PCOS and Endometriosis
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Transcript of PCOS and Endometriosis
PCOS and
EndometriosisCan it really be this simple?
Heather Bruce 2014 WFAS Endo and PCOS 1
Heather Bruce WFAS 2014 Endometriosis and PCOS 2
Normal mensesDefinition:
Optimal Qi and Blood production, and circulation
From age of puberty (7x2 ideally) – when the Chong and Ren are replete of Blood, and she is biologically ready to reproduce -
4 – 5 days of clean red liquid blood flow from the vagina, as the release of an unused ‘baby nest’.
(No S&S past blood loss, with cervical mucous discharge alerting her to fertile window mid cycle)
Repeat over several decades, unless pregnant/lactating.
Heather Bruce 2014 WFAS Endo and PCOS 3
Ingredients for a normal
menstrual cycle Blood energy strong
Good Jing expression
TH - the digestive system are all working well
Peaceful Shen
Orderly stable life
Free from pollutants of all descriptions
(Menstrual cycle is a report card of the events of the last month/year/her life/family inheritance on all levels)
Heather Bruce 2014 WFAS Endo and PCOS 4
Spirit/energy/physical beings
We are more
than that
which the
scientific
world
(physical
dimension
only) may
seek to
define us
Normal women’s physiology
Heather Bruce 2014 WFAS Endo and PCOS 6
Home of the Shen
and its connection
to her womb
dictate the free
flowing of all life
essence for the
potential
generations to
follow
HEART – UTERUS/PROSTATE
Anything that
“breaks” her
heart can
sever the
connection &
thus the flow
of Qi/Blood/
Thus – all
nourishment
on all levels
to the pelvis
Is she ‘stressed’?
Heather Bruce WFAS 2014 Endometriosis and PCOS 8
9Heather Bruce WFAS 2014 Endometriosis and PCOS
Concurrent presence of cold?
(Initial presentation)
Heather Bruce WFAS 2014 Endometriosis and PCOS 10
Look to restoring Yang Qi
No micro managing.
Yang Qi – we are no use to
ourselves without an
ample supply in circulation
Cold causes the Yang to
be in storage holding it at
bay.
Ingredients needed- hormonal
‘mud-map’
Heather Bruce WFAS 2014 11
What tends to block nutrient
assimilation/life
Heather Bruce WFAS 2014 12
Liver Meridian
Heather Bruce 2014 WFAS Endo and PCOS 13
All the potential places the obstructed
Liver Qi and Blood flow can directly
deposit reminders
What causes flow to congest?
All aspects of life not allowed to be
expressed in women – often due to the
dislocation – Heart to body, self
expression and self awareness and self
respect – as mirrored by culture and
through interpersonal relationships.
Sexual expression without
release/orgasming.
Multiple chemical interventions that block
normal messengers (hormones)
Blood and Qi flow disruptions Cycle changes, she changes, life on every front is disrupted – not
just a menstrual issue.
Liver Qi (emotions) even if they were previously stable, will now become involved
TCM - Stuck Liver Qi/Blood with Heat & often Damp
Various meridian therapies – congestion/lack of flow/normal movement of Qi and Blood
Five phase acupuncture – undo CF/free emotional blockages
ALL see the need to
Restore the circulation - reduce what is blocking the body’s natural ability to heal itself – on all levels.
Heather Bruce 2014 WFAS Endo and PCOS 14
Endometriosis WM version – extra endometrial tissue in places it was not designed
to be. (Including within alimentary tract and onto spinal cord – not just local pelvic structures)
This responds to normal monthly changes, creating pockets of inflammation, obvious black spots of stuck blood, and local bleeding/pain and bloating as the cycles relentlessly roll on.
Why?
‘We suspect that the high estrogen levels in American women and increasing number of women with auto immune disorders are a contributing factor. It also often runs in families. And we know from clinical experience that emotional issues are often involved. But in all these causes we find the theme of hormonal imbalance’. Off the net –general information for womenhttp://www.womentowomen.com/sex-fertility/endometriosis-start-with-a-natural-approach/
Heather Bruce 2014 WFAS Endo and PCOS 15
What is endometriosis? Endometriosis can appear on the Fallopian tubes, the ovaries, the
outside of the uterus, the peritoneum, or the intestines. Each month this displaced tissue responds to the hormonal changes that regulate your menstrual cycle, engorging itself through the first half of the cycle, and often releasing a small amount of blood in the second half, which causes repeated irritation to the surrounding tissue.
Over time this can cause scarring or adhesions inside the reproductive organs, pelvis, and intestines. Adhesions are like spider webs inside the abdomen. It has been speculated that when the scarring occurs on reproductive organs it can contribute to fertility issues and increased menstrual pain. Some 3 to 10 per cent of all women have endometriosis, while 9 to 50 per cent of infertility is caused by this condition. A much newer understanding is that significant amounts of evidence associates endometriosis and high levels of dioxins, a type of environmental toxin.
Heather Bruce 2014 WFAS Endo and PCOS 16
Worst hormonal disruptors
Bisphenol A (BPA)
Dioxin
Atrazine
Perchlorate
Phthalates
Fire retardants
Lead
Perfluorinated chemicals
(PFCs)
Arsenic
Mercury
Organophosphate
pesticides
Glycol ethers
Heather Bruce 2014 WFAS Endo and PCOS 17According to the Environmental Working Group
Who gets endometriosis? 2002 - Advances in understanding the epidemiology of endometriosis
have lagged behind other diseases because of methodologicproblems related to disease definition and control selection. Nevertheless, a better picture of the epidemiology of endometriosis has emerged over the past few decades. Prevalence estimates of the disease in clinic populations vary from about a 4% occurrence of largely asymptomatic endometriosis found in women undergoing tubal ligation to 50% of teenagers with intractable dysmenorrhea.
General population incidence during the 1970s in this country has been suggested to be 1.6 per 1000 white females aged 15-49, while a more current study based upon hospital discharges finds endometriosis as a first listed diagnosis in 1.3 per 1000 discharges in women aged 15-44. Ann N Y Acad Sci. 2002 Mar;955: http://www.ncbi.nlm.nih.gov/pubmed/11949940
Heather Bruce 2014 WFAS Endo and PCOS 18
‘Best Practice’ current WM
treatment Laser/surgical removal
Place her on chemical castration for the duration she does not want to be fertile.
Aim to control the fertility when trying to get pregnant
Management of secondary distressing S&S
BUT . . .
No regard of homeostasis, or a reduction of causative factors (‘We don’t know how this happens’).
Heather Bruce 2014 WFAS Endo and PCOS 19
EndometriosisTCM
Stuck Blood and Qi
Damp and phlegm
Hot Blood
Why?
Myriad pathways – look to what causes heat of all forms
to interfere with the Jing template
Heather Bruce 2014 WFAS Endo and PCOS 20
Heather Bruce WFAS 2014 Endometriosis and PCOS 21
PCO
S
What is PCOS? Poly Cystic Ovarian Syndrome or actually can see the poly
cystic ovaries.
Lacking normal hormonal messages to release egg from follicles – over time – a build up of fluid and swelling and hormones in chaos.
Shows up as fluid protecting tissues where heat is held.
Energetically – clear the source of the heat and the fluid will naturally not need to be there/resolve itself.
More than what is happening in /to the ovaries – it is a total body experience
Heather Bruce 2014 WFAS Endo and PCOS 22
What is PCOS? “Polycystic ovary syndrome (PCOS) is the most commonly
encountered endocrinopathy in women of reproductive age.
‘Because 16% to 25% of the normal population has polycystic-appearing ovaries on ultrasound,3 the presence of polycystic ovaries was considered to be suggestive but not diagnostic of PCOS.
‘However, the Rotterdam European Society of Human Reproduction/American Society for Reproductive Medicine (ESHRE/ASRM)-Sponsored PCOS Consensus Workshop Group that convened in 2003 now requires the existence of two of the following three criteria to make the diagnosis of PCOS4: oligo-ovulation or anovulation, clinical or biochemical signs of hyperandrogenism, and polycystic ovaries”. http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/womens-health/polycystic-ovary-syndrome/
Heather Bruce 2014 WFAS Endo and PCOS 23
Who gets it? http://www.ncbi.nlm.nih.gov/pubmed/10352918
Endocrinol Metab Clin North Am. 1999 Jun;28(2):247-63 –
USA - 5% of women of reproductive age.
http://ijem.in/article.asp?issn=2230-
8210;year=2012;volume=16;issue=8;spage=389;epage=392
;aulast=Gill (2012 – 1052 girls)
Calculated prevalence of PCOS in women between the ages
of 18-25 years from Lucknow, north India, is 3.7%. Majority
of these girls were lean but have abdominal obesity.
Heather Bruce 2014 WFAS Endo and PCOS 24
Liver Meridian
Heather Bruce 2014 WFAS Endo and PCOS 25
All the potential places the obstructed
Liver Qi and Blood flow can directly
deposit reminders
What causes flow to congest?
All aspects of life not allowed to be
expressed in women – often due to the
dislocation – Heart to body, self
expression and self awareness and self
respect – as mirrored by culture and
through interpersonal relationships.
Sexual expression without
release/orgasming.
Multiple chemical interventions that block
normal messengers (hormones)
Heather Bruce 2014 WFAS Endo and PCOS 26
Why worry? Excellent resource
http://www.breastcancerfund.org/assets/pdfs/publicatio
ns/falling-age-of-puberty-adv-guide.pdf
Early puberty is a precursor to lifelong metabolic/
cardiovascular/digestive/chronic pelvic pain/infertility,
and later on breast and reproductive cancers
What does this look like to TCM?
Heather Bruce 2014 WFAS Endo and PCOS 27
Damp – to Phlegm eventually
Heather Bruce 2014 WFAS Endo and PCOS 28
Heather Bruce Copyright 2007
To ‘fix’ this - add in more .. . Pure ingredients – water, food, sunshine, rest, loving
touch, safety, life enjoyment
Vit D – the foundation of all life – DNA/RNA expression,
immune responses, formation of all hormones
Vits C, B – water soluble - needed all throughout the day
Dietary fat – for neuronal/hormonal health
Magnesium – in all forms, especially topical
Iodine – topical and eating daily seaweeds
Heather Bruce 2014 WFAS Endo and PCOS 30
Usual naturopathic advice Reduce high calorie/carbohydrate loading
Reduce all chemical exposure
Detox where possible against heavy metals (thus allowing
increased absorption of appropriate nutrients)
Increase cruciferous veggies, fibre, fats
Increase pure water, reduce all alcohol, caffeines
More Vit D, Iodine, magnesium (topical is best)
Vit C and other liver detoxifiers
Heather Bruce 2014 WFAS Endo and PCOS 31
Plus - Self care
Prioritise self – life balance
Nightly organic castor oil packs
Vaginal herbal steaming/mother roasting – cultures differ
Mayan abdominal massage/Arvigo therapy (to increase homeostasis in circulation of arterial and venous blood supply, lymph, qi and normalisation of ligament tension to allow return of optimal uterine and other pelvic organ placement.
Undoing any trauma stored within
Awareness of the role of emotional stability in health – exercises, relationships and life balance
Heather Bruce 2014 WFAS Endo and PCOS 32
What is causing this
epidemic? (PCOS and endo)Heat - what to attribute the causes to?
Emotional and dietary foundations/interactions plus
Environmental
Heavy metal contamination
Lack of Iodine (vaginal BBT will highlight the thyroid)
Imbalance progesterone/estrogen
Presence of myco estrogens
Low Iodine, Vit D, magnesium
Heather Bruce 2014 WFAS Endo and PCOS 33
Where Iodine binds in the
body Iodine Iodide
Breast Thyroid, breast
Prostate Salivary glands
Stomach Skin
Four thyroid hormones:
T1 & T2 – not well understood what they do physiologically
T4 – made in the thyroid gland in high amounts if there is sufficient iodine available.
T3 – some made in thyroid gland, but most is made in the cells by conversion of T4 into T3, which is 10x more metabolically active than t4. Body requires iodine and Selenium to make this conversion
Heather Bruce 2014 WFAS Endo and PCOS 34
What other organ makes
thyroid hormones? Answer: the ovaries
Specifically, the ovaries can make “T2” which can be converted into T3 or T4 throughout the body.
(Weight gain at the time of menopause/ovary removal/hysterectomy when the ovaries begin to fail may be caused by loss of T2 production)
T2 is “diidothyronine”. Also made in ovaries and can be converted through T4 to T3
What is happening when there is not enough Iodine and cycles are happening? Potential PCOS/endo leading into cancer in later years?
Heather Bruce 2014 WFAS Endo and PCOS 35
Iodine is harder to absorb
Heather Bruce 2014 WFAS Endo and PCOS 36
Why we need Iodine Metabolism – absorption of food, sleep cycles, and the transformation of food into
usable energy, protein synthesis all run by the presence of Iodine – converted from T4 to T3 (with Selenium).
Maintains the BMR (Basic Metabolic Rate), Influences heart rate, blood pressure, body weight and temperature.
Maintains optimal energy levels of the body by ensuring the efficient utilization of calories, without allowing them to be deposited as excess fats.
Formation of healthy and shiny skin, teeth and hair. Iodine is an important element for hair care, as a lack of this mineral can result in hair loss.
Iodine helps in the normal growth and maturity of reproductive organs/cycle and growth of breasts/normal expressions of puberty.
Iodine is a scavenger of free hydroxyl radicals, and that, like vitamin-C, it also stimulates and increases the activity of antioxidants throughout the body to provide a strong defensive measure against various diseases, including heart disease and cancer.
Heather Bruce 2014 WFAS Endo and PCOS 37
Iodine from our beginnings Iodine helps in the normal growth and maturity of reproductive organs. A
sufficient quantity of iodine in pregnant women is essential to prevent stillbirths or neurocognitive conditions like cretinism in the newborn babies.
Iodine deficiency can also lead to gestational hypertension, which can result in a number of complications during infancy. Iodine also ensures proper movement and growth, along with speech and hearing abilities. Furthermore, besides affecting the health of the baby once it is conceived, a deficiency in iodine can actually make a woman infertile!
One problem that many pregnant women face is not realizing that they must consume iodine for herself and her child, because iodine passes into breast milk and a great deal is lost every day.
Studies show that a pregnant or nursing woman can actually lose more than her entire required dose of iodine every day, which can result in serious iodine deficiency for her, even after pregnancy and breastfeeding is over, due to the changes in activity of her hormonal glands.
Heather Bruce 2014 WFAS Endo and PCOS 38
How can we test for Iodine? Very easily – have a bottle of Lugol’s on hand – and
pop it on the skin.Initially just a bit – as sometimes the skin reacts ..
WHERE?Belly is best.
Arms and legs are not so quick/useful – although if very deficient – it will go within a minute (Taigan -precocious puberty case).
If it does magically disappear – (as it often does) you have an easy case ahead.
Heather Bruce 2014 WFAS Endo and PCOS 39
Iodine absorption - 6 ½
months pregnant
A telling three minutes. .
Top two – See brown spot in middle- Iodine
gone in the time it took to take another
picture.
On right – colour it started at
Iodine deficiency Frustration (brain fog/brain slowness AKA
‘aging/’baby brain’)
Depression, (of all systems) abnormal weight gain, constipation and fatigue
Coarse skin, hair loss and slow hair growth, mental slowness/retardation, poor perception levels
Digestive, immunological and thus allergies/auto immunity rising
Ringing in ears
Goiter, growths, swellings/cysts/generalised fluid retention
Lack of cell death (aptoptosis) more cancers
Looks like DAMP/Phlegm obstructing
Sleep apnoea
Carpel tunnel, plantar fascilitis
Decreased fertility, chances of still birth in expectant mothers
In severe cases, mental retardation associated with diseases such as cretinism, characterized by serious physical malformations, can be the result.
Decreased ability to detox poisons –resulting in ‘mitochondrial’ malfunction and the growth of ASD with increase vaccinations – along with lack of maternally available magnesium, Vit D etc.
Heather Bruce WFAS 2014 41
According to WHO reports, iodine deficiency is one of the leading causes of
mental retardation all over the world.
What does this mean?Very real problems in all Halide overdosing
Is being actively ignored with Fluoride ‘debates’ and retail opportunities, not health revival as state priorities
To use extra Iodine – due to the presence of all the wrong halogens, and various toxins - may need to fill up with Selenium first
May need to start your own research on this as the texts, and the medical profession that seems to be calling the shots is way behind
Warning!!! – you may need to start ask awkward questions/’redefining ‘authority’
Why are we fluoridating water?
Bromelating all fabrics/foods – and to the exclusion of iodine?
Hence the increase in all obstructive/damp and cancerous conditions.
Heather Bruce 2014 WFAS Endo and PCOS 42
For women this means . . . Early menarche (possibility due to early family traumas/dislocation/plus introduction of
foreign males – we are primates - hence early likelihood of possible matings)
Horrendous hormonal, weight, metabolism and cystic, and cancerous growths/disturbances, all without reference to what would easily ‘fix’ them/return to body to homeostasis.
Aided by the presence of estrogenic substances – mimicking natural – may be phyto, xeno and myco – estrogenic in origin
Chemicals added to prevent various ‘health ‘ problems – heavy metals (dental amalgam) and all the adjunctives in vaccines
Lack of choice in finding organic, whole and nutritious food, all now leaning towards high carbohydrate/high sugar resulting in less mineral/proteins and fats to provide hormones /normal cycle.
Self medicating – comfort eating, sugar, chocolate, caffeine, alcohol, recreational and prescription drugs – all of which do not restore homeostasis
Heather Bruce 2014 WFAS Endo and PCOS 43
Heather Bruce Copyright 2007
Magnesium Wholefoods – in an ancient diet – was replete in this.
Is missing in the modern diet due to farming practices, an increased need to toxic life byproducts – and to neutralisesugars/caffeine, all preservatives, chemicals.
Milled out for ‘refined’ products
Is cancelled out by calcium – often chosen erroneously
Dark greens are not eaten sufficiently/ extensively
Mag is needed for detoxing through out the body.
Easily absorbed through the skin – transdermal/topical application
Heather Bruce WFAS 2014 45
Magnesium deficiency headaches and migraines,
all aches & pains,
‘growing pains’,
leg cramps,
jumpy/restless legs,
tremors, epilepsy, stroke,
muscle twitches,
ongoing structural spasms
Inability to clear toxins
fatigue or low energy,
restless sleep,
chronic constipation,
insulin resistance,
PMS, cranky, restless
hypertension, type 2 diabetes, osteoporosis,
high blood pressure,
heart disease, cardiac &
Heather Bruce WFAS 2014 46
Mg depletion looks identicalTo Stuck Liver Qi
Musculo skeletal, spasms, tension, tremours,
Digestive of all types,
Emotional, cyclic problems
All S & S worse with ‘stress’ )
To Stuck Liver Blood
Pain, congestion, vascularities,
Cardiac and neurological complications
Heather Bruce WFAS 2014 47
Magnesium - turquoise
Heather Bruce 2014 WFAS Endo and PCOS 48
Effects of past rape/sexual
abuse thus self medication ‘Stuck Liver Qi’, ‘Stuck Liver Blood and ‘Hot Blood’ may
be observed through the lens of TCM
Often are family ‘secrets’ adding to the stress.
Maybe unconsciously held altering all Qi
flow/corrupting normal self expression and of course
Liver Qi/normal menstruation
Historically – initial periods awful – red flag for eventual
disclosure of sexual abuse - something ‘broke’ her and
her self awareness.
Heather Bruce 2014 WFAS Endo and PCOS 49
Extra considerations Exposure to hormonal contraceptive devices – either
pre natally or during own reproductive life
Evolutionary Psychology
www.epjournal.net – 2013. 11(3): 718-742
‘Psychobehavioral Effects of Hormonal Contraceptive
Use’
Lisa L. M. Welling,
Heather Bruce 2014 WFAS Endo and PCOS 50
All cases I do not only add one thing /change as life is a mixture of all things missing.
BUT in older, long standing patients when I was working this out – could add just this in the missing piece of the puzzle added in changed their worlds.
Painful, just pregnant breasts relieved on the couch – one application of topical Iodine.
Fibrocystic beast gone within a month of topical daily treatment
Ovarian pain and cysts reduced with topical application over the ovary region. All with return towards normal of their vaginal BBT.
Endometriosis gone (well the pain first time in life – with liberal application across the lower belly daily.
In all – the colour of the iodine – starts a lot darker than normal – and instantly disappears.
Heather Bruce 2014 WFAS Endo and PCOS 51
Sample case 4 children – horrendous pain in belly, over three months so hospitalised – in the past 3
months- no periods, getting emotionally distressed, fatter and belly extended. Told early MP – and massive PCOS cysts all through her ovaries.
Told she was too cystic to continue – get all organs removed.But she wanted a lot more children.
Nightly castor oil packs/red clover tea simmered and drink daily 2 cups.
No gluten/sugar/fruit
All fat increased and Vit D and iodine used.
Take vaginal BBT daily (desperate for more children)
Chinese herbs to clear out Stuck Blood.
When vaginal BBT dipped, and mucous seen, she stopped all but the dietary changes and iodine – and waited for a few weeks – pregnant!!
Heather Bruce 2014 WFAS Endo and PCOS 52
Treatment regieme Vit D , mag and Iodine are the beginning of all supplements
now – as are topical and miss the gut not working well
All women in the community in NZ are well now as this was the key – before dietary changes - replacing in therapeutic amounts what was missing.
Younger women – breast development – not one sided or smaller than needs to breastfeed later - Iodine.
Period normalisation – increase minerals (and fat and Vit D to absorb) and less interventions needed as the wilted pot plant just got watered . .
Heather Bruce 2014 WFAS Endo and PCOS 53
Recap Hot Blood and inner heat = fluid to protect tissues
Multiple and concurrent causes of the heat
Chemical toxicity
Environmental poisoning
Emotional beginnings and sequelae
Mineral and other nutritional deficiencies – Jing disruptions
Becomes a perfect storm
Are all easily undone if we recognise the above and work back to homeostasis
Heather Bruce 2014 WFAS Endo and PCOS 54
‘The World Until Yesterday’
The World Until Yesterday: What Can We Learn from Traditional Societies?
Latest book by Jared Diamond - He uses the acronym W.E.I.R.D.
Westernised
Educated
Industralised
Rich
Democracy
60,00 years ago – no one lived as we take as being ‘normal’ now – and for most – they still don’t – yet this is what academics and science use as ‘evidence’ – studying those who are living very unnatural to most humans – lives.
Heather Bruce 2014 WFAS Endo and PCOS 55
What is ‘normal’? Likely not what we are experiencing now.
In times of ‘just enough’ – women would mature when
biologically able to reproduce. They would bleed when
there was enough left over having filled Chong Mai.
Varied in context.
Possibly nothing like as much menses as menstrual
blood is that which is ‘left over’
Chinese writings say 7x2 - women and 8x2 - men.
Heather Bruce 2014 WFAS Endo and PCOS 56
Likely ‘normal’ now Periods likely start at 11/12 in W.E.I.R.D. countries
Food and fluids not as they were 30 years ago – nutritionally suspect/loaded with sugars to taste and no fat and chemicals galore . .plus caffeine –
Plus HPV and MMR and other contaminants through excessive vaccination, and no rational look at what a growing girl needs to become a woman.
Parents less likely to be together – hence many internalisation of trauma, and many step dads and domestic upheavals.
All expect more of themselves than is biologically possible, or personally sustainable
Heather Bruce 2014 WFAS Endo and PCOS 57
Can it be this simple?
Return body to homeostasis
Including the missing ingredients to run the body and thus the cycle
Iodine
Vit D
Magnesium
Let our inner sun shine through
Heather Bruce 2014 WFAS Endo and PCOS 58
Thank you
Heather Bruce WFAS 2014 Endometriosis and PCOS 59
www.HeatherSays.com Informational site for patients/interested people
Includes many links to other sites to learn more, a series of
glossaries outlining self care (esp the Mayan/vaginal
steaming)
Also explanations of all TCM categories
Apps – periods, fertility, pregnancy
www.sharpen-up-your-results.com acupuncturists resource
centre – esp on all removal of cold with navel cupping &
recent Heather’s international presentations -
Heather Bruce 2014 WFAS Endo and PCOS 60