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MoonDragon's ObGyn Information

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Endometriosis is a chronic, progressive disorder in which tissue (cells) resembling the inner lining of the uterus (endometrium) grows and appears at unusual locations in the lower abdominal cavity. This tissue may be found on the outer surface of the uterus, the ovary surfaces; fallopian tubes; on the intestinal wall and bowel; the urinary bladder; the pelvic floor; and/or the peritoneum (the membrane that lines the walls of the abdominal cavity); and within the uterine musculature. The most common site of endometriosis is believed to be the deep pelvic peritoneal cavity, or the cul-de-sac behind the uterus low in the pelvic cavity; and rarely, at other sites far away. The presence of endometrial implants outside the pelvic area is uncommon.

The 4 stages (classification) of endometriosis (minimal, mild, moderate or severe) are used to describe the anatomic location and the severity of the disorder. Endometriosis can affect females between puberty and menopause, but is most common between ages 20 and 30, but occurs primarily between the ages of 25 and 40 when estrogen accumulates at its highest levels. Curiously, European women rarely get it.



During the normal menstrual cycle, a continually changing hormonal environment stimulates the endometrium to grow in preparation for a possible pregnancy. This same cycle causes a follicle within one of the ovaries to ripen, and an egg is released. Finger-like tissues on the fallopian tube grasps the egg, and the tiny, hair-like cilia inside the tube transport it toward the uterus, the lining of which is now spongy and well supplied with blood. If the egg is not fertilized within 24 hours or so of being released, the uterine lining proceeds to "die" and to be sloughed off, and to pass through the vagina during the menses.

Some of these endometrial cells may, instead of being expelled from the body during the menstrual process, actually end up continuing their cycle elsewhere in the body. They have no way of leaving the body, so material builds up and may attach itself to other organs in the lower abdomen, such as the ovaries or bowel.

Though not inside the uterus, the abdominal implants of endometriosis also respond to the hormonal changes controlling the menstruation. Like the uterine lining, these fragments build tissue each month, then break down and bleed, which causes scar tissue to form around the site.

Unlike blood from the uterine lining, however, blood from the implants has no way to leave the body. Instead, it must be absorbed by surrounding tissue, which is a comparatively slow process. In the meantime, the blood accumulates in body cavities. The entire sequence, from bleeding through absorption, can be painful.

endometrial implant sites

As the menstrual cycle recurs month after month, the implants may get bigger. They may seed new implants and form localized scar tissue and adhesions - scar tissue that attaches to pelvic organs and binds them together. This contributes to the pain of endometriosis, and it can cause extreme pain in a subsequent pregnancy, as the uterus enlarges and the organs within the abdomen are pushed into different positions. Sometimes a collection of blood called a sac or cyst forms. Endometrial or "chocolate" cysts are common on the ovaries. These are usually found to contain moderate amounts of oxidized blood, which looks something like chocolate syrup. If a cyst ruptures, it can cause excruciating pain.

Because endometriosis depends on hormonal cycles, and pregnancy temporarily interrupts those cycles, many women find their symptoms improve during pregnancy. In some cases, the improvement may be permanent, presumably because the break from cycles of growth, bleeding, and scarring finally allows the implants to heal and be shed. In other cases, however, the relief is only temporary, and once the hormonal cycles return to normal, the symptoms of endometriosis recur.

An estimated 5 to 7 million (about 10 percent) American women suffer from endometriosis. Endometriosis usually affects women during their reproductive years and is a common cause of infertility. Many of these women do not seek medical attention because their symptoms are mistaken for normal menstrual discomfort. Many women who develop endometriosis have a greater history of yeast infections, hay fever, eczema, and food sensitivities.

Endometrial growths are usually benign (not cancerous), yet it is believed that women with endometriosis are at greater risk of developing breast cancer, melanoma, lymphoma and ovarian cancer.


These symptoms vary widely from woman to woman. Some experience little to no pain, while others suffer excruciating pain in the pelvic region. Severity of pain is usually tied to the size and location of the lesions, which can continue to develop and seed new growths. Lesions may attach to multiple organs, pulling them together and causing even more pain, especially during pregnancy. The following symptoms may begin abruptly or develop over many years:
  • Increased pelvic pain during menstrual periods, especially the last days, or the pelvic pain may occur at any time. The pain can be incapacitating in the uterus, lower back, and organs in the pelvic cavity prior to and during the menses. Intermittent pain can be present throughout the menstrual cycle.

  • Pain with sexual intercourse. Blood following intercourse.

  • Cysts may form on the ovaries which contain oxidized (decomposed) blood. As these cysts rupture they cause excruciating pain.

  • Pre-menstrual spotting. Excessive bleeding, including the passage of large clots and shreds of tissue during the menses.

  • Because menstruation is typically heavy, iron-deficiency anemia is common. Women whose cycles are shorter than 27 days and/or whose periods last longer than one week are at increased risk of anemia.

  • Nausea, vomiting, and constipation during the menses.

  • Dysuria (pain while urinating), blood in the urine.

  • Iron deficiency anemia is common. Women with cycles shorter than 27 days and those with periods lasting over a week are at increased risk of anemia.

  • Back pain.

  • Pain with intestinal contractions.

  • Dyschezia (difficulty passing stools due to weak pelvic muscles and anal sphincter), blood in the stool (sometimes). Bowel inflammation from scarring.

  • Intestinal gas.

  • Sometimes depression and insomnia.

  • Infertility. Most women who have Endometriosis have never been pregnant, and as many as 40 percent of women with infertility problems have endometriosis.

  • Vulnerability to endometriosis seems to run in families; the condition often passes from mother to daughter.

  • Endometriosis is exacerbated (made worse) by anything that irritates the uterus, such as pelvic infection, constipation, uterine fibroids or cancer, or the presence of an IUD or a tampon. Even ingesting caffeine, alcohol or fried foods increase the problem.

Growths of endometrial tissue outside the uterine cavity occur most often in or on the ovaries, the fallopian tubes, the urinary bladder, the bowel, the pelvic floor, and/or on the perineum (the membrane that lines the walls of the abdominal cavity), and within the uterine musculature.

The most common site of endometriosis is believed to be the deep pelvic peritoneal cavity, or the cul-de-sac. The presence of endometrial implants outside the pelvic area is uncommon.


The actual causes for endometriosis is unknown, however several theories have been proposed. The following theory is most accepted among medical professionals.


This theory was developed by John Sampson, M.D. in 1920.

Normally during ovulation, the uterus lining thickens to prepare for implantation of a fertilized egg. If this does not occur, the lining tissue peels away from the uterus and is expelled in the menstrual flow.

According to this theory, in some cases, this material (the menstrual fluid) builds up and passes backward into and out of the fallopian tubes into the pelvic (peritoneal) cavity. Here it floats freely and the endometrial cells attaches and implants themselves to other tissues and grows.

The transplanted tissue reacts each month as if it were still in the uterus, thickening and peeling away. New bits of peeled-off tissue create new implants. The growing endometrial tissue between pelvic organs may cause them to adhere together, producing pain and other symptoms.

While this theory offers an answer to the question of what causes endometriosis, it has never been proven.


Another popular theory states that endometriosis is caused when endometrial cells spread to other parts of the body through blood and lymphatic channels.


Still another theory postulates that endometriosis is in effect a congenital condition. See An Alternative Theory & Treatment for Endometriosis for more information.


Despite disagreement over the cause, more is known today about this condition than ever before. For example, research has shown that exposure to environmental polychlorinated biphenyls (PCBs) and dioxin, two types of hazardous waste materials, can cause spontaneous endometriosis.

This may account for the rising incidence in the condition over the last few decades.


Most women who suffer from endometriosis have never been pregnant, and as many as 30 to 40 percent of women who report infertility problems actually have endometriosis. According to the Endometriosis Association, women who develop this condition have a history of more vaginal yeast infections, hay fever, eczema, and food sensitivities than most women. In addition, vulnerability to endometriosis appears to run in families. According to the Journal of American Medical Association, an estimated 5 to 7 million American women, many of them young, suffer from endometriosis.

Once labeled the "working woman's disease," endometriosis is now known to affect as many as 12 million American women - approximately 10 percent of the female adult population - from all walks of life. Unfortunately, many women fail to seek medical help because they mistake the symptoms of this disease for normal menstrual discomfort.

The exact relationship between infertility and endometriosis remains somewhat unclear, however. There is debate in the medical community over whether endometriosis causes infertility, or whether delaying childbearing results in endometriosis - or both.


  • Women who do not become pregnant or delay childbirth.

  • Family history of endometriosis. It seems to often be passed from mother to daughters.

  • Cervical stenosis (narrowing or closing).


  • There are no known preventive steps. Early diagnosis and appropriate treatment help prevent the spread of the endometriosis.

  • Home treatment can ease the pain of the disease. Women who suffer from endometriosis are advised to apply a heating pad to the lower abdominal area to relieve pain and increase circulation during painful periods. Exercise regularly and use relaxation techniques to lower stress. Sometimes sexual activity can help ease the pain, but in some cases, intercourse can make symptoms worse.

  • See below for a nutrient program and other recommendations outlined below which may help to keep endometriosis under control if it is diagnosed in the early stages.


  • Without treatment, endometriosis becomes increasingly severe. It subsides after menopause when estrogen production decreases.

  • Symptoms can be relieved with medication, and the disorder is sometimes curable with surgery. Hormone therapy or hysterectomy (removal of the uterus) may be done.

  • Women with severe disease have less success with treatment.


  • Sterility (from tissue implants constricting the fallopian tubes).

  • Disabling, but never life-threatening.

  • Bowel or bladder problems.

  • Adhesions of pelvic organs.

  • Recurrence of endometriosis after surgery.

  • Implants on the ovary can lead to large cysts and pelvic masses called endometriomas.

  • Medication in the form of hormonal therapy with danazol, which suppresses estrogen and and initiates false menopause, will produce menopausal symptoms complete with hot flashes, vaginal dryness and decreased sexual drive. Many women are reluctant to take this drug.



  • Diagnosing the disorder may take time, requiring repeated examinations or surgical diagnostic procedures, such as laparoscopy. Laparoscopy is the procedure most commonly used to diagnose endometriosis. A laparoscope is a telescope instrument with fiber optic light. The laparoscope (or a smaller version, the microlaparoscope) is inserted into the abdomen through a small incision in the naval and visual examination of many abdominal organs is possible. Laparoscopic procedures are usually done on an outpatient basis.

  • Treatment after diagnosis will vary depending on the stage of the disease and the patient's age and desire to have children.

  • If you want children, consider pregnancy as soon as possible. Pregnancy may offer some relief from the disorder. Delaying pregnancy may result in infertility.

  • Because endometriosis depends on hormonal cycles and pregnancy temporarily interrupts those cycles, many women find that their symptoms improve during pregnancy. In some cases, the improvement may be permanent, presumably because the break from the cycles of growth, bleeding, and scarring finally allows the implants to heal and be shed. In other cases, however, the relief is only temporary, and once the hormonal cycles return to normal, the symptoms of endometriosis recur. Note: Women who breastfeed totally and regularly can delay the return of their normal menstrual cycles for several months after the birth of their baby. Regular breastfeeding inhibits the release of estrogen by the ovaries, which suppresses ovulation and the growth and development of the endometriosis.

  • Use sanitary napkins instead of tampons. Tampons may make backward menstrual flow more likely. They can also aggravate pain and cramping.

  • Use heat to relieve pain. Place a heating pad or hot-water bottle on your abdomen or back, or take warm baths to relax muscles and relieve discomfort. The warmth relaxes the muscles that cramp and cause pain. For some women, cold therapy is more helpful. Place an ice pack on the lower abdomen.

  • Laser surgery or electrocoagulation may be used to remove the abnormal growths. This is an excision option less traumatic than hysterectomy that is used to treat milder cases. A laparoscopy is used with laser surgery to identify and vaporize adhesions, cysts, and endometrial implants. The procedure has yet to be perfected; repeated laparoscopy may be necessary. Advances in this technique are being made at a rapid rate, however, and the need for repeat procedures may soon be a thing of the past.

  • If endometriosis is severe and disabling, or if drug therapy fails, and you do not wish to have any more children, hysterectomy may be recommended. However, hysterectomy does not always relieve all the symptoms, especially if there are implants of endometrial tissue throughout the pelvic region.

  • Additional information or help in finding a support group is available from:

  • Endometriosis Association International Headquarters
    8585 North 76th place
    Milwaukee, WI 53223
    (414) 355-2200
    (800) 992-ENDO
    (800) 922-3636 (North America & Caribbean)
    (414) 355-6065 (fax)


  • Some nutrition researchers have theorized that endometriosis is related to the inability to absorb calcium properly. Another theory cites food allergies as part of the cause of endometriosis, and recommends removing all allergenic foods from the diet plus administering treatment for candida, using nystatin.

  • Dioxins may be linked to endometriosis. Dioxins are chlorinated hydrocarbons and can be found in feminine hygiene products such as a by-product of the bleaching process. Dioxin can be absorbed into the body where it collects in fatty tissue. Pesticides are another source of dioxins, as is the effluent from some types of waste incinerators.

  • Endometriosis is a benign (non-cancerous) condition, but research shows that women who have endometriosis are at greater risk of developing breast cancer, melanoma, lymphoma, and ovarian cancer than women who do not.

  • Adenomyosis is a condition similar to endometriosis in some respects, but it is confined to the uterus. This condition is common in women who have had several children. The uterine wall does not contract as it should, and blood flow continues after menstruation. Endometrial ablation is a 30 minute outpatient treatment for adenomyosis. In this procedure, a balloon is inserted into the uterus and filled with water. The water is heated, causing the blood vessels to seal, thus stopping the bleeding.


    Medical treatment recommended for endometriosis depends on how far the condition has progressed.

  • You may use non-prescription drugs, such as nonsteroidal anti-inflammatory drugs (NSAIDs), to relieve minor pain.

  • Stronger pain relievers may be prescribed.

  • Oral contraceptives, progestogens, danazol, gonadotropin-releasing hormones (Gn-RH) are commonly used drugs for treating endometriosis by suppressing ovarian function.

  • The synthetic versions of a reproductive hormone, gonadotrophin-releasing hormone (GnRH), such as leuprolide (Lupron), nafarelin (Synarel), and goserelin (Zoladex), can be used. Taken for 6 months, these drugs may help lesson the symptoms of endometriosis for a year or more. They work by stopping the production of estrogen. The side effects of GnRH are the same as the effects of menopause.

    • Danazol (Danocrine): Health care providers may prescribe a drug called danazol, which "shuts off" or stops the normal hormonal cycles, in an attempt to control the blood flow and pain, and in hopes of keeping the abnormal tissue from spreading and inducing the growths to heal and shrink. Some health care providers prescribe oral contraceptives (birth control pills) for essentially the same reason. Danazol has been shown to improve symptoms for 89 percent of women who take it and to reduce the size and number of implants. Weight gain and a deepened voice are possible side effects, but are usually reversible when the medication is stopped. However, symptoms may also reappear after medication is stopped.

    • Raloxifene (Evista): This drug was approved initially to prevent bone loss in women. It may block the manufacture of estrogen in the uterus lining, thus preventing the growth of endometriosis.

    • Nafarelin, available as a nasal spray called Synarel: This relieves symptoms and helps shrink endometrial lesions. In a trial involving 247 women treated with nafarelin for 6 months, 85 percent had their implants shrink or disappear and their symptoms relieved. 6 months after treatment, however, symptoms reappeared in half of those who had been helped. Possible side effects are similar to some of the discomforts of menopause, including hot flashes, vaginal dryness, and lighter, less frequent, or no menstruation. Other effects include headaches and nasal irritation.

    • An injectable drug named leuprolide (Lupron) is similar to nafarelin. Treatment consists of one injection a month for 6 months. In clinical studies, the effectiveness of leuprolide has been found to be about the same as that of danazol, according to the manufacturer. Potential side effects are similar to those caused by nafarelin.

  • A synthetic male hormone is sometimes used to temporarily stop menstrual cycles completely. This type of hormone causes excess facial hair growth and a deepening of the voice.


  • Daily moderate exercise, such as walking or stretching, is beneficial and helps in relieving pain and reduces estrogen levels which may slow the growth of endometriosis. According to a report in the Journal of the American Medical Association, strenuous exercise lowers the level of estrogen in the body, and this may help suppress the symptoms of endometriosis. The more aerobic exercise a woman engages in and the earlier she starts, the lower her risk of developing the disease in the first place. This study found that women who exercised more than 7 hours a week had 1/5 the average risk of developing endometriosis. Unfortunately, this beneficial effect was limited to those who began exercising before the age of 26.

  • Some activity restrictions may apply following surgical therapies.


  • Some diet changes may help and diet may be very important in managing endometriosis. Consider following an Estrogen Reduction Diet.

  • Eat a diet consisting of 50 percent raw vegetables and fruits and including soy foods. In addition, eat only whole-grained products (no refined flour products) and raw nuts and seeds. A diet rich in soy and fiber is very important in managing endometriosis.

  • Include "green drinks " made from dark green leafy vegetables in your diet.

  • Use kelp to add iron to the diet. The heavy monthly bleeding that is common in women with endometriosis often leads to iron deficiency.

  • Avoid alcohol, caffeine (it seems to aggravate pain in some women), animal fats, butter, dairy products, fried foods, foods that contain additives, all hardened fats, junk or fast foods, red meats, poultry (except organically raised and skinless), refined and processed foods, salt, shellfish, and sugar.

  • Some nutrition researchers have theorized that endometriosis is related to an inability to absorb calcium properly.

  • Fast for 3 days each month before the anticipated beginning of the menstrual period. Use steam-distilled water and fresh live juices. See Pre-menstrual Syndrome (PMS) and Fasting for more information.


    Nutritional supplements can help balance hormones and reduce estrogen levels. When used properly, they can dramatically reduce bleeding, pain, and cramps that may accompany fibroids and endometriosis. Taking supplements, however, does not mean that you can ignore your diet. The best approach for fibroids, endometriosis, and optimal health is to eat healthy foods and take nutritional supplements. See Nutrition Supplement Chart below for more detailed information.

    Food and Nutrition: Supplement the diet with vitamin C, vitamin B-6, folic acid, calcium, magnesium, essential fatty acids such as linoleic acid, and evening primrose oil. Avoid caffeine, sugar, alcohol, and acid-forming foods (red meat, dairy products, heated or treated oils, and excess carbohydrates, especially refined products).

    Try a short juice fast to clear out the body, and follow up with cultured foods such as miso or tempeh, unless you have a food allergy to soy products. After cleansing the body, plenty of fresh greens, fresh fruits in season, and a reasonable quantity of whole grains provide strength. Include changes to stabilize hypoglycemia (low blood sugar), such as eating smaller meals. As always, eating little or no animal fat decreases harmful excess estrogen.

    The following food items are especially good:

    Soybean (Glycine max) and Other Beans:

    Soybeans are high in estrogen-like plant compounds, genistein and daidzein. These prevent your body from taking up the more harmful forms of estrogen circulating in your blood. These phytoestrogens take the place of the bad estrogen, binding to the cell's estrogen receptor sites and prevent more harmful estrogens from binding to these receptors. They also protect the body from pollutants that chemically mimic estrogen.

    Herbal Remedies: Soy Protein, Unflavored, NOW Foods, 1 lb.

    Herbal Remedies: Soy / Soybean Information

    Herbal Remedies: Soy Supplements & Products

    Bean sprouts supply more genistein (the more active of the two phytoestrogens) than soybeans. As beans germinate, their genistein content increases. If the sprouts have fungi, the genistein content may increase as much as hundred-fold!

    Pinto beans, yellow split beans, black turtle beans, lima beans, anasazi beans, red kidney beans, red lentils, black eyed peas, mung beans, adzuki beans, and fava beans are other sources of these important phytoestrogens.

    If you have endometriosis eat as much edible beans as possible as often as possible. Eat salads made of bean sprouts. Take bean soups, baked beans, and Mexican foods rich in beans such as burritos.

    Flax (linum Usitatissimum):

    Flaxseed contains generous amounts of compounds called lignans. These are believed to help control endometrial cancer.

    Flaxseed might be particularly helpful for anyone who is not a vegetarian, Vegetarians have high blood and urine levels of lignans. Consuming meat suppresses lignans substantially. Flaxseed helps to supplement this deficit.

    Herbal Remedies: Golden Flax Seeds, NOW Foods, Whole Bulk, 16 oz.

    Herbal Remedies: Flax Seed Oil / Flaxseed / Omega-3 / Fatty Acid DHA Supplements & Products

    Peanut (Arachis hypogaea):

    Peanuts contain many of the healthful substances as soybeans and other beans. Many people prefer the taste of peanuts over soybeans.

    The papery red membrane surrounding Spanish peanuts is a source for oligomeric procyanidins (OPCs), substances that may help control hormone dependent cancers and possibly endometriosis.

    Alfalfa (Medicago sativa):

    Alfalfa sprouts contain phytoestrogens. Use them liberally on salads. Eating them also reduces the risk of contracting cancer. (Do not consume alfalfa if you or your family has a history of lupus.)

    Herbal Remedies: Alfa Max, Alfalfa Extract, Nature's Way, 525 mg, 100 Caps

    Herbal Remedies: Alfalfa Powder, Whole Food Supplement, NOW Foods, 1 lb.

    Herbal Remedies: Alfalfa Leaves, Nature's Way, 405 mg, 100 Caps

    Herbal Remedies: Alfalfa, NOW Foods, 650 mg, 500 Tabs

    Herbal Remedies: Alfalfa Supplements & Products

    Evening Primrose Oil (Oenothera biennis):

    EPO contains gamma-linolenic acid (GLA) and tryptophan, substances that promote good health in women. Though there is good evidence suggesting that lower doses of evening primrose oil (EPO) are of value for reproductive imbalance (breast tenderness, PMS), higher doses are reportedly more effective for reproductive damage (inflammation, pain). Other sources of essential fatty acids such as flax, borage, or black currant seed oil are important for a rounded intake of healthy oils, but these do not act as quickly in women with endometriosis. For this reason, higher doses of the more expensive EPO may have to be used for the short term.

    Herbal Remedies: Evening Primrose Oil, 100% Pure, NOW Foods, 4 fl. oz.

    Herbal Remedies: Evening Primrose Oil Supplements & Products

  • Take a good natural multi-vitamin and mineral supplement.

  • Herbal Remedies: Women's Multi-Vitamin Supplements & Products

    Herbal Remedies: Multi-Vitamin & Multi-Mineral Supplements & Products

  • Zinc citrate with a dosage of at least 15 mg per day.

  • Herbal Remedies: Zinc Supplements & Products

  • Vitamin A. Studies have shown that women with excessive menstrual bleeding have significantly lower blood levels of vitamin A than the normal population. And that many women will return to a normal bleeding pattern after two weeks of vitamin A treatment. Recommended dosage is 1,000-5,000 IU per day of vitamin A.

  • Herbal Remedies: Vitamin A Supplements & Products
  • B-complex vitamins help regulate estrogen levels and reduce menstrual pain and cramps. In clinical studies, Vitamin B-6 has led to a reduction in PMS-related cramping, fluid retention, weight gain, and fatigue. Recommended dosage is 50-100 mg of B-complex vitamins daily, with an additional dose of up to 300 mg of vitamin B-6 for women with fibroids or endometriosis.

  • Herbal Remedies: Vitamin B Complex Supplements & Products

  • Vitamin E. Vitamin E to be useful in treating women with heavy menstrual bleeding from fibroids and endometriosis. Recommended dosage is 400-800 IU per day.

  • Herbal Remedies: Vitamin E Supplements & Products

  • Vitamin C, with bioflavonoids, has been used to treat heavy menstrual bleeding. It strengthens capillaries and reduces risk of iron deficiency and anemia in women who bleed excessively by helping absorb dietary iron. Recommended dosage is 1,000-5,000 mg of vitamin C per day in divided dosages. Bioflavonoids also help regulate excessive estrogen levels in the body. Therapeutic bioflavonoid dosages are 750-2,000 mg per day.

  • Herbal Remedies: Vitamin C Supplements & Products

  • Ground whole flaxseeds and cold-pressed organic, rich, golden flaxseed oil are also excellent sources of the two essential oils, linoleic acid (omega-6 fatty acids) and linolenic acid (omega-3 fatty acids). These prostaglandins help to reduce menstrual cramps, breast tenderness, bloating and the effects of PMS. Flax is weakly estrogenic, and the lignans in flax reduce production of estrogen and compete with more potent estrogen for tissue receptors. Recommended dosage is 2 tablespoons of flaxseed oil, or 4-6 tablespoons of ground flaxseeds per day. Dosage should contain 1000 mg per day.

  • Herbal Remedies: Flax Seed Oil / Flaxseed / Omega-3 / Fatty Acid DHA Supplements & Products

  • Iron. Women who suffer from heavy menstrual bleeding due to fibroids and endometriosis tend to be iron deficient. In fact, some medical studies have found that inadequate iron intake may even cause excessive bleeding. Women who suffer from heavy menstrual bleeding should have their red blood count checked to see if they need supplemental iron in addition to a high-iron-content diet. Heme iron, the iron from meat sources like liver, is much better absorbed and assimilated than non-heme iron, the iron from vegetarian sources. To be absorbed properly, iron must be taken with vitamin C. Recommended dosage is 25 mg per day of iron with 30 mg of vitamin C per day.

  • Herbal Remedies: Iron Supplements & Products

  • Calcium and Magnesium. The uterus is susceptible to calcium deficiency. It is made up of muscle, and muscles that are deficient in these two minerals tend to be hyperactive and more likely to cramp. Calcium maintains muscle tone, and magnesium optimizes calcium in your system by increasing its absorption. The recommended daily allowance (RDA) for calcium in menstruating women is 800 mg per day, rising to as much as 1,500 mg per day in post-menopausal women. Calcium can interfere with magnesium absorption. The recommended dosage for magnesium is half as much magnesium as calcium or approximately 400-750 mg per day.
  • Herbal Remedies: Calcium Supplements & Products

    Herbal Remedies: Magnesium Supplements & Products

    Amanda M. Crawford, author of 'Herbal Remedies for Women' recommends the following nutritional supplements daily for women suffering from endometriosis:

    Nutritional Supplements
    For Endometriosis
    Vitamin B Complex
    (containing 2 milligrams B-6)
    Use as directed on label.

    Herbal Remedies: Vitamin B Complex Supplements & Products
    Folic Acid 150 micrograms.

    Herbal Remedies: Folic Acid / Vitamin B-9 Supplements & Products
    Liquid Potassium
    (Taken in recommended doses)
    3 times a day.

    Herbal Remedies: Liqui-K, Liquid Potassium & Magnesium Supplement, TwinLabs, 16 fl. oz.

    Herbal Remedies: Potassium Ionic Mineral Supplement, Fully Absorbable, 340 +/- ppm, 16 fl. oz.

    Herbal Remedies: Potassium Supplements & Products
    Flax Seed Oil Start at 1/8 teaspoon doses, increase to 1 teaspoon per dose or more as tolerated.

    Herbal Remedies: Flax Seed Oil / Flaxseed / Omega-3 / Fatty Acid DHA Supplements & Products
    Vitamin E
    8-10 milligrams alpha-TE
    (alpha tocopherol equivalent)
    May use 200-600 IU (up to 1,200 IU maximum).

    Herbal Remedies: Vitamin E Supplements & Products
    (containing 2 milligrams B-6)
    400 milligrams.

    Herbal Remedies: Magnesium Supplements & Products
    Calcium 800 milligrams.

    Herbal Remedies: Calcium Supplements & Products
    Vitamin A 800 RE (retinol equivalent); may use 5,000 IU
    (up to 50,000 IU for four months or less).

    Herbal Remedies: Vitamin A Supplements & Products
    Vitamin D 10 RE; may use 400 IU
    (up to 1,000 IU maximum)

    Herbal Remedies: Vitamin D Supplements & Products
    Vitamin C 300 milligrams (up to 1.0 grams).

    Herbal Remedies: Vitamin C Supplements & Products
    Evening Primrose Oil (for GLA - Gamma-Linolenic Acid) Eight 500 milligram capsules per day for six to ten weeks (most effective).

    Herbal Remedies: Evening Primrose Oil Supplements & Products


    Unless otherwise specified, the following recommended doses are for adults over the age of 18. The nutrient program and other recommendations outlined below may help to keep endometriosis under control if diagnosed in the early stages.

    Supplement Suggested Dosage Comments
    Very Important
    Vitamin E Start with 200-400 IU daily and increase slowly to 1,000 IU daily. Aids hormonal balance. Use d-alpha-tocopherol form.
    Vitamin E, d-alpha tocopherol, 400 IU, 100 Softgels,
    Ester E Natural Vitamin E, California Natural, 400 IU, 60 Softgels,
    Vitamin E, 400 IU, 100% Natural, NOW Foods, 100 Gels,
    Vitamin E-1000, NOW Foods, 1000 IU, 100 Gels
    Vitamin K or Alfalfa 200 mcg daily. Needed for normal blood clotting. See under herbs below.
    Alfalfa Leaves, Nature's Way, 405 mg, 100 Caps,
    Chlorophyll With Alfalfa Powder, NOW Foods, 100 mg, 90 Caps,
    Alfa Max, Alfalfa Extract, Nature's Way, 525 mg, 100 Caps,
    Alfalfa, NOW Foods, 650 mg, 500 Tabs,
    Alfalfa Powder, Whole Food Supplement, NOW Foods, 1 lb.,
    Chlorofresh Liquid Chlorophyll, From Alfalfa Leaves, Mint Flavor, Nature's Way, 16 fl. oz.,
    Full spectrum Vitamin K, Allergy Research Group / Nutricology, 90 Softgels
    Essential Fatty Acids
    (Evening Primrose Oil & Kyolic EPA are good sources)
    1,500 mg daily. Provides essential fatty acids such as gamma-linolenic acid (GLA) that aid in regulating hormonal and prostaglandin balance.
    Evening Primrose Oil, Cold-Pressed, Nature's Way, 500 mg, 250 Softgels,
    Evening Primrose Oil, Cold-Pressed, Nature's Way, 1300 mg, 120 Softgels,
    Evening Primrose Oil, NOW Foods, 100% Pure, 4 fl. oz.
    Iron As directed by health care provider. Deficiency is common in those with this disorder. Use ferrous fumarate form, if available. Caution: Do not take iron unless anemia is diagnosed.
    Iron Ionic Mineral Supplement, Fully Absorbable, 20 +/- ppm, 16 fl. oz.,
    Iron Gluconate, Nature's Way, 18 mg, 100 Caps,
    Iron Complex With Vitamins & Herbs, Vegetarian, NOW Foods, 250 Tabs,
    Ionic Iron Supplement With ConcenTrace, Trace Minerals, 2 oz.,
    Completia Prenatal Multi-Vitamin With DHA, Folic Acid, & Iron, Nature's Way, 180 Tabs,
    Prenatal Vitamins, Albion Iron, NOW Foods, 120 Caps,
    Alive, Whole Food Energizer, Multi-Vitamin & Mineral With Iron Added, Nature's Way, 90 VCaps,
    Multi Mineral Complex w/ Iron, Nature's Way, 100 Caps
    Floradix Iron + Herbs from Salus Haus As directed on label. An easily assimilated and nontoxic source of iron.
    Vitamin B Complex As directed on label. Promotes blood cell productivity and proper hormone balance.
    Vitamin B-100 Complex w/ Coenzyme B-2, Nature's Way, 631 mg, 100 Caps,
    Vitamin B-50 Complex w/ Coenzyme B-2, Nature's Way, 330 mg, 100 Caps,
    Liquid Yeast, B Complex, TwinLab, 16 fl. oz.,
    B-Stress Vitamin Complex With Siberian Eleuthero, Nature's Way, 100 Caps,
    Ultimate B (Vitamin B Complex Formula), Nature's Secret, 60 Tabs,
    Vitamin B-12 Complex Liquid, NOW Foods, 2 fl. oz.
    Vitamin B-5 (Pantothenic Acid)
    50-100 mg 3 times daily. Relieves stress; needed for proper adrenal function.
    Vitamin B-5 (Pantothenic Acid), 100% Natural, Nature's Way, 250 mg, 100 Caps,
    Pantethine (Coenzyme A Precursor), Highly Active Form Of Vitamin B-5, NOW Foods, 300 mg, 60 Softgels
    Plus Extra
    Vitamin B-6 (Pyridoxine)
    25-50 mg 3 times daily. Aids the body in removing excess fluids.
    Vitamin B-6 (Pyridoxine), Nature's Way, 100% Natural, 100 mg, 100 Caps
    Vitamin C With Bioflavonoids 2,000 mg 3 times daily. Important in the healing process. Use a buffered form.
    Vitamin C 500 W/ Bioflavonoids, 100% Natural, 500 mg, 250 Caps,
    Vitamin C Liquid W/ Rose Hips & Bioflavoids, Dynamic Health, Kosher, Natural Citrus Flavor, 1000 mg, 16 fl. oz.,
    Ester C With Bioflavonoids, Nature's Way, 1000 mg, 90 Tabs,
    Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps,
    The Right C, Nature's Way, 1000 mg, 120 Tabs
    Zinc 50 mg daily. Do not exceed a total of 100 mg daily from all supplements. For tissue repair and immune function. Use zinc gluconate lozenges or OptiZinc for best absorption.
    Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
    Colloidal Silver & Zinc Lozenges, Silva Solution, 90 Lozenges,
    Zinc Lozenges W/ Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges,
    Zinc (Chelated), 100% Natural, Nature's Way, 30 mg, 100 Caps
    Beta-1,3-D-Glucan As directed on label. Stimulates the activity of macrophages, which can remove foreign cellular debris.
    NanoHydrate, With Beta-1,3-D-Glucan, Nature's RX, 90 Caps,
    ABM Mushroom Extract (Agaricus Blazei Murill), 400 mg, 90 VCaps
    ABM contains high level of effective elements such as polysaccarides, both Beta(1-3)D-glucan & Beta(1-6)D-glucan protein compounds, ribonucleic acid protein compounds, acid heteroglucan, xyloglucan, lectin, etc.
    Calcium 1,500 mg daily. To supply needed minerals. Use chelate forms.
    Just An Ounce Calcium & Magnesium Liquid, Almond Flavor, 16 fl. oz.,
    Calcium Citrate / Malate Complex, Nature's Way, 500 mg, 250 Caps,
    Calcium Ionic Mineral Supplement, Fully Absorbable, 700 +/- ppm, 16 fl. oz.,
    Liquid Calcium W/ConcenTrace, Orange Vanilla, Trace Minerals, 1000 mg, 32 fl. oz.,
    Cal-Mag Pre-Chelated Calcium & Magnesium, Vital Earth, 240 Gelcaps
    1,000 mg daily, at bedtime. Works with calcium. Use magnesium chelate form.
    Just An Ounce Calcium & Magnesium Liquid, Almond Flavor, 16 fl. oz.,
    Calcium & Magnesium Mineral Complex, 100% Natural, Nature's Way, 500 mg / 250 mg, 250 Caps,
    Magnesium Ionic Mineral Supplement, Fully Absorbable, 350 +/- ppm, 16 fl. oz.,
    Magnesium Citrate Complex, Nature's Way, 250 mg, 100 Caps
    Kelp 1,000-1,500 mg daily. To supply needed minerals.
    Kelp Seaweed Norwegian, NOW Foods, 100% Natural acophyllum nodosum, 550 mg, 250 Caps,
    Kelp Supplement, Nature's Way, Certified, 650 mg, 100 Caps,
    Kelp Seaweed (Norwegian) Powder, 4 oz.,
    Kelp Seaweed Tincture (Norwegian), 2 fl. oz.
    Multi-Vitamin & Mineral Complex As directed on label. All nutrients are required for repair and healing.
    Maxi Multi Liquid Vitamin w/ Trace Minerals, 32 fl. oz.,
    Super Multi-Vitamin & Multi-Mineral, Pure Vital Earth, 98% Bio-Available For Absorption, 32 fl. oz.
    Damage Control Master Formula, High Potency Multi-Vitamin, 60 Packets (30 Day Supply),
    Women's Living Green Liquid Gel Multi-Vitamin, Irwin Naturals, 90 Softgels,
    Organic Life Vitamins, Peter Gillham's Natural Vitality, 30 Packets, 1 fl. oz. Each,
    Peter Gillham's Liquid Organic Life Vitamins, 32 fl. oz.,
    Enzymatic Therapy, Doctor's Choice MultiVitamin For Women Age 45 Plus, 180 Tabs,
    Electro-Vita-Min, Trace Minerals, 180 Tabs,
    Multi-Vitamin & Mineral Complete, Trace Minerals, 120 Tabs,
    Alive! Whole Food Energizer Multi-Vitamin & Mineral W/ Naturally Occurring Iron (No Iron Added), Nature's Way, 90 Tabs,
    Multi-Vitamin With Minerals, Hi-Tech, 90 Tabs,
    Multi-Vitamin & Mineral without Iron, Complete Vitamin Supplement, Nature's Way, 100 Caps,
    Multi-Vitamin & Mineral with Iron, Complete Vitamin Supplement, Nature's Way, 100 Caps


    Thankfully, many cases of endometriosis can be treated with herbs, but you must be patient - most of the women I know who chose to treat this disorder herbally found that successful treatment took many months. For best results, work with a natural health care professional who has experience with this disorder and can help you develop a complete healing campaign that includes dietary changes, massage and possibly acupuncture. Caution: You should not take any of the herbs if you are taking, The Pill, Fertility drugs, HRT or any other hormonal treatment or other medication unless they are recommended by an experienced practitioner.

    Herbs seem to promote tissue healing through a blend of effects. In addition to using phytoestrogens and other hormone-balancing plants, therapy aims to augment circulation to and from the areas of damage. Nutritive herbs provide building materials for the cells. Particular hepatic herbs may be chosen if a woman needs to eliminate toxins. Finally, it is important to improve immune-system function so that white blood cells will cluster around and eat up debris or imperfect cells.

    Some herbs that are useful for the treatment of endometriosis are:
    Here is a summary of the beneficial effect sought from a herbal treatment and the herbs that are involved:
    Amanda M. Crawford, author of 'Herbal Remedies for Women' recommends two herbal formulae that are useful for endometriosis. According to her, Herbal Formula #1 decreases excess estrogen during the luteal phase of the cycle. Herbal Formula #2 balances progesterone and shrinks and heals endometrial lesions. Herbs in both formulas share complementary effects throughout the month; these relax painful spasms, stimulate liver function, build healthy immune-system response to cellular debris, or nourish a woman undergoing the physiological demands of self-healing.

    Herbal formula #1

    (Take from ovulation through the end of menses)
    Vitex agnus-castus (Chasteberry Seed)
    1 ounce
    Viburnum opulus (Cramp Bark)
    2 ounces
    Achillea millefolium (Yarrow Flower)
    2 ounces
    Scutellaria lateriflora (Skullcap Herb)
    2 ounces
    Dioscorea villosa (Wild Yam Root)
    1 ounce

    Herbal formula #2

    (Take from the end of menses to ovulation)
    Vitex agnus-castus (Chasteberry Seed)
    2 ounces
    Caulophyllum thalictroides (Blue Cohosh Root)
    1 ounce
    Smilax ornata (Sarsaparilla Root)
    1 ounce
    Carduus marianum (Milk Thistle Seed)
    2 ounces
    Mitchella repens (Partridgeberry Herb)
    1 ounce
    Dioscorea villosa (Wild Yam Root)
    2 ounces
    Valeriana officinalis (Valerian Root)

    If the pain is severe but you are sensitive to Valeriana, you may replace it with double the amount or more of Passiflora (Passionflower Herb)
    1 ounce or more

    These must be continued for a minimum of three months before effects may have a lasting benefit, but the therapy should improve symptoms of pain within the first few days. The complete treatment would take into account the length of the disease and its progression. Consult a qualified practitioner before starting any treatment. If you are pregnant, do not take any herbal supplement without consulting with your health care provider or midwife. Some of these herbs should not be used during pregnancy.

  • Vitex ( Chaste Tree Berry) is one of the most important herbs in formulas treating endometriosis. Vitex dosage is 225 mg daily from chaste tree extract increases the production of the luteinizing hormone that triggers ovulation at mid-cycle, promoting progesterone production. It also inhibits release of the follicle-stimulating hormone that stimulates estrogen production in the first half of the menstrual cycle. So it normalizes the secretion of hormones and helps to bring estrogen and progesterone into balance during peri-menopause.

  • Herbal Remedies: Chaste Tree Berry Supplements & Products

  • Alfalfa is a good source of vitamin K (necessary for blood clotting and healing) and needed minerals, including iron. Many women with endometriosis are iron deficient.

  • Herbal Remedies: Alfalfa Supplements & Products

  • Astragalus, Garlic, Goldenseal, Myrrh Gum, Pau D'Arco, and Red Clover have antibiotic and anti-tumor properties. Goldenseal contains berberine, which relaxes uterine muscles.

    Herbal Remedies: Astragalus Supplements & Products

    Herbal Remedies: Garlic Supplements & Products

    Herbal Remedies: Goldenseal Supplements & Products

    Herbal Remedies: Myrrh Supplements & Products

    Herbal Remedies: Pau D' Arco Supplements & Products

    Herbal Remedies: Red Clover Supplements & Products

  • Shepherd's Purse has been used to help stop menstrual bleeding. (If your bleeding is excessive or irregular, consult your health care provider as it can be dangerous and should never be allowed to continue without medical help.)

  • Herbal Remedies: Garlic Supplements & Products

  • Yellow Dock is a good source of iron.

  • Herbal Remedies: Yellow Dock Supplements & Products

  • White Willow contains salicin. Salicylic acid, the precursor of aspirin, was purified from this plant. White willow bark reduces inflammation, pain and fever, and helps treat primary menstrual cramps and headaches. Like aspirin, it can produce unwanted side effects of gastric indigestion, nausea and diarrhea, so use the herbs carefully.

  • Herbal Remedies: White Willow Supplements & Products

  • Milk Thistle (Silybum marianum) is an excellent herb for the liver, which needs to work efficiently to balance the hormones. A number of studies have shown that its use can result in an increase of new liver cells to replace old damaged ones.

  • Herbal Remedies: Milk Thistle Supplements & Products

  • Burdock Root, Dong Quai, and Red Raspberry Leaf help to balance hormones. Burdock is a good herb to also treat your liver since the liver helps clear estrogen from the body.

  • Herbal Remedies: Burdock Supplements & Products

    Herbal Remedies: Dong Quai Supplements & Products

    Herbal Remedies: Red Raspberry Supplements & Products

  • Nettles is rich in iron and is helpful in treating iron anemia caused by blood loss.

  • Herbal Remedies: Nettle Leaf Supplements & Products

  • To reduce bleeding, inflammation, muscle cramps and pain that generally accompany this disorder, the herbs useful for easing these symptoms are Cramp Bark and Wild Yam. For herbs to help stop cramping and menstrual pain are Evening Primrose Oil and Ginger. Red Raspberry reduces bleeding and is thought to strengthen the uterus.

  • Herbal Remedies: Cramp Bark Supplements & Products

    Herbal Remedies: Wild Yam Supplements & Products

    Herbal Remedies: Evening Primrose Supplements & Products

    Herbal Remedies: Ginger Supplements & Products

    Herbal Remedies: Red Raspberry Supplements & Products

  • Horsetail also reduces excessive bleeding, especially menstrual bleeding. And it may do more than that for women with endometriosis - herbalists believe that it keeps scar tissue flexible, thus preventing further scarring. During the tuberculosis outbreaks of the early twentieth century, horsetail was used to reduce the amount of scarring on people's lungs. Pills containing horsetail are commonly sold to strengthen nails and hair, and may also strengthen connective ligaments such as those that hold the uterus in place.

  • Herbal Remedies: Horsetail Supplements & Products

  • Echinacea (Echinacea purpurea) is the herb of choice for the immune system and it helps to increase the white blood cell count. It seems to be more effective when taken on and off. Suggested usage is ten days on and three days off for maximum immune system benefits. Women with endometriosis need to rebuild their immune systems. Taking echinacea is a good herb to do this because this herb not only improves the immunity, but also helps repair connective tissues and fibers.

  • Herbal Remedies: Echinacea Supplements & Products

  • Castor Oil packs are also very helpful in treating endometriosis. No one can explain exactly how they work, but experience has shown me time and again that they often make the difference between the success of a natural treatment and its failure. A recent study from Washington University in Washington, D.C., showed that castor oil packs can improve the function of the immune system in the pelvic area.

  • Herbal Remedies: Castor Oil Supplements & Products

    Endometriosis Herb Formula Tincture, 100% Organic, 2 fl. oz.

    Endometriosis herb formula for use with ovarian cysts. This formula is supportive for women who are at risk for endometriosis or who have endometriosis.


    A good customized formula includes the primary herbs Echinacea, Vitex (Chaste Berry Tree), Wild Yam, Red Raspberry, Motherwort and Nettles, with Burdock and Milk Thistle added for liver function.

    Castor oil packs and hot and cold sitz baths with a few drops of Lavender or Chamomile essential oil (in the hot bath only) to increase circulation in the pelvic area should be added to the herbal formula use.

    For sitz baths you can use two large plastic tubs that can be bought at a hardware store. One for cold water one for hot water. Stress and anything else that lowers immunity, such as not getting enough sleep or not eating well, should be avoided since it can make endometriosis much worse. Just one cup of coffee can start the cramping again. It will take lots of discipline and habits changes to improve your endometriosis dramatically. After treatment you may still feel a twinge of pain when you do not eat right or you sleep poorly or feel stressed. Keep working on your herbal treatment plan to prevent endometrial symptoms from worsening.

    Endometriosis Tea

    1 teaspoon Vitex (Chaste) Berries
    1 teaspoon Echinacea Root
    1 teaspoon Wild Yam rhizome
    1 teaspoon Cramp Bark
    1/2 teaspoon Horsetail stalks
    1/2 teaspoon Red Raspberry
    1/2 teaspoon Motherwort
    1 quart water

    Combine herbs and water in an uncovered pot and bring to a boil. Turn down the heat and let simmer gently for about 5 minutes. Remove from heat, cover and steep for 15 minutes. Strain out herbs. Drink at least 2 cups daily. This formula can also be taken as a tincture or in capsules.

    Castor Oil Pack

    1/4 cup Castor Oil
    8 drops Lavender essential oil
    Soft cloth

    Combine Castor Oil and Lavender essential oil. Soak cloth in this mixture, then fold it and place it in a baking dish in a 350F oven for about 20 minutes - it should be quite warm, but not uncomfortably so. Place the folded cloth directly over the afflicted area and cover it with a towel to keep it warm. (A hot water bottle on top of this also works well.) Use the pack once a day for 30 to 60 minutes. Rinse off the oil after each application.

    Sitz Bath

    10 drops Rosemary essential oil

    Add essential oil to a bathtub and stir well to distribute. Sit in tub with hot water up to your waist for 5 to 10 minutes (this is a good time to read a book). Then sit in a tub of cold water, also up to your waist, for at least 1 minute. (The large plastic tubs sold at hardware stores work fine.) Continue for 2 to 5 rounds. Perform this treatment every day, if possible. Lavender or Chamomile essential oils could be used in place of rosemary. If you want, you can make a strong tea of these herbs and use that instead of the essential oils.

    OTHER HERBAL-ALTERNATIVE MEDICINE THERAPIES: Endometriosis Prevention & Curing Protocol (Herbs/Alt. Therapy) Endometriosis & Liver Stagnation

    Chinese Herbal Therapy for Endometriosis Endometriosis & Liver Stagnation


    Treatment is constitutional. The initial remedies include:
    • Lachesis for pain in the left ovary that is worse before periods, or to reduce lower abdominal pain premenstrually.

    • Calcarea for a dull aching pain in the lower back, left side of the groin or womb during periods.


    In Ayurveda, endometriosis is believed to be the result of a vata imbalance. To correct a vata imbalance, Ayurvedic practitioners recommend establishing a regular daily routine, reducing workload, increasing the rest and sleep, practicing meditation, and adding to the diet a little more oil, sweet tasting foods (but not refined sugars), salt, and cooked warm foods such as cereal and stews. It is important to maintain a biological rhythm. Go to bed at about 10 PM and rise at 6 AM. This is the time when the earth's energy complements human energy. A program to remove excess waste (ama) and detoxification is also useful. Drink plenty of warm to hot water; and avoid meat, cheese, caffeine, and alcohol. On the fourteenth or fifteenth day of the cycle, use a laxative of four or five teaspoons of castor oil or senna tea followed by a light diet for the rest of the day.

    For prevention of endometriosis, ayurvedic practitioners recommend that a woman reduce her activities as much as possible for the first three days of her period each month, though this might be unpractical to most busy women today. For exercise, a gentle walk is preferred over a jarring aerobics classes at this time.


    Chinese medical practitioners believe that endometriosis is due to blood stasis, qi stagnation, phlegm and dampness, damp heat, or some combination of these, but in turn this can be based on some organs being empty or not strong enough. It's almost always a combination of patterns, a concurrent insufficiency, or vacuity.

    The Chinese herbal treatment, when combined with acupuncture, can regulate the condition and stagnation of the blood which usually lies at the root of endometriosis.


    Endometriosis adhesions may be reduced by oils of Rose, Chamomile, Lavender, Jasmine and Neroli. All of these have healing and antispasmodic action on the muscles and tissues.


    Some osteopaths perform osteopathic techniques via the vagina to reduce certain types of endometrial adhesion. Osteopathic techniques may also be useful to encourage various drainage of the pelvis, reducing uterine congestion and relieving period pain.


  • Shiatsu Massage is useful in controlling the pain in endometriosis.

  • Rolfing can help by improving circulation, allowing more space around the reproductive organs and promoting relaxation.

  • Naturopathic Medicine: The stress here is on nutritional support and dietary detoxification programs.

  • Self-hypnosis can be useful to control endometrial pain and induce relaxation.

  • Relaxation techniques, including breathing are useful for combating pain associated with endometriosis. Biofeedback and self-hypnosis are two more natural approaches to try.

  • An acupressure massage on the back is an effective treatment for a woman in the throes of painful cramps. Rubbing a tender area located about an inch to the right of the spine about mid back will reduce pain after 30 seconds. In the majority of cases, the pain will completely subside after three or four more minutes of massage, and the treatment usually relieves menstrual cramps for three to six hours.

  • Exercise every day of the month can help prevent cramps in the first place. Anything that improves circulation-especially aerobic activities like jogging, walking, swimming and cycling-brings more oxygen to the blood and helps relax the uterus.

    MoonDragon's Health & Wellness: Endometrosis - Alternative Theory & Treatment


    Information on endometriosis, a chronic, progressive disease wherein cells that resemble those that line the uterus are found in other areas of the pelvis.

    Alfa Max, Alfalfa Extract, Nature's Way, 525 mg, 100 Caps

    Nature's Way Alfa-Max is much more digestible than raw alfalfa because the plant cellulose has been removed. Eight Alfa-Max capsules contain approximately 43% protein (by weight) and 2,600 IU of Vitamin A (as natural beta-carotene). Alfa-Max delivers 52% of the USRDA for vitamin A.
    All Organic Cotton Natracare Tampons Without Applicator, Regular Absorbency, 10 Per Carton

    All Organic Cotton Natracare Tampons Without Applicator, Super Absorbency, 10 Per Carton

    All Organic Cotton Natracare Tampons With Applicator, Regular Absorbency, 16 Per Carton

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    All Organic Cotton Natracare Tampons Without Applicator, Superplus Absorbency, 20 Per Carton

    Natracare tampons are made from only certified organic 100% cotton and are the only fully certified organic cotton tampons available in the world today.
    Choline and Inositol, 100% Natural, Nature's Way, 250 mg / 250 mg, 100 Caps

    Nature's Way Choline Inositol is 100 percent natural crystalline inositol and choline bound to tartaric acid for superior absorption.
    Dong Quai Root, Nature's Way, 565 mg, 100 Caps

    Dong Quai is often used in the treatment of menstrual cramps, or dysmenorrhea and PMS, hot flashes, and other menopausal symptoms. Dong Quai is thought to be more effective when used in traditional herb formulas, such as Dong Quai and Paeonia, and Bupleurum and Dong Quai, which are prescribed for treating certain menopausal symptoms, menstrual pain, fibrocystic breast disease, and pelvic inflammatory disease.
    Endometriosis Herb Formula Tincture, 100% Organic, 2 fl. oz.

    Endometriosis herb formula for use with ovarian cysts. This formula is supportive for women who are at risk for endometriosis or who have endometriosis.
    Ginger Root Tincture, 100% Organic, 2 fl. oz.

    Ginger Root helps to promote gastric secretions, thus aiding with food absorption and excellent for indigestion, flatulence, nausea (including travel sickness), and colic. Ginger root has also been recommended as a treatment for atherosclerosis, migraine headaches, rheumatoid arthritis, high cholesterol, burns, ulcers, depression, impotence, and liver toxicity.
    Magnesium Citrate Complex, Nature's Way, 250 mg, 100 Caps

    Nature's Way Magnesium Citrate is an advanced chelate form which enhances absorption of magnesium by providing excellent solubility.
    Menstrual Cramping Formula Tincture, 100% Organic, 2 fl. oz.

    The Menstrual Cramping Formula was developed to help alleviate menstrual cramps. It contains eight beneficial herbs.
    Pain Formula Tincture, 100% Organic, 2 fl. oz.

    Use the Pain Formula to alleviate pain naturally.
    PMS Formula w/ 5-HTP & Vitamin B-6, 100 Caps

    This formula represents the powerful synergy of current scientific research and traditional herbal medicine.
    Progesta, Natural Progesterone Cream, 2 oz.

    Progesta is a unique natural progesterone supplement that provides incredible feminine support for overall mental health, normal feminine cycles and more.
    Prostactive, Saw Palmetto W/ Nettle Root, 140 mg, 50 Softgels

    Prostactive Plus is a concentrated 12:1 extract made from the berries of the Saw Palmetto tree blended with Nettle Root extract, providing a unique synergistic effectiveness. This extract is a best selling Saw Palmetto product in Europe.
    Sage Tincture, 100% Organic, 2 fl. oz.

    Sage is used as a mouthwash and gargle for mouth infections, bleeding gums and sore throats.
    Shepherds Purse Tincture, 100% Organic, 2 fl. oz.

    Shepherd's Purse is mainly used to stop bleeding of all kinds.
    Soy Isoflavone Standardized Extract, 100 mg, 60 Caps

    Soy Isoflavone Extracts continue to gain popularity for their phytoestrogen isoflavones.
    U O Clear (Ovarian Cyst & Fibroid Support), 500 mg, 60 Caps

    The herbs work synergically to strengthen the body's natural capability of female systems self-cleaning functions, especially for uterus and ovary.
    Vitamin C 1000 with Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps

    Nature's Way Vitamin C with Bioflavonoids provides antioxidant protection for many of the body's important enzyme systems.
    Vitex Fruit (Chaste tree), 400 mg, 100 Caps

    Vitex is a woman's dietary supplement, traditionally used for menstrual difficulties. Vitex has been heavily researched in Europe. It is widely used to promote overall health and balance in a woman's life.
    What Your Doctor May Not Tell You About Menopause, The Breakthrough Book On Natural Hormone Balance, By John R. Lee M.D. & Virginia Hopkins

    Dr. Lee brings you lifesaving facts that even your doctor may not know about Premarin, Provera, and other HRT drugs; gives you an easy-to-follow non-prescription "Hormone Balance" program; and tells you how to stay energized, strong, sexually vigorous, and free from "female problems" before menopause, during the menopausal years, and beyond.
    What Your Doctor May Not Tell You About Premenopause, Balance Your Hormones & Your Life From Thirty to Fifty, By John R. Lee M.D. & Jesse Hanley, M.D.

    Presents a safe, revolutionary, non-prescription program to balance hormones, restore gynecological health, energy and sex drive and slow the aging process before menopause and even after.
    Wild Yam Root, Certified, 425 mg, 180 Caps

    Wild yam has many effective uses. It is known to relax the muscles and promote glandular balance in women. Wild Yam contains natural plant components known as phytochemicals which help the body balance hormone levels.
    Yeast Connection Handbook, By William Crook, M.D.

    This easy-to-follow Yeast Connection Handbook brings readers the latest information about yeast related disorders and how to overcome them.
    Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.

    WaterOz Ionic Zinc is a pure liquid Zinc supplement. Zinc moves through all the fluids in the body, it creates a defense against infection-causing bacteria and viruses trying to enter the body and stops bacterial and viral replication.

    Herbal Remedies: Endometriosis Information

    Herbal Remedies: Endometriosis Supplements & Products

    Herbal Remedies: Infertility (Female) Supplements, Information & Products

    Herbal Remedies: Menstrual Cramps Supplements, Information & Products


  • You or a family member has symptoms of endometriosis or endometriosis is suspected. This is so that the condition can be controlled at the earliest possible stage of development. Medical treatment recommended for endometriosis depends on how far the condition has progressed.

  • The following symptoms occur during treatment:
    • You are taking medication for endometriosis, report any new or worsened symptoms to your health care provider immediately, especially problems such as difficulty breathing or chest or leg pain. These symptoms may indicate the presence of a blood clot. Frequent checkups are needed to monitor possible side effects such as thinning of the bones. Be aware, however, that it is normal for endometriosis symptoms to worsen temporarily when a woman begins taking medication.

    • Intolerable pain.

    • Unusual or excessive vaginal bleeding.

    • New, unexplained symptoms develop. Drugs used in treatment may produce side effects. Symptoms recur after treatment.

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