Endometriosis: The Affects on women's Emotional state(Revised edition with updated references)

By Kyle J. Norton
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com
Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

During the last stage of the menstrual cycle, normally a layer of endometriosis lining on the inside of the uterus is expelled, known as menstruation blood, instead some of the endometriosis tissues grow somewhere in the body to cause endometriosis. Endometriosis also react to hormone signals of the monthly menstrual cycle, by building and breaking up tissues and eliminating them through menstrual period.

1. Depression
Depression is a illness that not only affects woman with endometriosis but also their family, work or school life, sleeping and eating habits, and general health. It is caused by lower levels of good estrogen and high levels of progesterone, and the symptom get worse before and during menstruation. Being misunderstood by co-workers, family, and friends may trigger the feeling of worthlessness and loss of interest in daily activity such as hobbies and sex(1)(2).

2. Apathy and fatigue
Apathy and fatigue may be caused by thyroid problem or hormone imbalance. Apathy and fatigue in endometriosis is caused by the pressure of coping with any sort of pain that returns relentlessly every month, affecting her physical and emotional state(3).

3. Loss of concentration and memory
Many women with endometrosis also suffer from anemia caused by heavy blood flow leading to deficiency of iron, folate aid, and vitamin B12 which are necessary for reproduction of red blood cells and to increase transportation of oxygen to brain cells, causing loss of concentration and memory. It may be a  result of emotional and social stress(4).

4. Irritability
Irritation besides being caused by hormonal imbalance in the women with endometriosis during the menstrual cycle. Stress and confusion for woman with endometriosis is understandable. It is best to cope with the stress and try understand the disease and how to treat it. Denial of any of this not only causes more emotional pressure but also irritates any suggestion and help(5).

5. Loss of self confidence
It is hard for woman to perform daily activities with menstrual cramps on her back. It not only affects her work but also causes absence due to sickness every month in the work place. Without understanding by her boss and family, women with endometriosis may lose self confidence in her job as well as at home(6).

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 References
(1) [Evaluation of pain and depression in women with endometriosis after a multi- professional group intervention].[Article in Portuguese] by Lorençatto C¹, Vieira MJ, Marques A, Benetti-Pinto CL, Petta CA.(PubMed)
(2) Depression in women with endometriosis with and without chronic pelvic pain by Lorençatto C¹, Petta CA, Navarro MJ, Bahamondes L, Matos A.(PubMed)
(3)The social and psychological impact of endometriosis on women's lives: a critical narrative review by Culley L¹, Law C, Hudson N, Denny E, Mitchell H, Baumgarten M, Raine-Fenning N.(PubMed)
(4) Physical therapy and psychological intervention normalize cortisol levels and improve vitality in women with endometriosis by Friggi Sebe Petrelluzzi K¹, Garcia MC, Petta CA, Ribeiro DA, de Oliveira Monteiro NR, Céspedes IC, Spadari RC.(PubMed)
(5)Prevalence of pain syndromes, mood conditions, and asthma in adolescents and young women with endometriosis by Smorgick N¹, Marsh CA, As-Sanie S, Smith YR, Quint EH.(PubMed)
(6)Diagnostic confidence analysis in the magnetic resonance imaging of ovarian and deep endometriosis: comparison with surgical resultsby Saba L¹, Sulcis R, Melis GB, Ibba G, Alcazar JL, Piga M, Guerriero S.(PubMed)

The Quick and Easy Snack for Kids: Crispy Parmesan Pita Crackers

Recipe attributed to Quick and easy family favorites by Vickie and JoAnn
These is great salad and dips. For added flavor, sprinkle with garlic powder herbs before baking.
5 pita round
non-stick vegetable spray
1/2 c. grated Parmesan cheese
Split pitas and cut each half into wedges. Arrange on a baking sheet; spray lightly with non- stick vegetable spray and sprinkle with grated Parmesan. bake at 450 degrees for 8 to 10 minutes or until crisp.
make 5 dozen.

Laura Fuller
Fort Wayne, IN

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Endometriosis: The Affects on Hormonal Imbalance(*)(Revised edition with references)

By Kyle J. Norton
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including
world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com
Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

During the last stage of the menstrual cycle, normally a layer of endometriosis lining on the inside of the uterus is expelled, known as menstruation blood, instead some of the endometriosis tissues grow somewhere in the body to cause endometriosis. Endometriosis also react to hormone signals of the monthly menstrual cycle, by building and breaking up tissues and eliminating them through menstrual period.

1. Hot flashes
Hot flashes also known as hot flushes, is a feeling of intense heat with sweating and rapid heartbeat, and may typically last from two to thirty minutes for each occurrence, normally happening only to women in the menopause stage. Woman with endometriosis may also experience some sources of hot flashes caused by hormone imbalance and tends to occur only during times of menstruation as resulting of more progesterone produced by the purity gland and low levels of good estrogen in the body. Intake of soy rich foods will help to reduce symptoms of hot flashes(1)(*).

2. Tender breast
Tender breast normally happens to women during the 7th to 14th days prior to their period such as discomfort, tenderness and swelling of the breasts. It also happens to women 1-2 weeks after conception. In case of endometriosis, it causes interfere of endometriosis implants or adhesion against normal ovarian functions of the menstrual cycle as resulting of over-production of estrogen or progesterone. These symptoms may worsen due to a decline in your normal ovarian function. It is said that intake of vitamin B6 and primrose oil will help. Be sure to talk to your doctor before taking any supplements or over-the-counter medication(2). In most cases, the symptoms may be result of PMS caused by endometriosis(6).

3. Premenstrual syndrome
Premenstrual syndrome is a condition that happens between ovulation and the start of the period. Women who have endometriosis also have PMS mostly caused by hormone imbalance such as imbalance of estrogen and progesterone, serotonin or excessive androgen. In case of endometriosis pre-menstrual symptom is caused by imbalance of prostaglandins and leucotrienes produced by endometrium that interferes with normal muscle contraction and the local blood flow resulting in abdominal pain(4).

4. Prolong and heavy bleeding
Normally abnormal uterine bleeding happens to women in menarche or perimenopause stages. It may also happen to women with hypothyroidism or polycystic ovarian syndrome. If the bleeding is heavy and over six months, then it is caused by endometrial implants or adhesion that interferes with the ability of the blood vessels to contract to stop bleeding after the normal menstrual sloughing(1)(2)(3)(5).
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References
(*)Treatment strategies for endometriosis by Rodgers AK¹, Falcone T.(PubMed)
(1)The efficacy and tolerability of short-term low-dose estrogen-only add-back therapy during post-operative GnRH agonist treatment for endometriosis by Kim NY¹, Ryoo U, Lee DY, Kim MJ, Yoon BK, Choi D.(PubMed)
(2)Effect of norethindrone acetate in the treatment of symptomatic endometriosis by Muneyyirci-Delale O¹, Karacan M.(PubMed)
(3)Prospective randomized study comparing the GnRH-agonist leuprorelin acetate and the gestagen lynestrenol in the treatment of severe endometriosis by Regidor PA¹, Regidor M, Schmidt M, Ruwe B, Lübben G, Förtig P, Kienle E, Schindler AE.(PubMed)
(4)The short form endometriosis health profile (EHP-5): translation and validation study of the Iranian version by Goshtasebi A¹, Nematollahzadeh M, Hariri FZ, Montazeri A.(PubMed)
(5)Treatment of adenomyosis-associated menorrhagia with a levonorgestrel-releasing intrauterine device by Fedele L¹, Bianchi S, Raffaelli R, Portuese A, Dorta M.(PubMed)
(6) Premenstrual syndrome by Yonkers KA¹, O'Brien PM, Eriksson E.(PubMed)

A Road Trip recipe: Munchable Snack Mix

Recipe attributed to Quick and easy family favorites by Vickie and JoAnn
This sweet and salty mix is ideal to take along in a road trip. It's a snack that will appeal to savory and sweet lovers alike
2(12-oz.) pkgs. candy-coated chocolate mini baking bits
12-oz. can salted peanuts
11-oz. pkg. butterscotch chips
2. c. raisins
1. cashews

Combined all ingredients in a large mixing bowl, mix well. Place in plastic zipping bags.
Make 9 cups.

Coralita Truax
Loudonville, OH
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Endometriosis: The Affects on Urological morbidity(*)(Revised edition with references)

By Kyle J. Norton
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com
Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

During the last stage of the menstrual cycle, normally a layer of endometriosis lining on the inside of the uterus is expelled, known as menstruation blood, instead some of the endometriosis tissues grow somewhere in the body to cause endometriosis. Endometriosis also react to hormone signals of the monthly menstrual cycle, by building and breaking up tissues and eliminating them through menstrual period.
1. Irregular and painful urination
Normally irregular urination in adults is caused by pressure of a fetus on the bladder of a pregnant woman or losing muscle of the badder causing the feeling to use the bathroom. In woman with endometriosis, irregular and painful urination are caused by endometrial implants or adhesion in the badder region, which increases the pressure to the urinary system resulting in irregular urination(1)(2)(5).

2. Lower bdominal pain on urination
Lower abdominal pain may be caused by endometrial implants, adhesion or cysts in the pelvic region or by over-production of prostaglandins which increases the tension of muscle spam in the bowel and the uterus. Lower abdominal pain on urination is caused by over-production of prostaglandins which stimulate the contraction of the ovaries and uterus muscles or endometrial implants and adhesion in the lower abdominal area causing pressure and pain on urination(1).

3. Blood in urine
Blood in urine is a common cause of women with endometrial implants or cysts attached to the bladder area as resulting of bleeding of the endometriosis. It worsens just before and during menstruation(1).

4. Kidney dysfunction
Kidney dysfunctiopn may be caused by the weakened immune system of woman with endometrial adhesion attached to the kidney causing abnormal function of the kidney and kidney fluid retention. It may be caused by cysts in the pelvic region which increases pressure of the bladder and urinary tract resulting in mounting pressure to the kidney, causing kidney tenderness. It worsens at the beginning and during period(3)(4).

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References
(*)Incidence of pre- and postoperative urinary dysfunction associated with deep infiltrating endometriosis: relevance of urodynamic tests and therapeutic implications by Bonneau C¹, Zilberman S, Ballester M, Thomin A, Thomassin-Naggara I, Bazot M, Daraï E.(PubMed)

(1) Visceral syndrome in endometriosis patients by Hansen KE¹, Kesmodel US², Baldursson EB³, Kold M⁴, Forman A².(PubMed)
(2)Innovations in conservative endometriosis treatment: an updated review by Ruhland B¹, Agic A, Krampe J, Diedrich K, Hornung D.(PubMed)
(3) Ureteral endometriosis: a rare and underdiagnosed cause of kidney dysfunction by Ponticelli C¹, Graziani G, Montanari E.(PubMed)
(4) Ureteral endometriosis: a rare and underdiagnosed cause of kidney dysfunction by Ponticelli C¹, Graziani G, Montanari E.(PubMed)
(5)Urinary incontinence and bladder endometriosis: conservative management by Leone Roberti Maggiore U¹, Ferrero S, Salvatore S.(PubMed)

Let everyone Create their Own Pizza Crescent Snacks

Recipe attributed to Quick and easy family favorites by Vickie and JoAnn
Offer a pizza buffet line. Put all ingredients in the separate bowls, and let everyone create their own pizza.
8-oz. tube refrigerated crescent rolls
14 -oz. jar pizza sauce
3/4 c. sliced pepperoni
3/4 sliced mushrooms
1 c. shredded mozzarella cheese
Unroll crescent rolls into individual triangles on an ungreased baking sheet. Spread a layer of pizza sauce over dough and top with pepperoni and mushrooms. Sprinkle cheese on top; roll up into crescent shape.
baking at 375 degrees for 18 to 25 minutes or until rolls are golden and cheese is bubbling,
Make 8 appetizers.

Beth Flack
Terre Haute, IN

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Endometriosis: The Affects on Digestive System(revised edition with references)

By Kyle J. Norton
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com
Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal pharma and Bio science, ISSN 0975-6299.

During the last stage of the menstrual cycle, normally a layer of endometriosis lining on the inside of the uterus is expelled, known as menstruation blood, instead some of the endometriosis tissues grow somewhere in the body to cause endometriosis. Endometriosis also react to hormone signals of the monthly menstrual cycle, by building and breaking up tissues and eliminating them through menstrual period.
1. Constipation or difficult defecation
Defecation is the final act of digestion by which organisms eliminate waste material from the digestive tract via the anus. Constipation is caused by endometriosis implants or adhesion thst are attached to organs of excretion resulting in painful urination, as well as defecation(1)(2)..

2. Bloating
Bloating may have several causes, the most common being accumulation of liquids and intestinal gas. In endometriosis, bloating is caused by ovarian cysts, endometrial implants, or adhesion in the intestines that promote collection of fluid within an ovary causing swelling in the abdominal region and swelling in the digestive system as resulting of lack of regular ovulation and excessive amounts of androgenic hormones(3)(4).

3. Rectal bleeding
Constipation normally is the main cause of rectal bleeding. In endometriosis, endometrial implants or adhesion in large intestine resulting in rectal bleeding as waste passing through. It also causes rectal bleeding just before and during menstruation as endometrial bleeding(5)(6).

4. Diarrhea
Sudden bouts of diarrhea may be caused by bacterial infection. In woman with endometriosis, deficiency of vitamin A and B are common, causing low level of enzymes that allow food to pass through the intestine undigested(7).

5. Fluid retention
Fluid retention may be caused by endometrial cysts located other than in the reproductive system. Endometrial lining bleeding during menstruation causes blood to have nowhere to escape causing fluid retention in some parts of the body(8).

6. Anorexia
Anorexia nervosa is a type of eating disorder usually develop in the teen years and effect over 90% of female, because of excessive food restriction and irrational fear to become fat due the wrongly influenced media as attractiveness is equated to thinness. Some researchers suggested that the earliest signs of the disease: anorexia, dysmenorrhea, menorrhagia, irregular menstrual cycles, or infertility may  be an indication of endometriosis, in animal study(9).

F. Difficult in Urination(10)
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References
(1) Irritable bowel syndrome and chronic constipation in patients with endometriosis by Meurs-Szojda MM¹, Mijatovic V, Felt-Bersma RJ, Hompes PG.(PubMed)
(2)[Transmural rectal endometriosis as a cause of chronic constipation. A case report and literature review].[Article in Spanish] by Hernández Magro PM¹, Barrón Vega R, Rivas Larrauri E, Godínez Guerrero MA, Pérez González M, López Patiño S.(PubMed)
(3)[Endometriosis of the ileum as cause intestinal obstruction].[Article in Spanish] by Meza Flores JL¹, Ruiz Yaya K, Ramírez Anglas FL, Yabar Berrocal A.(PubMed)
(4)Abdominal bloating: an under-recognized endometriosis symptom by Luscombe GM¹, Markham R, Judio M, Grigoriu A, Fraser IS.(PubMed)
(5)Intestinal endometriosis as a cause of rectal bleeding: a case report by Vergelí Rojas JA¹, Pagán Rodríguez L, Santiago Muñoz C, Gutiérrez Rivera S.(PubMed)
(6) Cyclical rectal bleeding in colorectal endometriosis by Levitt MD¹, Hodby KJ, van Merwyk AJ, Glancy RJ.(PubMed)
(7) Randomized trial of laparoscopically assisted versus open colorectal resection for endometriosis: morbidity, symptoms, quality of life, and fertility. by Daraï E¹, Dubernard G, Coutant C, Frey C, Rouzier R, Ballester M.(PubMed)
(8)Massive hemothorax due to diaphragmatic endometriosis after a laparoscopic cystectomy of an ovarian endometrioma in a patient without a history of thoracic endometriosis by Kyo S¹, Takakura M, Nishida S, Ozaki S, Oda M, Inoue M.(PubMed)
(9)endometriosis should be suspected in animals displaying the earliest signs of the disease: anorexia, dysmenorrhea, menorrhagia, irregular menstrual cycles, or infertility by Green SL¹, Tolwani RJ, Waggie KS, Otto GM. (PubMed)
(10) [Endometriosis causing urination disorders during menstruation].[Article in Undetermined Language] by LAX'H.(PubMed)
(11)Urological morbidity of colorectal resection for endometriosis by Daraï E¹, Zilberman S, Touboul C, Chereau E, Rouzier R, Ballester M.(PubMed)