Stop Endometriosis and Pelvic Pain

Stop Endometriosis and Pelvic Pain provides extensive information about the realities and the myths of endometriosis and pelvic pain. Dr. Cook explains why so many patients are misunderstood and misdiagnosed, why most endometriosis surgery is done so poorly, the principles and correct techniques for effective endometriosis surgery, and how to find the best doctors and health care providers. This book embraces a women's perspective and provides much-needed support for women who have suffered from the pain of endometriosis. He also explains his comprehensive and successful program for treating endometriosis.

Andrew S. Cook MD, FACOG Dr. Cook is a board-certified gynecologist with a subspecialty in reproductive endocrinology and a leader in minimally invasive surgical techniques. As director of the Vital Health Institute in Los Gatos, California, he has been a pioneer in the treatment and management of endometriosis. Known for his compassion, Dr. Cook combines Western medicine and surgical techniques with complementary care and a holistic philosophy to help women around the world return to vital health.

Acknowledgments	p. vii
Figures	p. xiv
Tables	p. xv
Foreword	p. xvii
Introduction: The Overlooked Endo Patient	p. 1
The Reality of Endometriosis and Pelvic Pain
What It Really Means to Have Endometriosis	p. 7
How Does Endometriosis Start?	p. 9
How Does the Disease Progress?	p. 11
The Invisible Disease	p. 12
Why Is It So Hard to Find Good Care for Pelvic Pain and Endometriosis?	p. 13
The Medical Mystery of Endometriosis	p. 17
What Causes Endometriosis?	p. 17
Why Are Some Women More Susceptible Than Others?	p. 18
Genetics
Epigenetics and Epigenomics
Environmental Exposure
Estrogen Metabolism
Immune Response
How Do I Know if I Have Endometriosis?	p. 24
Misdiagnosis, Stigma, and Blame
Is There a Cure?	p. 30
Myths and Misunderstandings about Endometriosis	p. 33
Causes Myths	p. 33
Endometriosis can be prevented
You can "catch" endometriosis from someone else, from sexual activity, or from a toilet seat.
Endometriosis can be caused by sexually transmitted diseases
Tampons can cause endometriosis.
Psychological Myths	p. 34
Women who complain of pain with sex are just having intimacy issues.
A history of sexual abuse can cause severe pelvic pain.
The pain is all in your head.
Most women who complain of pelvic pain are exaggerating their symptoms.
Pain and Symptoms Myths	p. 35
Endometriosis is easy to diagnose because it is the only cause of severe period pain.
Severe periods during teenage years are normal.
The symptoms of endometriosis always start in the teen years.
Endometriosis is only painful when you have your period.
The more serious the endometriosis, the more severe the pain.
You don't have to treat endometriosis with serious pain drugs; over-the-counter medications should be just fine.
If left untreated, endometriosis will continue to spread, and the pain will get worse.
Statistics and Facts Myths	p. 37
You shouldn't have sexual intercourse if you have endometriosis; that can make it worse.
Endometriosis invariably causes infertility or sterility.
Endometriosis always comes back.
Endometriosis leads to cancer.
Endometriosis affects only white, professional women who delay childbearing.
Endometriosis is a rare disease.
Treatments and Cures Myths	p. 40
The drug Lupron cures endometriosis.
If a patient continues to have pain on Lupron, she doesn't have endometriosis.
Hormonal treatments can cure endo.
Pregnancy cures endometriosis.
Hysterectomy cures endo, and if you have pain after a hysterectomy, you don't have endometriosis.
Endometriosis goes away with menopause.
Any OB/GYN can treat endometriosis.
I can cure my endometriosis with diet, nutritional supplements, exercise, and acupuncture.
If I have extensive endometriosis that affects my bowels, I'll have to have a bowel resection and wear a colostomy bag.
A Healing Relationship: Finding Good Care and Treatment for Endometriosis	p. 45
Advocating for Your Health	p. 47
Characteristics of a Healing Relationship	p. 48
How to Be a Partner in Your Care	p. 52
How to Find a Good Doctor	p. 53
Diagnosis and Treatment of Endometriosis, Pelvic Pain, and Associated Conditions
Diagnosing Endometriosis and Other Causes of Pelvic Pain	p. 59
Endometriosis Is Not the Only Cause of Pelvic Pain	p. 59
Sit Down and Listen to the Patient	p. 60
The Physical Exam	p. 61
Transvaginal Sonogram
Residual Endometriosis-Patient Assisted Laparoscopy (PAL)	p. 64
Pelvic Pain Not Caused by Endometriosis	p. 65
Interstitial Cystitis (IC)
Pelvic-floor Muscle Spasm
Adhesions or Scar Tissue
Fibroids
Adenomyosis
Uterine Retroversion
Pelvic Congestion
Abdominal-wall Neuropathy
Pudendal Neuropathy and Pudendal Nerve Entrapment (PNE)
Food Allergies and Food Sensitivities
Ovarian Remnant
Foreign Body
Hernias
Appendicitis
Gastrointestinal Problems: Motility Problems, Redundant Colon, Diverticulitis, Anal Fissure
Lyme Disease
Generalized Visceral Hypersensitivity
Vulvodynia
Getting the Best Treatment for Endometriosis	p. 83
Medications for Treating Endometriosis	p. 83
Birth Control Pills
Lupron
Danazol
Progesterone Drugs
Aromatase Enzyme Inhibitors
Table of Contents provided by Ingram. All Rights Reserved.

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Stop Endometriosis and Pelvic Pain

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