
March is Endometriosis Awareness Month!
Who is affected?
Endometriosis is a condition suffered by women of reproductive age and affects an estimated 89 million women around the world, regardless of background or race. It is estimated that 30 to 40 percent of women who report infertility problems have endometriosis. Endometriosis most commonly diagnosed in 30-40 year olds, but can develop in teenage years.
What is happening?
The word endometriosis is derived from the word "endometrium," which is the lining inside of a woman's uterus. The uterine endometrium (sometimes called endometrial tissue or lining) is normally shed during each menstrual period. Every month when a woman has her menstrual period, if the ovulated egg is not fertilized, the endometrial tissue along with blood and the unfertilized egg are shed from the uterus resulting in menstruation.
In the condition called endometriosis, the tissue normally found in the uterus is also present outside of the uterus. It can be nearby (commonly the cervix, fallopian tubes, ovaries, rectum and bladder wall), but it can also travel as far as the lungs and nose, even the brain!
The endometrial tissue outside the uterus responds to the hormonal changes that occur with the menstrual cycle. Dislocated, this tissue is not expelled from the body during menstruation. Instead, it lingers and is slowly absorbed into the body, inflaming the surrounding tissues.
How does the woman experience it?
Endometriosis is silent in about 40% of cases. But that other 60% are only too aware! There is often great pain involved, because women with endometriosis have more prostaglandins (hormone-like substances responsible for the contraction and relaxation of smooth muscle, inflammation regulation, blood vessel dilation, blood pressure and more). The intense pain can sap energy and lead to feelings of depression.
Here are very common symptoms:
- Pain in the low back, abdomen, or thighs 5-7 days before menstruation and throughout the period
- Lower abdominal pain mid-cycle with ovulation.
- Debilitating pain that interferes with life, such as preventing school or work attendance.
- Additional pain at the site of the dislocated tissue
- Heavy bleeding with clots
- Nausea, vomiting, intestinal upset
- Fatigue
- Pain with sexual intercourse
- Pain with bowel movements and urination
- Irregular periods
- Infertility
How is it diagnosed?
Endometriosis is classed according to severity. However, interestingly, infertility is not directly correlated with class.
- Mild -- small, flat patches
- Moderate -- larger, often somewhat raised implants
- Severe -- inflammation and scarring caused by the unabsorbed blood can create bands of fibrous scar tissue, adhesions, that bind pelvic organs together.
What causes it?
Science is not completely sure, but there are prominent theories. The most commonly accepted theory is retrograde menstruation, also known as "backward menstruation." This is often related to uterine shape and position. Normally during the menses the menstrual blood is shed and comes out. In some women, a small amount of blood flows backwards through the fallopian tubes and into the pelvic cavity, carrying the endometrial cells along with it.
It is not clear why, in some women, this might implant and lead to endometriosis. It may have something to do with the particular woman's immune response and ability to fight off and remove these cells.
Another theory suggests that endometrial tissue is distributed from the uterus to other parts of the body through the lymphatic system or through the blood system.
Another theory suggests that embryonic cells outside the uterus may get activated by an unknown stimulus and are converted into endometrial cells.
It is known, however, that a woman whose mother or sister has endometriosis, is six times more likely than other women to experience endometriosis.
How is endometriosis treated in western medicine?
Laparoscopic surgery is the main means, with vaginal ultrasound, CT scan, or MRI to confirm the extent of the condition. In laparoscopic surgery a lighted optical tube is inserted through a small incision in the navel. It is often referred to as "bellybutton surgery." Laparotomy is a more extensive procedure where there is a full incision and a longer recovery period. Radical surgery, which may be necessary in severe cases, involves hysterectomy, removal of all growths, and removal of ovaries.
Laparoscopy is often combined with Lupron therapy. This drug artificially induces menopause as it seeks to shut off the hormonal dance of reproductive life. This strategy is meant to starve the endometrial tissue of fuel. Unfortunately, both laparoscopic surgery and Lupron therapy typically have short lived success. The condition recurs.
Natural Treatment of Endometriosis
The Oriens Approach: Success with Acupuncture, Herbs, Nutrition and Maya Abdominal Massage Combination Strategy
The Oriens approach helps interrupt and resolve the mechanisms of endometriosis – 1) help the uterine lining to be properly released; 2) rectify uterine position so that the menstrual blood may flow with ease; 3) stop the inflammatory reaction that keeps a woman’s body in a toxic state; 4) prevent recurrence.
Western diagnosis is a helpful starting point. Many women will have already had surgery one or more times by the time they arrive at Oriens. However, until the root causes, or underlying mechanisms are interrupted, endometriosis will recur.
Some women will see a reduction in their symptoms right away while others may take a longer period of time. Anticipate three menstrual cycles of treatment for significant progress in effectively treating the root causes of your endometriosis. We see good success using this combined approach, with 1-2 treatments per week during this time (acupuncture and Maya abdominal massage). Stress levels, lifestyle, and general health are important factors involved in response time.

Acupuncture and Chinese Herbal Medicine
Acupuncture
In a study published in the December 2002 issue of The Journal of Traditional Chinese Medicine researchers selected 67 women diagnosed with dysmenorrhea (painful periods) due to endometriosis. It was reported that 81% of these women had less painful periods after receiving the acupuncture treatments. Research shows that acupuncture promotes blood circulation, regulates the endocrine system and suggests that acupuncture could act as an analgesic by elevating levels of endorphins in the blood. Although more research needs to be done, acupuncture can be a safe and effective treatment for painful menstrual period and endometriosis.
Chinese Herbal Medicine
“Increasingly, Chinese Herbal Medicine (CHM) is being put to the test by Western scientists -- and the results are sometimes not only successful but downright astounding. A case in point: a new review of CHM research by British scientists just published in Cochrane Database of Systematic Reviews shows treating endometriosis with Chinese herbs may not only relieve symptoms of the disease, CHM appears to have comparable benefits to drugs and even laparoscopic surgery with fewer adverse effects.”
To read more of this article, please click here.

Nutrition Counseling
Nutrition is a cornerstone therapy in endometriosis. Research on nutrition’s role in inflammation, hormone modulation, digestive function, immune regulation and more help us understand how food and supplements can address all the symptoms and drivers of endometriosis. Kathryn, the Oriens nutrition counselor will give you menus, recipes, meal plans, snacks, dining out and take-out tips that match your lifestyle, advise you on supplements and more. She will stay with you as you follow her guidelines, through email exchange.

Maya Abdominal Massage
This technique is significant in endometriosis. It helps with positioning for those with retroverted uterus and other cervical or uterine position issues contributing to retrograde menstruation (see causes of endometriosis above). It also helps prevent and heal adhesions and the inflamed, scarred tissue of the womb and other pelvic organs. MAM is an external non-invasive manipulation that repositions internal organs that have shifted and restricted the flow of blood, lymph, nerve and qi. The technique relieves congestion and blockages. Toxins are flushed and circulation enhanced, allowing nutrients to reach their targets to tone tissue and balance hormones. Simone will teach you how to care for your womb.
Find Your Chinese Medicine Pattern below
The Oriens approach begins with careful diagnosis from a traditional Chinese medicine (TCM) point of view. TCM will further detail the woman’s experience into patterns, or symptom clusters, that reveal primary mechanisms. Don’t let the poetic language of TCM fool you, but do allow the common sense of the poetry to speak to you!
Most women will find themselves in more than one category below.
The most common patters of endometriosis are below. There are others. All patterns of endometriosis include an element of hyper-coagulation, known in Chinese medicine as blood stasis. Blood stagnation can be caused by emotional disturbance, chronic illness, exposure to cold temperatures, surgery, and genital infections.
Spleen qi deficiency and blood stasis: The cause of this pattern is chronic illness or constitutional weakness. Some of the signs and symptoms of this pattern include lower abdominal pain, fatigue, abdominal tenderness that may feel better with pressure, pain during or after periods, preference for warmth, prolapsed bearing down feeling in the uterus, a feeling of anxiousness and worry, loose or soft bowel movements, bruising easily, pale complexion, menstrual periods that are either heavy or scanty and contain blood clots, thick-pale tongue body with tooth-marks on the sides and visible red dots, and a thin-wiry or weak pulse.
Kidney deficiency and blood stasis: The cause of this pattern is either a constitutional weakness, or a history of surgical procedures. Some of the signs and symptoms of this pattern include lower abdominal pain, lower back weakness and aches, sore knees, fearfulness, ringing in the ears, a feeling of pressure and pain during or after menstrual periods, dizziness, irregular periods, scanty periods or spotting that include blood clots, a history of infertility or habitual miscarriage, a pale tongue color that has red spots, and a deep-thin-choppy pulse.
Liver qi stagnation and blood stasis: The cause of this pattern lies in emotional stress and anxiety. Some of the signs and symptoms include severe lower abdominal pain, abdominal tenderness with an aversion to pressure, breast distention and tenderness before periods, feeling of frustration, distending pain under the rib cage, aversion to pressure on the abdomen, bitter taste in the mouth, menstrual periods that contain a lot of blood clots, menstrual pain relieved after the periods, a dark purple tongue with red spots, and a wiry-choppy pulse.
Cold stagnation and blood stasis: The cause of this pattern is a history of exposure to cold - either cold temperatures (externally), or the chronic consumption of cold foods (internally), especially during menstruation. Some of the signs and symptoms of this pattern include lower abdominal pain and tenderness, pressure and pain before or during periods with a preference for warmth, an aversion to cold, watery menstrual period with blood clots, menstrual pain relieved after the periods, nausea, loose stools, pale complexion, a pale, bluish/purplish tongue with red spots, and a wiry-tight pulse.
Heat obstruction and blood stasis: The cause of this pattern is a history of genital infections (in TCM this is considered to be an accumulation of heat toxins in the body). Some of the signs and symptoms of this pattern are, lower abdominal pain and tenderness that are worse with pressure, a fever before, during, or after periods, preference for cold temperatures and foods, bitter taste in the mouth, dry throat, feeling of frustration, constipation, pain during intercourse, a red tongue with red or purple spots, and wiry-rapid pulse.
If you have questions, or would like to schedule with Sharon, Simone, Kathryn or Elizabeth please simply call 212.213.5785 or email. We also invite you to work with them through their Oriens Online Services.
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