therefore it is important to make sure you are drinking enough fluid to make up for these losses.
  • Protein23: the increasing progesterone during this phase can increase protein breakdown. Ensure you are hitting your protein targets and aim to include at least one protein in each meal. Lean meat, eggs, and beans/legumes are good sources.

What this means for exercise:

The ovulatory and early luteal phase is a great time to engage in harder workouts because your body is more efficient at using fat stores for energy19. There is a lower peak lactate response during this time, which can help you power through harder workouts for longer 19

Testosterone levels are also higher making it an ideal time for weightlifting and high-intensity interval training24.

Late Luteal Phase (Days 24-28)

What’s happening:

If no pregnancy occurs, the corpus luteum begins to break down and causes estrogen and progesterone levels to fall rapidly3. This prevents your body’s ability to maintain your uterine lining and eventually signals the start of menstruation and a new cycle3

This progesterone drop can lead to hormonal changes that can cause premenstrual symptoms. While PMS symptoms vary widely among menstruators, they can include bloating, fluid retention25, breast tenderness, mood changes, food cravings, constipation, headaches, and sleep disturbances.

See also

What to Eat and How to Workout During Each Phase of Menstrual Cycle – Amodrn

Now is the time to take it easy, reduce your overall life intensity, and take the time to self-reflect.

What this means for nutrition:

In the luteal phase, your insulin sensitivity decreases and your resting metabolic rate increases by about 50-300 calories each day, shifting your metabolism to burn more fat than carbohydrates23. High progesterone levels can promote protein breakdown26

Your serotonin receptors become less sensitive, so you can feel more down or irritable, or have food cravings. Because of the hormonal shifts that occur during this phase, you might notice increased appetite and lower energy, as well as PMS symptoms27,28 .

Preparing and shedding uterine linings require inflammatory molecules like prostaglandins, so you may feel more tender around this time. Having preexisting inflammation or estrogen dominance can make your PMS symptoms worse.

Focus on the following:

  • High tryptophan foods29 : tryptophan is an amino acid that can be converted to serotonin in the body. Since serotonin levels can be lower during this phase, including these foods can help support mood and manage cravings. Foods high in tryptophan include turkey, eggs, and seeds.
  • Anti-inflammatory foods30: because inflammation can increase, focus on including anti-inflammatory foods, such as those rich in omega-3 fatty acids (fish, chia seeds) and vitamin D.
  • Complex carbohydrates31: because insulin sensitivity is low, consuming high-fiber carbs can help prevent big shifts in blood sugar. Cortisol can also be elevated during this time, which can cause shifts in food cravings. Pairing them with a protein or healthy fat can also be helpful.
  • Balanced Meals32: appetite can increase during this phase, so it is important to nourish your body with healthy meals to keep hunger levels stable. Aim for protein, healthy fat, and less carbohydrate at regular times throughout the day.
  • Progesterone support33: foods such as sunflower seeds and flax seeds can help support progesterone levels during this phase.
  • Minimize caffeine, alcohol, and added salt34, 35: this can help ease any stress on your liver and support hormonal balance. Avoiding these things eases PMS symptoms.
  • Ensure healthy levels of magnesium and potassium: from vegetables and fruits. Many women also benefit from supplementation with magnesium to ease cramps and support sleep.

What this means for exercise:

The late-luteal phase comprises the tail end of the menstrual cycle and is characterized by a drop in progesterone24. Your energy levels might be lower, and this is the time when PMS symptoms can peak.

Focusing on lower-intensity activity can help prevent putting extra stress on your body as it prepares for menstruation24. However, some women may feel stronger and have higher libido during this time as their testosterone is high relative to estrogen.

Water retention can be high during this period, which might impact how you feel and perform34. Endurance levels can be lower compared to the previous phases and make it more difficult for you to maintain intensity during hard workouts24.

Low-intensity workouts, such as yoga, Pilates, and walking can be great choices. These exercises can help improve mood and reduce PMS discomfort leading up to your period36.

The Benefits of Cycle Syncing

By tracking your cycle and paying attention to your body cues during each phase, you can optimize your well-being by aligning activities and nutrition with your body’s changing needs. 

Cycle syncing involves tailoring your lifestyle – diet, exercise, and even self-care – to the various phases of your menstrual cycle. It recognizes the natural hormonal fluctuations that occur during each phase and helps you become more in tune with your body.

The Benefits of Cycle Syncing:

  • Improved nutrition37: tailoring your diet to each phase of your cycle can help ensure you are getting all the right nutrients at the right times. Because there are metabolic changes that occur throughout the cycle, you can help support your overall health and address any nutrient needs during each phase.
  • Better hormonal balance: adjusting habits to match fluctuations in hormones that happen throughout your cycle can have many positive impacts, including mood and PMS symptoms.
  • More energy: syncing activities with your cycle can help you work with, not against, your body’s natural energy fluctuation. Also, some foods and supplements are more suitable for energy than coffee.
  • Less PMS symptoms38: tailoring diet and lifestyle to cycle phases can help alleviate the common PMS offenders – bloating, cramps, headaches, and mood swings. Focusing on specific nutrient-rich foods during certain phases can promote better symptom management and less aggravation.
  • Optimized exercise performance: no matter your goal, adjusting workouts based on your cycle might help you perform and recover better., 
  • Fertility awareness & support39: Cycle syncing can help you better understand your fertile window – whether you’re trying to conceive or avoid pregnancy.
  • Better emotional well-being40 : if you are someone who gets stressed just thinking of that time of the month, cycle syncing can be an empowering way to learn about your own unique cycle. This can help you create an awareness of all of the intricate mechanisms that occur each month and foster a more positive relationship with your body.
  • Personalized self-care: cycle syncing encourages self-care practices that suit your body’s changing needs. This can be in the form of meditation, relaxation practices, and gentle movement during the phases your body craves the most!
  • Increased body awareness39: most menstruators pay little attention to their cycle until negative symptoms kick in. By tracking your cycle, you can gain a deeper connection with your body and create a better understanding of how your cycle impacts your health and well-being. It can help you feel more in tune with your body cues and needs.

How to Start Cycle Syncing

Many athletes and online influencers are using cycle syncing to time workouts around their periods for potential benefits. 

Cycle syncing was introduced by Alisa Vitti in her 2014 book “Woman Code”, and as we outlined above, involves adjusting various lifestyle aspects, including diet, exercise, sleep patterns, and social engagements, to align with distinct menstrual cycle phases1

The intention is to foster a balance. By appreciating your unique hormonal changes at each phase, you can harness these shifts to improve both your physical and mental health.

The US women’s soccer team has adopted this strategy. During training, they adjust recovery time and workouts based on each player’s cycle to help their performance41. With wearable trackers and apps with cycle syncing features, it is more accessible than ever to try it out yourself!

Tailoring workouts or nutrition to menstrual cycle phases might be impractical for some menstruators, especially if you have unpredictable cycles. Some menstruators can deviate from typical patterns, and using hormonal birth control can also impact how effective it might be for you. 

However, even if these factors apply to you, tracking your cycle can still offer benefits – a big one being improved body literacy. This practice raises awareness of how your cycle impacts you both physically and mentally, helping you understand your cycle’s effects.

Cycle syncing can take up to three months to show benefits – be patient and keep learning!  Given individual differences in cycle patterns, it might take around three months to notice any significant changes. Patience, observation, and adaptation are keys to success!

Final Notes

Remember, every woman is different. What’s most important is to tune in to your body’s signals and give it what it needs. By eating nutrient-rich foods and choosing the right exercises, you can support your body through your period and set the tone for a healthier menstrual cycle.

References

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  4. Heavy Periods: Overview. Institute for Quality and Efficiency in Health Care (IQWiG); 2017.
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  6. Ofojekwu MJN, Nnanna OU, Okolie CE, Odewumi LA, Isiguzoro IOU, Lugos MD. Hemoglobin and serum iron concentrations in menstruating nulliparous women in Jos, Nigeria. Lab Med. 2013;44(2):121-124. doi:10.1309/lmm7a0f0qbxeyssi
  7. Evans J, Salamonsen LA. Inflammation, leukocytes and menstruation. Rev Endocr Metab Disord. 2012;13(4):277-288. doi:10.1007/s11154-012-9223-7
  8. Bernstein MT, Graff LA, Avery L, Palatnick C, Parnerowski K, Targownik LE. Gastrointestinal symptoms before and during menses in healthy women. BMC Womens Health. 2014;14(1):14. doi:10.1186/1472-6874-14-14
  9. Tan B, Philipp M, Hill S, Che Muhamed AM, Mündel T. Pain across the menstrual cycle: Considerations of hydration. Front Physiol. 2020;11. doi:10.3389/fphys.2020.585667
  10. Daley AJ. Exercise and primary dysmenorrhoea: A comprehensive and critical review of the literature. Sports Med. 2008;38(8):659-670. doi:10.2165/00007256-200838080-00004
  11. Ortiz MI, Cortés-Márquez SK, Romero-Quezada LC, Murguía-Cánovas G, Jaramillo-Díaz AP. Effect of a physiotherapy program in women with primary dysmenorrhea. Eur J Obstet Gynecol Reprod Biol. 2015;194:24-29. doi:10.1016/j.ejogrb.2015.08.008
  12. Meignié A, Duclos M, Carling C, et al. The effects of menstrual cycle phase on elite athlete performance: A critical and systematic review. Front Physiol. 2021;12. doi:10.3389/fphys.2021.654585
  13. Lin T, Zirpoli GR, McCann SE, Moysich KB, Ambrosone CB, Tang L. Trends in cruciferous vegetable consumption and associations with breast cancer risk: A case-control study. Curr Dev Nutr. 2017;1(8):e000448. doi:10.3945/cdn.117.000448
  14. Bisdee JT, Garlick PJ, James WPT. Metabolic changes during the menstrual cycle. Br J Nutr. 1989;61(3):641-650. doi:10.1079/bjn19890151
  15. Baker JM, Al-Nakkash L, Herbst-Kralovetz MM. Estrogen–gut microbiome axis: Physiological and clinical implications. Maturitas. 2017;103:45-53. doi:10.1016/j.maturitas.2017.06.025
  16. Dullo P, Vedi N. Changes in serum calcium, magnesium and inorganic phosphorus levels during different phases of the menstrual cycle. J Hum Reprod Sci. 2008;1(2):77. doi:10.4103/0974-1208.44115
  17. Davidsen L, Vistisen B, Astrup A. Impact of the menstrual cycle on determinants of energy balance: a putative role in weight loss attempts. Int J Obes (Lond). 2007;31(12):1777-1785. doi:10.1038/sj.ijo.0803699
  18. Kissow J, Jacobsen KJ, Gunnarsson TP, Jessen S, Hostrup M. Effects of follicular and luteal phase-based menstrual cycle resistance training on muscle strength and mass. Sports Med. 2022;52(12):2813-2819. doi:10.1007/s40279-022-01679-y
  19. Hackney AC. Menstrual cycle hormonal changes and energy substrate metabolism in exercising women: A perspective. Int J Environ Res Public Health. 2021;18(19):10024. doi:10.3390/ijerph181910024
  20. Devries MC, Hamadeh MJ, Phillips SM, Tarnopolsky MA. Menstrual cycle phase and sex influence muscle glycogen utilization and glucose turnover during moderate-intensity endurance exercise. Am J Physiol Regul Integr Comp Physiol. 2006;291(4):R1120-R1128. doi:10.1152/ajpregu.00700.2005
  21. Kiesner J, Bittoni C, Eisenlohr-Moul T, Komisaruk B, Pastore M. Menstrual cycle–driven vs noncyclical daily changes in sexual desire. J Sex Med. 2023;20(6):756-765. doi:10.1093/jsxmed/qdad032
  22. Benton MJ, Hutchins AM, Dawes JJ. Effect of menstrual cycle on resting metabolism: A systematic review and meta-analysis. PLoS One. 2020;15(7):e0236025. doi:10.1371/journal.pone.0236025
  23. Oosthuyse T, Bosch AN. The effect of the menstrual cycle on exercise metabolism: Implications for exercise performance in eumenorrhoeic women. Sports Med. 2010;40(3):207-227. doi:10.2165/11317090-000000000-00000
  24. Carmichael MA, Thomson RL, Moran LJ, Wycherley TP. The impact of menstrual cycle phase on athletes’ performance: A narrative review. Int J Environ Res Public Health. 2021;18(4):1667. doi:10.3390/ijerph18041667
  25. Rodriguez-Giustiniani P, Galloway SDR. Influence of peak menstrual cycle hormonal changes on restoration of fluid balance after induced dehydration. Int J Sport Nutr Exerc Metab. 2019;29(6):651-657. doi:10.1123/ijsnem.2019-0105
  26. Kalkhoff RK. Metabolic effects of progesterone. Am J Obstet Gynecol. 1982;142(6):735-738. doi:10.1016/s0002-9378(16)32480-2
  27. McNeil J, Doucet É. Possible factors for altered energy balance across the menstrual cycle: a closer look at the severity of PMS, reward driven behaviors and leptin variations. Eur J Obstet Gynecol Reprod Biol. 2012;163(1):5-10. doi:10.1016/j.ejogrb.2012.03.008
  28. Johnson WG, Corrigan SA, Lemmon CR, Bergeron KB, Crusco AH. Energy regulation over the menstrual cycle. Physiol Behav. 1994;56(3):523-527. doi:10.1016/0031-9384(94)90296-8
  29. Friedman M. Analysis, nutrition, and health benefits of tryptophan. Int J Tryptophan Res. 2018;11:117864691880228. doi:10.1177/1178646918802282
  30. Graziottin A, Zanello PP. Menstruation, inflammation and comorbidities: implications for woman health. Minerva Ginecol. 2015;67(1). Accessed October 20, 2023. https://pubmed.ncbi.nlm.nih.gov/25660431/
  31. Pulido JME, Salazar MA. Changes in insulin sensitivity, secretion and glucose effectiveness during menstrual cycle. Arch Med Res. 1999;30(1):19-22. doi:10.1016/s0188-0128(98)00008-6
  32. Gorczyca AM, Sjaarda LA, Mitchell EM, et al. Changes in macronutrient, micronutrient, and food group intakes throughout the menstrual cycle in healthy, premenopausal women. Eur J Nutr. 2016;55(3):1181-1188. doi:10.1007/s00394-015-0931-0
  33. Greco S, Pellegrino P, Zannotti A, et al. Phytoprogestins: Unexplored food compounds with potential preventive and therapeutic effects in female diseases. Nutrients. 2021;13(12):4326. doi:10.3390/nu13124326
  34. Rosenfeld R, Livne D, Nevo O, et al. Hormonal and volume dysregulation in women with premenstrual syndrome. Hypertension. 2008;51(4):1225-1230. doi:10.1161/hypertensionaha.107.107136
  35. Caan B, Duncan D, Hiatt R, Lewis J, Chapman J, Armstrong MA. Association between alcoholic and caffeinated beverages and premenstrual syndrome. J Reprod Med. 1993;38(8). Accessed October 20, 2023. https://pubmed.ncbi.nlm.nih.gov/8410870/
  36. Chang HC, Cheng YC, Yang CH, Tzeng YL, Chen CH. Effects of yoga for coping with premenstrual symptoms in Taiwan—A cluster randomized study. Healthcare (Basel). 2023;11(8):1193. doi:10.3390/healthcare11081193
  37. Kammoun I, Ben Saâda W, Sifaou A, et al. Change in women’s eating habits during the menstrual cycle. Ann Endocrinol (Paris). 2017;78(1):33-37. doi:10.1016/j.ando.2016.07.001
  38. Siminiuc R, Ţurcanu D. Impact of nutritional diet therapy on premenstrual syndrome. Front Nutr. 2023;10. doi:10.3389/fnut.2023.1079417
  39. Schantz JS, Fernandez CSP, Jukic AMZ. Menstrual cycle tracking applications and the potential for epidemiological research: A comprehensive review of the literature. Curr Epidemiol Rep. 2021;8(1):9-19. doi:10.1007/s40471-020-00260-3
  40. Ford A, De Togni G, Miller L. Hormonal health: Period tracking apps, wellness, and self-management in the era of surveillance capitalism. Engag Sci Technol Soc. 2021;7(1):48-66. doi:10.17351/ests2021.655
  41. Gupta AH. Cycle syncing is trendy. Does it work? The New York times. https://www.nytimes.com/2023/06/01/well/move/menstrual-cycle-syncing-exercise.html. Published June 1, 2023. Accessed October 20, 2023.

You deserve to be happy

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You deserve to be happy

You deserve to be happy

Sheltering
in place during this pandemic has given most of us more time with our loved
ones. Some couples have found that this has given them time to reconnect and
become close all over again. It has enriched their sex lives, improved their
communication and increased their family time, blossoming the relationship.
While some relationships have flourished, others may have realized how much
they really didn’t know one another and how the time that they were spending
apart may have actually been the only thing that was keeping them together.

This
time serves as a great opportunity for self reflection and self realization.
It’s a time to slow down, prioritize and reflect upon any necessary changes
that you want to make in your life, moving forward.

Are
you really happy in your relationship?

Are
you really where you want to be?

If
the answer to both of those questions is
yes then that’s great! However, if your answer was yes, but…” or no then you may need to take
some time to reflect upon what you really want in a relationship.

Make
a list of the things that matter to you the most in a relationship, and include
the things you feel would be essential to fostering a fulfilling relationship.
Use this list as a guide. If more than half of your expectations are not being
fullfilled, it may be time to make some changes. Ask yourself the following
questions:

Do
you want to change what you’re looking for in a relationship?

Does
the relationship or situationship that you’re currently in have potential?

Is it time to move on?

Consejos para cuidadores de pacientes con cáncer de cabeza y cuello

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Consejos para cuidadores de pacientes con cáncer de cabeza y cuello

Consejos para cuidadores de pacientes con cáncer de cabeza y cuello

Si cuidas a alguien con cáncer de cabeza y cuello, podrías tener un mayor riesgo de agotarse que cuidadores de personas con otros tipos de cáncer.

Un estudio de 2023 en JAMA Network Open determinó que los cuidadores de personas que padecen cáncer de cabeza y cuello tienen un mayor riesgo de que su propia salud se vea afectada negativamente que cuidadores de personas con otros tipos de cáncer. Esto se debe posiblemente a la naturaleza intensa del cáncer de cabeza y cuello.

Seth Eisenberg, presidente de la PAIRS Foundation, quien tuvo cáncer de cabeza y cuello hace siete años, dijo que el estrés de ver a alguien enfrentar los desafíos de este tipo de cáncer, que frecuentemente afecta la alimentación, la respiración y el habla, puede ser particularmente perturbador para un cuidador.

Esta carga intensa de la enfermedad también puede hacer que los pacientes no puedan trabajar y el estudio de JAMA determinó que el desempleo de los pacientes sextuplica las posibilidades de que sus cuidadores tengan agotamiento. Esto se debe posiblemente a que la incapacidad para trabajar usualmente implica que se necesita más tiempo de cuidado o que los síntomas de cáncer son más graves y ambos factores pueden implicar una mayor carga de atención.

Factores tales como alteraciones de los horarios, dificultades financieras, falta de apoyo familiar, sus propios problemas médicos y una autoestima reducida pueden contribuir con el agotamiento de los cuidadores. Y el agotamiento puede hacer que el cuidador tenga impactos médicos graves, tales como angustia, depresión, complicaciones cardiacas, privación de sueño y fatiga.

Aquí encontrarás 4 consejos para cuidados personales si cuidas a una persona con cáncer de cabeza y cuello.

1. Pide capacitación a un equipo médico lo antes posible

El agotamiento de los cuidadores tiende a ocurrir los primeros seis meses después del diagnóstico y puede aumentar muy rápidamente. Una de las mejores estrategias para lidiar con el agotamiento de los cuidadores podría ser implementar medidas para prevenirlo. Si es posible, pide a un equipo médico, lo antes posible después del diagnóstico, una capacitación práctica que sea útil en lo que se refiere a las tareas relacionadas con el cuidado de una persona con cáncer de cabeza y cuello.

Una encuesta de 2023 de Cancer Nursing de cuidadores familiares de pacientes con cáncer de cabeza y cuello determinó que obtener ayuda con los aspectos prácticos de los cuidados de este tipo de cáncer es muy importante. Se pide a familiares o seres queridos que asuman tareas de enfermería tremendamente técnicas tales como cuidados para la traqueotomía, alimentación por sonda y alivio del dolor, además de manejar también las necesidades emocionales y mentales del paciente.

Cuidar a personas que padecen cáncer de cabeza y cuello tiene muchos desafíos, pero si te aseguras que entiendes los fundamentos prácticos de la atención médica que debes proporcionar puede ser útil para aliviar el malestar psicológico y la carga emocional que puede empeorar el agotamiento de los cuidadores.

2. Habla con tu empleador acerca de adaptaciones para asistencia

Algo que todas las investigaciones indican sobre los impactos de los cuidados relacionados con el cáncer de cabeza y cuello es el perjuicio laboral de los cuidadores. Tratar de equilibrar las necesidades de la asistencia con las de tu propio empleo puede causar un agotamiento rápido.

Si es posible, los cuidadores deberían hablar con sus empleadores para solicitar cualquier adaptación razonable o incluso permisos para ausentarse para proporcionar asistencia, especialmente en los primeros días de la asistencia cuando se debe aprender mucho. Eisenberg también dice que hay programas de subvenciones de asistencia y de ayuda financiera específicos para cuidadores de pacientes con cáncer a los cuales se puede aplicar y que son útiles para aliviar algunos de los cargos financieros.

3. Implementa cuidados personales

Podría parecer otra carga en una lista de quehaceres, pero establecer intencionalmente cuidados personales puede ser útil para amortiguar el impacto del agotamiento de los cuidadores. Aunque los cuidados personales podrían parecer algo egoísta o un desperdicio de tiempo cuando tienes tantas cosas que hacer, incluso pocos cuidados personales pueden reducir significativamente el riesgo de impactos a la salud por proporcionar asistencia.

Los cuidados personales no tienen que ser un esfuerzo enorme. Algunos ejemplos de cuidados personales incluyen:

  • Movimiento cotidiano, tal como ejercicio o una caminata
  • Terapia
  • Asesoramiento
  • Nutrición apropiada
  • Hablar con amigos o seres queridos
  • Tiempo de descanso para disfrutar pasatiempos
  • Escribir un diario
  • Meditar
  • Programar evaluaciones médicas y consultas para tu bienestar

4. Encuentra apoyo

Encontrar apoyo puede sentirse como otra tarea más en la lista de quehaceres de un cuidador, pero también puede marcar una diferencia vital para tu salud mental y física. Algunos recursos para encontrar apoyo incluyen:

  • Pedir recursos a un trabajador social
  • Asistir a terapias virtuales o presenciales
  • Encontrar un grupo de apoyo presencial para cuidadores
  • Obtener apoyo de amigos y familiares
  • Buscar grupos de apoyo virtuales para cuidadores de pacientes con cáncer
  • Aplicar a programas de asistencia o apoyo financiero para cuidadores de pacientes con cáncer
  • Inscripción en un programa local de entrega de comida, ya sea comunitario o un servicio pagado
  • Usar asistencia de transporte si fuese necesario

“No dudes en pedir ayuda a familiares, amigos o cuidadores profesionales”, dijo Eisenberg. “Delegar tareas puede reducir la carga y eso proporciona un respiro muy necesario a los cuidadores”.

Este recurso educativo se preparó con el apoyo de Daiichi Sankyo y Merck.

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The 3 Biggest Mistakes Keeping Christian Women Overweight

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The 3 Biggest Mistakes Keeping Christian Women Overweight

The 3 Biggest Mistakes Keeping Christian Women Overweight

Photo by Tyler Nix on Unsplash

I hosted a podcast called Health Matters where I interviewed leading health experts. Cathy Morenzie is a noted personal trainer, author, blogger and presenter and a leader in the health and wellness industry for nearly 30 years.

Her impact has influenced thousands of people over the years to help them lose weight and develop positive attitudes about their bodies and about fitness.

Cathy identified the top 3 mistakes and gave women practical strategies so they can feel empowered and victorious.

1. Stinkin’ thinking

“What that means is that we’re focused on the right things to do to lose weight that we’re taught and everybody knows like exercise and eating right. But then there’s the whole issue of the mindset that we don’t look at.

“We don’t renew our minds. We don’t pray. We don’t look at what we’re actually thinking. So our thoughts come in and they actually can affect our progress, our weight loss results.

“So we want to do something but our minds are telling us we can’t do it. Or we’re speaking negatively about ourselves. Or we have thoughts that we’ll never be good enough. And these thoughts are actually getting in the way of our results. Because if you’re thinking, you can only be as vigilant as your thoughts. I’d like to say it’s impossible to think rightly and achieve a healthy weight.

“And so until we renew our minds, until we learn how to think well of ourselves as God thinks of us we’re going to keep spinning our wheels.”

What can Christian women do to overcome this mistake?

“We have to renew our mind with the word of God. We have to take some time.

“First of all we need to be conscious of it because we don’t even realize what we’re thinking. We don’t even realize that we have these beliefs that we can’t do it. We don’t realize that we become the brunt of our own jokes. In conversations, we say things about ourselves that are just so not in line with who God created us to be. So the first thing is to get conscious of the negative thoughts you’re having about yourself.

“And then when you catch yourself doing that say something from the Word of God to combat. So you might say, ‘I am an overcomer’ when you see yourself saying, ‘I can’t do it’.

“Say, ‘I have the mind of Christ’. Keep telling yourself you have the mind of Christ. Use scripture, ‘I can do all things through Christ who strengthens me.’

“To combat the ‘Stinkin’ Thinking’ the Word of God is always going to trump the negative things that you say about yourself.”

2. Surface scratching

“What I often tell women is until you can understand why you do what you do you’re going to remain stuck.

“What women do is they just scratch the surface. So they say, ‘Okay, I want to get healthy. I want to lose weight.’ But they only look at what’s quick, what’s easy — let me go on another diet. But they don’t go deeper into the root causes of just why they’re overweight, just why they can’t stop themselves from eating, just why they eat emotionally.

“There’s a list of reasons that are a lot deeper than just the simple, the traditional, eat less exercise more. A lot of us don’t go beyond, we just stay and only skim the surface.”

What can Christian women do to overcome this mistake?

“To overcome the ‘Surface Scratching’ it’s getting to the root. Have the courage.

“And it’s tough because the reason why we stay on the surface is because when we go deeper it’s tough. We buried it for a reason, it’s painful. And so we partner with the Holy Spirit.

“There’s a scripture that I love, ‘Search me oh God, know me and know my anxious thoughts.’ Ask God to show you those things in you that you’ve hidden that you are not even aware of. And they’re really at the root of why you do what you do.

“So pray for wisdom about some of the limiting beliefs that are holding you back. And limiting beliefs are thoughts that you have about yourself direct your habits, that direct the things you do.

“Pray and search for wisdom in allowing the Holy Spirit to show you just what are those things that are limiting you from reaching your goals. And that’s what it means to go deeper instead of scratching the surface.”

3. Auto piloting

“What auto-piloting means is that we just do what we do every day on automatic.

“You wake up, you grab something quick to eat, and you don’t think about what you’re eating, you don’t take the time to pray. And this is because of the busyness. We’re just going and going and going.

“We’re not taking the time to stop and notice what we’re doing. We don’t take the time to notice why we’re doing it. We don’t take the time to prepare healthy foods.

“Living on automatic pilot means we’re just not in control of our food choices. And most of the time we’re just so overwhelmed in our day-to-day living that our health doesn’t even make it on our to-do list. And that leaves feeling very out-of-control and the overwhelm comes in again.”

What can Christian women do to overcome this mistake?

“How do you come off autopilot? Well, some of the simple things that we’ve taken for granted like praying before you eat.

“Instead of saying, ‘God bless this food’ ask for self-control before you eat a meal. As you wake up in the morning, just give your health over to God. ‘Lord, direct my day. Help me to make good choices. Help me to look for ways to be more active.’ Include your health in your morning prayer.

“Even as you go throughout the day when you have that attitude of gratitude about your health and you realize that, ‘Look at me, I can move. I can exercise. I have the freedom to eat foods.’

“If you take those three together, ‘God be with me as I go throughout my day. I want my body to honour You. I want my health to glorify You and honour You’ then it takes you out of that automatic, ‘Okay I got wake up, I got to shower, I got to get to work, I got to feed the kids’.

“You get out of that routine by noticing, ‘Okay Lord, my health is important and that’s why I’m turning it over to You.’ It really changes your perspective on your health because so often you don’t even think about it.

Bonus strategy

“And I just want to add a big thing and that’s to breathe.

“A big breath in, and exhale. And when you can do that and tie that breath to a small little, ‘Holy Spirit be with me’ or ‘Thank You, God’. So tie the breath in throughout the day to just kind of give you a pause in that day.

“And that can get you off the automatic pilot but just saying, ‘Okay I’m going to stop and I’m going to take a breath.’ And right there, you’ve just settled yourself, you’ve just come out of autopilot and you’ve tied yourself back into the power of the Holy Spirit.”

Since interviewing Cathy, I have incorporated these strategies into my own routine. I love the “breath pause”. And I especially love the idea of including your health in your morning prayer. It’s so easy to be creatures of habit and just go on autopilot and these are strong strategies to use.

Although the podcast is no longer available, if you’d like a copy of any of the full interview transcripts, please send me an email.

This has been an excerpt from the Health Matters Podcast, believing that prayer & Bible study are to the spirit what exercise and healthy eating are to the body.

Blessings on your journey to health.

EndoCheck Clinical Trial – AZGyn

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EndoCheck Clinical Trial – AZGyn

1 out of 10 women have endometriosis, a condition that can significantly impact a person’s quality of life. As with many conditions, the earlier the diagnosis, the better the treatment outcomes. Unfortunately, laparoscopy, an invasive procedure, is currently the only definitive way to diagnose endometriosis.

What Is Endometriosis?

If you are facing a diagnostic laparoscopy due to your endometriosis-related symptoms, you may be eligible to participate in the EndoCheck clinical trial.

Endometriosis is a chronic medical condition in which tissue similar to the lining of the uterus, called the endometrium, grows outside the uterus. Normally, the endometrium remains within the uterus and simply thickens throughout the month before being shed during menstruation. With endometriosis, this tissue grows in the pelvic cavity, on the surface of the uterus, and other organs, such as the ovaries, fallopian tubes, and tissues lining the pelvis.

While the endometrium is shed during menstruation and exits via the vaginal opening, the tissue outside of the uterus has no way to leave the body. Over time, this can cause inflammation, scarring, and painful adhesions.

Stages of Endometriosis

Endometriosis is classified into stages based on the severity, extent, and location of the disease.

 

EndoCheck Clinical Trial – AZGyn

The staging system used to classify endometriosis is the Revised American Society for Reproductive Medicine (rASRM), which categorizes endometriosis into four stages. 

  • Stage 1 endometriosis is considered minimal, typically with minimal adhesions or scar tissue, and generally localized within the pelvic cavity.
  • Stage 2 endometriosis is mild, with numerous or slightly larger lesions, and involves both ovaries and other pelvic structures.
  • Stage 3 endometriosis is moderate, with multiple implants or lesions and deeper infiltrating lesions affecting the ovaries, fallopian tubes, or uterus. It may distort the anatomy and organ function.
  • Stage 4 endometriosis is severe and consists of extensive implants or lesions scattered throughout the pelvic cavity. It may extend to other parts of the body, such as the bowels or bladder.

Endometriosis at a more advanced stage does not always mean you will have more severe symptoms or pain. For example, some women with stage 4 endometriosis may have few or no symptoms, whereas others with stage 1 can experience severe symptoms.

Endometriosis Evaluation and Diagnosis

In order to diagnose endometriosis, a doctor will assess medical history, perform a pelvic exam, and run diagnostic tests.

During the review of your medical history, your doctor will ask about your symptoms, whether you have any risk factors associated with endometriosis, your periods and pelvic pain,  and whether you are experiencing infertility.

Invasive laparoscopy procedure

During the pelvic exam, your doctor will check for tenderness or pain. Afterward, your doctor may order imaging tests to examine the tissues around your pelvic area visually. Your doctor may make a “clinical diagnosis,” but this is not currently definitive without an invasive laparoscopy procedure.

A laparoscopy involves a small incision made in the abdomen near the belly button. The surgeon will insert a laparoscope – a long, thin tube equipped with a light and camera – through the incision before inflating the abdominal cavity with carbon dioxide gas. This will allow the surgeon to identify and examine any endometrial implants and even take a biopsy to send for laboratory analysis.

While laparoscopies are far less invasive than open-cavity surgery, they still involve some risk and recovery time. Fortunately, research is ongoing to demonstrate the effectiveness of a new diagnostic tool, the EndoCheck clinical test.

What Is EndoCheck?

If you are scheduled to undergo diagnostic laparoscopy to be evaluated for endometriosis, you may be eligible to access a non-invasive blood test called EndoCheck. This diagnostic test for endometriosis can help your gynecological professional diagnose endometriosis and guide decisions related to your ongoing care. Help us as we work to validate this procedure, potentially eliminating the need for laparoscopy in the future.

To be eligible to participate, you must:

  • Be able to provide written and informed consent or obtain the consent of an authorized representative or guardian.
  • Be a female aged 14 to 50 years old.
  • Be scheduled to undergo laparotomy or laparoscopy for suspected endometriosis.

How the EndoScope Clinical Trial Works

If you choose to participate, the endometriosis clinical trial will last approximately three months and include two visits to the Arizona Gynecology Consultants office. Upon arrival, you will complete an informed consent form along with an Endometriosis Health Profile Questionnaire and case report forms. Afterward, a blood sample will be collected.

How the EndoScope Clinical Trial Works

After your laparoscopy, and if you are confirmed to have endometriosis, you will complete the Endometriosis Health Profile Questionnaire again. We will compare the results of the blood study test to the pathology reports and surgical observations obtained during your surgery.

Why Participate?

The goal of EndoCheck is to evaluate a new investigational test that may be able to detect endometriosis without the invasive procedure. Participating in this study allows you to be a part of changing the endometriosis prognosis journey and improving women’s quality of life. It may also reveal additional information about the medical roots of endometriosis.

Endometriosis Causes

The exact cause of endometriosis is not clear, but researchers have identified some promising theories.

Retrograde Menstruation

One theory suggests that during menstruation, some of the menstrual blood containing endometrial cells flows backward through the fallopian tubes into the pelvic cavity instead of leaving the body. These cells then implant and grow on the pelvic organs, causing endometriosis.

Coelomic Metaplasia

The theory of coelomic metaplasia suggests that certain cells lining the pelvic cavity can transform into endometrial-like tissue in response to hormonal or inflammatory signals. These transformed cells then create endometriosis lesions.

Embryonic Cell Changes

Some researchers speculate that endometriosis may result from embryonic cells that retain the ability to develop into various types of tissue, including endometrial-like tissue. These cells may become misplaced during embryonic development and create endometriosis lesions later in life.

Surgical Scar Complication

Surgical procedures involving the reproductive organs or pelvic cavity can cause tissue trauma, inflammation, and scarring, which may create an environment prime for the development of endometriosis. Inflammatory processes associated with surgical healing can promote the adhesion and proliferation of endometrial cells outside of the uterus.

Immune System Condition

A potential problem with the immune system is that the body may not recognize and destroy endometriosis tissue since it is produced within the body. Endometriosis has also been associated with systemic lupus erythematosus (SLE) and Hashimoto’s thyroiditis.

Genetics

Endometriosis may affect some people more often due to a genetic trait passed down in their families. Women with a close relative who has endometriosis, such as a mother, sister, or daughter, are at an increased risk of developing the condition themselves compared to those with no family history.

Endometriosis Symptoms

The main symptom of endometriosis is pelvic pain, often linked with menstruation. This pain can be a dull ache, cramping, or even sharp stabbing sensations, depending on the person. It may even worsen over time.

Endometriosis Symptoms

Other common symptoms include: 

Painful Periods

Painful periods, medically known as dysmenorrhea, are a common symptom of endometriosis. This pain can be debilitating and may interfere with daily activities and quality of life. Some people with endometriosis experience deep pelvic pain or pressure during menstruation from the presence of endometrial implants or lesions near the cervix, uterus, ovaries, or rectum. Endometriosis pain can also impact the lower back, thighs, or buttocks.

Dyspareunia

Dyspareunia occurs when endometrial or scar tissue in the pelvic region causes pain or discomfort during sexual intercourse. This can lead to difficulties with intimacy and potential strain on relationships.

Infertility

Endometriosis is the leading cause of infertility in women, affecting up to 30-50% of women who experience infertility. The disease can distort pelvic anatomy, interfere with ovulation, and damage eggs and sperm.  Alterations in the endometrial lining may also affect embryo implantation and early pregnancy development, along with changes in hormone levels, inflammation, and immune system dysfunction.

Gastrointestinal Symptoms

Endometrial growths on pelvic organs and bowels can lead to bloating, constipation, diarrhea, abdominal cramping, and nausea and vomiting. Endometrial growths or adhesions near the rectum or sigmoid colon can cause discomfort or pain during bowel movements. These can all worsen during menstruation.

Fatigue

Chronic pain and discomfort, pain management, coping with symptoms, and disrupted sleep patterns can contribute to fatigue and exhaustion. This is an often overlooked symptom, but it can significantly impact a person’s quality of life.

Urinary Symptoms

Some women may experience endometrial growths that affect the urinary tract. Endometriosis can cause interstitial cystitis (IC), which is a chronic condition that causes bladder pain, urinary urgency, frequency, and discomfort. Women with endometriosis may also be at an increased risk of urinary tract infections because of urinary retention, inflammation, or obstruction caused by endometrial growths or adhesions.

Other Symptoms

Endometriosis can also cause back pain, leg pain, heavy menstrual bleeding, and irregular menstrual cycles. The extent and severity of these symptoms will vary among each individual, and some women do not have any symptoms. As mentioned, having a more advanced stage of endometriosis, such as stage 4, does not mean more severe symptoms or pain.

Many symptoms may not be typically associated with endometriosis, which can complicate diagnosis and treatment. People may think they have irritable bowel syndrome (IBS) or uterine fibroids, but diagnostics reveal endometriosis.

Treatment Options

While endometriosis currently has no cure, there are treatment options available to help manage pain, slow tissue and implant growth, and help with potential infertility.

The first line of treatment is medication, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and acetaminophen, combined (estrogen-progestin) contraceptives, progestin, gonadotrophin-releasing hormone (GnRH) agonists, danazol, or aromatase inhibitors are the most commonly prescribed.

If medications are not working, surgery may be a choice. Surgeries may be used to remove scar tissue and endometrial implants or hysterectomy with or without bilateral scalping-oophorectomy. This involves the removal of the uterus while leaving or removing the ovaries and fallopian tubes.

What are the Risk Factors for Endometriosis?

It is possible to develop endometriosis later in life, but it usually manifests during a woman’s reproductive years.

Treatment Options

Factors that raise the risk of endometriosis include:

  • Starting your period at an early age
  • Starting menopause at an older age
  • An abnormal uterus
  • Heavy periods that are longer than seven days
  • A menstrual cycle that is shorter than 27 days
  • Higher levels of estrogen in your body or greater exposure to estrogen than your body normally produces
  • Low body mass index
  • You have a genetic connection to family members with endometriosis.

Additionally, any health condition that prevents menstrual blood from leaving your body can increase your risk of endometriosis.

Help Reduce the Impact of Endometriosis

Endometriosis can significantly impact a woman’s life, including physical health, emotional well-being, relationships, work, and social activities, due to severe pain, fatigue, infertility, anxiety, and depression. Addressing endometriosis will help empower those experiencing it and improve women’s sexual and reproductive health, quality of life, and well-being. First, however, it’s crucial to make the process of diagnosing endometriosis as painless and stress-free as possible. We urge you to consider participating in the EndoCheck clinical trial and potentially help minimize the impact of endometriosis on others.

If you’re interested, please contact your surgeon at Arizona Gynecology Consultants for further information.


Resources:

  1. Endometriosis. (2021, February). Www.acog.org. https://www.acog.org/womens-health/faqs/endometriosis
  2. World Health Organization. (2023, March 24). Endometriosis. World Health Organization; World Health Organization. https://www.who.int/news-room/fact-sheets/detail/endometriosis
  3. Matsuura, K., Ohtake, H., Katabuchi, H., & Okamura, H. (1999). Coelomic metaplasia theory of endometriosis: evidence from in vivo studies and an in vitro experimental model. Gynecologic and Obstetric Investigation, 47 Suppl 1, 18–20; discussion 20-2. https://doi.org/10.1159/000052855
  4. John Hopkins Medicine. (2024). Endometriosis. John Hopkins Medicine. https://www.hopkinsmedicine.org/health/conditions-and-diseases/endometriosis
  5. Endometriosis. (n.d.). Yale Medicine. https://www.yalemedicine.org/conditions/endometriosis
  6. Mayo Clinic. (2023, October 12). Endometriosis – Symptoms and Causes. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/endometriosis/symptoms-causes/syc-20354656
  7. Bafort, C., Beebeejaun, Y., Tomassetti, C., Bosteels, J., & Duffy, J. M. (2020). Laparoscopic surgery for endometriosis. Cochrane Database of Systematic Reviews, 10(10). https://doi.org/10.1002/14651858.cd011031.pub3
  8. Endometriosis: Does It Cause Infertility? (n.d.). Www.reproductivefacts.org. https://www.reproductivefacts.org/news-and-publications/fact-sheets-and-infographics/endometriosis-does-it-cause-infertility/
  9. American Society for Reproductive. (1997). Revised American Society for Reproductive Medicine classification of endometriosis: 1996. Fertility and Sterility, 67(5), 817–821. https://doi.org/10.1016/s0015-0282(97)81391-x

Lemon Bites Healthy Recipe – Fit4Females®

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Lemon Bites Healthy Recipe – Fit4Females®

These Lemon Bites are healthy and easy to make. Watch the live video of me making Lemon Bites with our Fit4Females group.  To increase the protein, I add my favourite clean Protein Powder.   Get on the list to be notified about recipes and my new Fit4Females Recipe Book coming soon here.

Lemon Bites Healthy Recipe – Fit4Females®

Lemon Bites with Trina Medves

Gluten free, dairy free, vegetarian, naturally sweetened

Click here to print recipe.

Ingredients:

  • 1 scoop vanilla protein powder *Complete is my favourite
  • 1 1/3 cup gluten-free old fashioned rolled oats
  • 1 cup Medjool dates, pitted
  • Juice from 1 large lemon
  • 1 tsp pure vanilla extract
  • Optional: Shredded coconut

How to Make:

  1. Combine all ingredients (except coconut) in a food processor. You can also mix in a bowl with finely chopped dates.
  2. Using about 1 heaping tbsp of the mixture at a time, roll between hands to form 1-inch balls. I prefer using a cookie scooper because it’s sticky.
  3. Roll in shredded coconut.
  4. Store Lemon Bites in the refrigerator for up to 1 week in an airtight container or in the freezer.

Trina’s Tidbits:

This Lemon Bites recipe is part of our 10 Day Shred Program. Making snacks at home ensures healthier ingredients and less additives than store bought. Full of lemons which are so good for our bodies.

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Trina Medves

Lemon Bites Healthy Recipe – Fit4Females®

Women’s Health Info Site – Women’s Health Education Program: Fertility Fraud: Definition and Implications

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Women’s Health Info Site – Women’s Health Education Program: Fertility Fraud: Definition and Implications

There has been recent news in the media about the sons and daughters of patients born
via artificial insemination suing the clinic from which they were conceived. It turns out, due to
the advent of commercial DNA tests, many people are finding out that they have numerous half
siblings in the world. Tracing the issue back to its root, finds that a few infertility physicians
were using their own sperm to impregnate their patients. This is not only a breach of the
physician-patient relationship, but also of human rights.


One example of this happened in Canada, where Dr. Norman Barwin, now 80, had given the wrong sperm to over 50 patients who later gave birth, in addition to using his own sperm. In 2015, the daughter of his patient had taken a commercial DNA test and had found that her cousin was a relative of Barwin’s. Later on, another patient became suspicious when she gave birth to a daughter in 1990 who was born with Celiac’s disease, a condition neither she nor her husband had. The daughter of that patient took a DNA test and found that she was half siblings with the daughter of the previously mentioned patient. In 2016, Dr. Barwin was accused in a lawsuit of giving the wrong sperm to an additional 50 to 100 women who later gave birth.


When confronted with the fact that several of his patients had children with his DNA, Barwin had
claimed that he was calibrating the automatic sperm counter with his own semen and that some of it
probably got mixed in with donor sperm. This excuse is highly unlikely as it was found that he had
fathered 11 children from his patients.


“Fertility fraud,” defined as “people conceived through errors, misdeeds in the industry,” is the
recently coined phrase for this type of crime. However, fertility fraud has been going on for quite
some time. Only recently has it been more in the media due to the availability of commercialized
DNA tests. Another example of fertility fraud happened in Indianapolis in 1979.       

                               

Women’s Health Info Site – Women’s Health Education Program: Fertility Fraud: Definition and ImplicationsDr. Donald Cline (shown in the image) had opened a fertility clinic at a time when fertility treatment was a relatively novel specialty. A few years ago, a group of women filed a complaint against Cline saying that they found out they were all half siblings and they had all been conceived using sperm from Cline’s office. It was later found that Cline had fathered more than 48 children born between 1979 and 1986. When this was reported to local law enforcement, it was said that there is no law in Indiana against Cline for using his own sperm to inseminate his patients. The only crime he committed was a felony, obstruction of justice for lying to state investigators. He was sentenced to a year in prison.


Regardless of whether or not fertility fraud is a crime is not important. This idea violates
patients’ rights to know what sort of medical treatment they are getting. This violates the
physician-patient relationship of informed consent. Cline could claim that he had benefited his
patients. He had greatly increased their chances of getting pregnant, since he was using fresh
sperm, which has higher rates of success than frozen sperm. However, patients expressed shock and
outrage at learning what he had done. One patient stated that she felt like she had
been raped.


We as physicians (and future physicians) play an important role in making sure our patients feel
comfortable and safe. A betrayal of this relationship is a crime in human rights. This has further
implications in the future of fertility treatment in general, as well as tougher penalties for the
perpetrators. Since fertility fraud is relatively unprecedented, it still waits to be seen how these cases will be handled legally.

Cassie Zhi     DUCOM 2020



Addendum: Almost Family is an American television series based on the Australian television series, Sisters, about a pioneering fertility doctor who uses his own genetic material to conceive dozens of children.