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Advice and infoFrom: Umm (anonymous@obgyn.net)Mon May 10 02:17:14 1999
Hello Ladies, Here's a little advice, some nutritional and others for those taking Duphaston as I do, or Provera. I liked this because the dietary advice can be easily added into the daily meal plan.The excercises were also beneficial. I like any kind of self-help, that is non chemical and doesn't involve being "manhandled" by yet another Dr! LOL! Umm Maimunah ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Duphaston and Provera Duphaston and Provera are synthetic progesterone-like substances. It is thought that they eradicate endometriosis by inhibiting the growth of the endometrial implants causing them to waste away. Duphaston does not usually stop ovulation and it does not always stop menstruation at the dosages that are most commonly used. However, most women will eventually cease to ovulate and menstruate while taking Provera. Most women taking Duphaston or Provera experience at least one or two side effects and some women will experience several. Generally the side effects are mild to moderate in severity but sometimes they are intolerable. The side effects of Duphaston include depression, breast tenderness, Weight gain, fluid retention, bloating, irregular vaginal bleeding, headaches, lethargy and tiredness, irritability, dizziness and nausea. The side effects of Provera are similar to those of Duphaston with the Addition of decreased libido, spotting, and sweating. http://www.tased.edu.au/tasonline/endotas/info.htm#provera Progesterones Primolut N (norethistone) and Duphaston (dydrogesterone) are related to the female hormone progesterone. Technically they are known as progestogens, a general term for substances with effects like those of the natural hormone progesterone. Assuming you take a high enough dosage, they stop your periods by tricking your body into fake or 'pseudo-pregnancy'. These drugs are less commonly used but they may be a good second choice if you cannot get on with danazol. The side effects are generally less severe although progestogens are well-known for PMT-like side effects; bloating, irritability. Tender breasts are particularly common when taking Duphaston. Breakthrough bleeding is also more of a problem than on danazol. http://www.users.zetnet.co.uk/rfairbairn/endo.htm#drug To know more write to: Women's Health and Reproductive Rights Information Centre 52-54 Featherstone Street London EC1Y 8RT 0171-251-6580 Supplying information on a wide range of issues. Alternative Approaches To Endometriosis Vitamin B6 And Vitamin B Complex Vitamin B6 combats depression in women on the pill. It improves premenstrual symptoms in 50 to 60 per cent of patients on 80-100mg per day. Vitamin B6 is a popular home remedy for PMS. Many sufferers have found vitamin B6 helps PMS symptoms such as irritability and bloatedness which they report throughout the month, while others have found that it reduces side effects of hormone treatment, especially tiredness and depression. The start dose recommended for PMS is 50mg of vitamin B6 twice a day with meals, increasing the dose if necessary. Megadosing (500mg a day or more) highlights the anger of nervous disorders which develop when you take too much vitamin B6. The maximum dose of 200mg a day is said to be safe but can cause stomach upsets. In addition to vitamin B6, 25-50mg of vitamin B complex is often recommended, particularly if you are under a lot of stress, have problems eat in a balanced diet or suffer from poor absorption. Brewer's yeast, wheatgerm, cabbage, and eggs are amongst good sources of vitamin B6. Evening Of Primrose Oil (EPO) The American Indians used EPO for asthma and skin disorders, it can also help in premenstrual symptoms. Symptoms improve e.g. very tender breasts, if they also stopped drinking tea and coffee. Evening Of Primrose Oil also blocks overproduction of leuktrines, substances thought to be involved in certain types of pain which are not amenable to painkillers such as aspirin. EPO relieves symptoms rather than reducing visible endometriosis. e.g. Mood swings improve with a month. Adhesions pain improves within two months. Period cramps improve, too. EPO also helps side effects of hormone treatment. Vitamin E Vitamin E helps to prevent thick scar formation and to maintain a healthy skin. Vitamin E helps with fertility problems, on the basis that animals with vitamin E deficiency lose their fertility. However check with your GP if you have high blood pressure or are on anitcoagulant drugs. Vitamin E is found in green vegetables, wholegrain cereal, soya beans and eggs. Vitamin C Vitamin C can help if you suffer from heavy bleeding; it strengthens blood-vessel walls and aids absorption of iron. Selenium Selenium helps with symptoms of pain, although it may need time to act. It can improve the immune system and has useful anti-inflammatory effects. Selenium is available commercially in several forms. Selenium ACE is based on yeast cultured with selenium, combined with vitamins A, C and E. Onions and garlic, broccoli, tomatoes, wheatgerm, and tuna are good sources of selenium. Magnesium Magnesium is important in the prevention of PMS by eating plenty of green leafy vegetables, grapefruit, figs, apples, almonds, nuts and seeds in your diet. You will be getting more magnesium if you live in a hard water area. Avoid diet drinks which contain phosphorus which tends to block absorption of magnesium. Calcium Painful muscle spasms and period cramps have been attributed to low blood calcium levels occurring at the end of the menstrual cycle. Some sufferers have found calcium preparations such as dolomite helps painful periods and joint pains associated with endometriosis. Dairy products are well-known for their calcium content, but there are other ways of getting what you need without the fat in milk. Dried beans, green vegetables, peanuts, walnut, sunflower seeds and sardines are also good sources. Zinc Zinc is another mineral thought to be of value in treatment of premenstrual syndrome, which is common amongst women with endometriosis. It also has other relevant benefits such as promoting healing and fertility. Good food for zinc are eggs, herrings, oysters, wheatgerm, seeds and nuts. Avoid a lot of bran, which is said to prevent absorption. Supplement 'Cocktails' The following daily 'cocktail' of vitamins can be very helpful, either to help symptoms or to relieve the side effects of drug treatment. * Up to 150mg vitamin B6 with 50mg vitamin B complex * 1-2g vitamin C * 200-1000iu vitamin E * Up to 20,000iu vitamin A * 6 tablets dolomite (calcium and magnesium) * 10-30mg zinc * 1 multivitamin/multimineral tablet http://www.users.zetnet.co.uk/rfairbairn/endo.htm#drug Alternatives: Acupuncture Warm bath, shower, sauna Hot water bottle Hot water bottle filled with ice-cubes rubbed over the painful site even more effective. As soon as you skin feels numb, stop treatment and start moving that part of your body again. It should feel better. Exercise: * Lie on your back with your feet propped up against a wall. Stay there for 5 to 10 minutes. * Lie on your back on the floor or bed and keeping one leg still, bring the other one up towards your chin, bending the knee. Hold it there with your hands for a few minutes, then try the other leg. * Kneel on the floor. Rest your forearms so your elbows are on the floor in front of you, with your head between your arms. Rock gently backwards and forwards with your head alternately between your arms and above your hands. Keep busy. Read a book, watch TV, talk with friends. Do things that take your mind off the pain. Even sing a song, this can help distract you from the intensity of the pain. This does not mean being stoical and keeping going until you collapse.
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