10 Causes of Painful Periods + How Stop Period Pain Naturally

 

Is your period is so painful that your life practically stops when you have it? Having extremely painful periods is a sign of an underlying imbalance that can have far-reaching implications for your overall health, not just your reproductive health. Keep reading to find out what causes period pain and what you can do to stop it.

 

How Much Period Pain Is Normal?

If you’re like most women, you’ve experience period pain at some point in your life.  A little bit of mild cramping can be normal, especially at the beginning of your period. But ideally, you won’t even feel your period coming at all.

 

If you’re consistently having to pop painkillers like candy, or you’re in too much pain to go to work or school, then something deeper is going on. That type of period pain is not normal. In medicine, painful periods are called dysmenorrhea

 

Your period is like a barometer of your overall health. It tells you how well your body is being nourished (or not), how much stress you’ve been under, and how much inflammation might be going on in your body.

 

It’s important to uncover the root causes of why your hormones are in turmoil so that you can find the least invasive, safest and most effective solution.

 

The great news is that women’s hormonal issues respond beautifully to natural medicine and, with a little detective work, you can troubleshoot your problems to get back on the road to wellness.

 

First, let’s explore the causes of menstrual pain. 

 

I‘m going to get all ‘sciency’ because I want you to really understand what’s going on inside of your body. I even made a cute little drawing to help explain everything. Bear with me and keep reading. It’ll all make sense – I promise! 🙂

 

What Causes Menstrual Pain?

Pain during menstruation is thought to be caused by prostaglandins and leukotrienes. Together, these compounds are known as eicosanoids

 

Prostaglandins are a group of hormone-like fats that are made by our cells at sites of tissue damage or infection in the body. Their job is to direct the healing process by coordinating blood vessel constriction and blood clotting. In this process, prostaglandins cause the pain, fever, redness and swelling that we experience with illness and injury.

 

Prostaglandins also play a role in the female reproductive system by controlling ovulation, initiating labor (there’s a clue about pain, eh?) and regulating menstrual flow. In other words, prostaglandins cause the uterus to contract.

 

Two specific prostaglandins have been linked to menstrual pain: PGE2 and PGF2-alpha

 

Now, normally, prostaglandins are very short-lived.  Once their job is done, the body breaks them down quickly.  

 

But problems arise when inflammatory prostaglandins are produced in excess. Certain dietary and lifestyle factors will cause persistent tissue damage and load us with omega-6 fats, resulting in ’round the clock production of inflammatory prostaglandins.  

 

Below is an illustration of the process. As you can see, anything that promotes high levels of arachidonic acid, the precursor to prostaglandins, can lead to pain and inflammation.

 

Eicosanoids and Inflammation

Prostaglandin E2 (PGE2), an inflammatory compound, stimulates the aromatase enzyme, which raises estrogen levels. Estrogen then stimulates the COX-2 enzyme, which creates more PGE2, and thus more estrogen and more inflammation. It’s a vicious cycle!

 

Similar to prostaglandins, leukotrienes are inflammatory molecules that are released by our white blood cells. Leukotrienes are notorious for their role in allergies and asthma, but leukotriene E4 may play a specific role in menstrual pain

 

There are many things that lead to painful periods, but I’m going to focus on the most common reasons.

 

Keep in mind that the causes of your menstrual pain can be multifactorial, and often it is the total load of several imbalances that is responsible for causing symptoms.

 

1. Your diet is not good.

We just talked about prostaglandins, leukotrienes, and their role in menstrual cramps. But what causes your body to produce them in large amounts? Much of it has to do with your diet.

 

 

A diet full of vegetable oils, refined grains, sugar, and alcohol is almost guaranteed to make your periods miserable. Because of the ways these foods damage your cells, disrupt your hormones, and interfere with cell communication, these foods will send your immune system into a firestorm. And that means prostaglandins and pain.

 

When I talk about vegetable oils, I’m mainly referring to canola (rapeseed), safflower, corn, sunflower, peanut, cottonseed and soybean oils.  These are the most common oils used in things like salad dressings, sauces, mayonnaise, and any fried or processed foods. Because these oils are extracted from the seeds using high heat and chemical solvents, they are oxidized (spoiled) by the time they make it into our food.  And those resulting oxidized fats and solvents are powerful drivers of cell damage and inflammation. Also, these oils are high in omega-6 fats that promote the production of inflammatory prostaglandins.

 

Unfortunately, 99% or more of restaurants  (even the high-end ones) use canola oil in their cooking because it’s cheap and has a neutral taste and a stable shelf-life.  And most people don’t think about vegetable oils as a source of inflammation as they slather their “healthy” salads with any ol’ store-bought salad dressing. The simplest solution is to eat at home and make your own simple vinaigrette using extra-virgin olive oil with vinegar or lemon juice. Use healthy fats like coconut oil, extra-virgin olive oil and organic, grass-fed butter or ghee for cooking.

 

Grains can be problematic because they are broken down into sugar when we eat them. This might not be a problem if you have a very healthy metabolism, but most of us living in the Western world don’t. The more sugar and carbohydrates we eat, the more insulin our pancreas has to pump out. Excess insulin creates silent inflammation (see point #2 below). High insulin also increases arachidonic acid, the building block of those inflammatory prostaglandins we’ve been talking about (see diagram above).

 

Many women crave sugar during the premenstrual phase because of hormone shifts and other factors. However, sugar can contribute to period pain by promoting inflammation and insulin resistance. Having insulin resistance means that your insulin levels are too high, and your cells are having a hard time using insulin to put glucose (sugar) into your cells. When you are insulin resistant, it means that your body cannot handle a sugary diet.

 


 

To be clear, I’m not demonizing the small amounts of natural sugars and starches found in whole fruits, veggies, beets, squash, sweet potatoes, etc. The problematic sources of sugar I’m referring to are found in foods like:

  • Candy
  • Desserts and baked goods
  • Sweet sauces like barbecue and ketchup
  • Soda (or “Coke” if you’re from Oklahoma like I am!)
  • Fruit juice, lemonade, sweetened tea
  • Dates, dried fruits and “fruit snacks”
  • Honey and agave syrup
  • Sweetened yogurt
  • Sweet cereals and granola 

These are all concentrated sources of sugar that will spike your blood sugar and insulin levels, ultimately leading to inflammation and insulin resistance.

 

Alcohol is especially problematic for women with painful periods because it reduces the liver’s ability to detoxify estrogen and toxins. Did you know that having just 2 drinks per day can double the amount of estrogen in your body?! As shown in the diagram above, estrogen increases PGE2 (the pain molecule) by stimulating the COX-2 enzyme. Having too much estrogen will also cause heavy periods, sore breasts, bloating, moodiness, and pretty much all of the things that we hate about periods in the first place! So nix the booze until you’ve made enough progress in your healing, okay?

 

Got painful periods? Nix the booze! Click To Tweet

 

Cow’s dairy is a problem for many people because most of it contains A1 casein, a protein that can promote inflammation in some people.  Not all types of dairy contain significant amounts of A1 casein (butter and heavy cream contain only trace amounts), and not everyone is sensitive to it. Removing dairy from your diet may or may not improve your symptoms, but I felt that it was important to mention. 

 

The other problem with an unhealthy diet is that eating junk food instead of healthy natural foods will create nutrient deficiencies. We especially need magnesium, zinc, vitamin B6, vitamin B2, iodine, folate and selenium for healthy periods. 

 

2. You have high insulin levels.

Are you noticing the theme with insulin yet? This relates back to point #1. Remember that insulin increases arachidonic acid, the precursor to the inflammatory prostaglandins that cause menstrual pain. Insulin also promotes clotting and can interfere with ovulation.  

 

 

How do you know if your insulin levels are too high? Ask your doctor to order a fasting insulin test for you, or get one for yourself from True Health Labs. Your fasting insulin level should be no higher than 8, but I really like to see it 6 or less. 

If your insulin is too high, you need to start making changes like cutting sugar out of your diet and emphasizing vegetables, protein and healthy fats. Exercise, especially resistance exercise like weightlifting, is crucial for lowering your insulin levels. Also be sure to get 8 hours of sleep each night: Just one night of sleep deprivation can promote insulin resistance!

Signs and symptoms of imbalanced blood sugar and insulin resistance include:

  • Sleep trouble
  • Brain fog
  • Darkened skin folds
  • Belly fat
  • Energy crashes or sleepiness after meals
  • Sugar cravings

 

3. You’re not ovulating.

Ovulation is the release of an egg from the ovary. It typically happens on day 14 of the menstrual cycle. Ovulation is important when it comes to period pain because that is where you get your progesterone.

 

Progesterone balances the stimulating effects of estrogen; it is a very calming hormone. When you don’t have enough progesterone, it leads to inflammation. It also works in reverse: inflammation impairs your body’s ability to make progesterone, so it becomes a vicious cycle. 

 

Having periods that are late, early, too heavy, too light or absent can all be symptoms of not ovulating (called “anovulation”). Common causes include nutrient deficiencies (especially magnesium, selenium and B6) polycystic ovary syndrome (PCOS) and stress.

 

Stress is of particular importance because it reduces progesterone in two ways:  1). by “stealing” progesterone to make the stress hormone cortisol; and 2). by interfering with ovulation, your main source of progesterone.

 

And while we’re talking about stress, it’s worth noting that chronic stress promotes insulin resistance (see point #2 above)!

 

If you’re not ovulating, you need to figure out why you’re not ovulating. Are you deficient in important nutrients? Is it chronic stress? Are you eating inflammatory foods? Is it your thyroid?

  

4. Your thyroid is out of whack.

Your thyroid is a small butterfly-shaped gland in the front of your neck. It makes thyroid hormone, which provides the “spark” for bodily functions like digestion, generation of body heat, detoxification and ovulation. Every single cell in your body needs thyroid hormone.

 

The most common thyroid problem is when the gland is underactive, which is called hypothyroidism. Hypothyroidism interferes with ovulation, which means you’ll be making less progesterone. And remember that low progesterone promotes inflammation.

 

Heavy menstrual bleeding can be a symptom of an underactive thyroid. Unfortunately many women with hypothyroidism never get diagnosed because the standard screening test (TSH or thyroid stimulating hormone) doesn’t show the whole picture. I always recommend a complete thyroid panel that includes TSH, free T3, free T4, reverse T3, and thyroid antibodies.

 

Getting the right thyroid tests can be tricky. I’ve had many patients tell me that their conventional doctors straight-up refuse to order a full thyroid panel for them. It’s really frustrating, but thankfully you can get a thyroid panel for yourself online

 

5. You’re full of toxins.

Did you know that even low-level exposures to chemicals and environmental toxins can cause period problems, cancer and reproductive issues?

 

It’s sad but true. Many of the chemicals in our environment act as “endocrine disruptors,” meaning they can mimic hormones and disrupt our hormonal (endocrine) system.

 

These toxins include pesticides and herbicides, metals, solvents, flame retardants, plastics, food additives, and fragrances.

 

 

 

Download a copy of our free “Sources of Toxins” handout for a detailed list of toxic chemicals and ways you can avoid them!

 

These chemicals are everywhere, so there’s no foolproof way to avoid them entirely. The best thing to do is minimize your exposure (check your personal care products!), and its equally important to support your body’s ability to detoxify. 

 

Eating sulfur-rich vegetables like broccoli, cauliflower, and cabbage is very helpful for this, and I also recommend collagen for its high glycine content. Glycine is an amino acid that is not very abundant in our modern diet, but it is required for liver detoxification.

 

Also, make sure that you are having daily bowel movements so that you are not reabsorbing hormones and toxins from the colon. If you struggle with constipation, you must avoid refined sugar and rule out underlying conditions like hypothyroidism and small intestinal bacterial overgrowth.

 

6. Your gut isn’t healthy.

Okay, this is a BIG one. The health of your GI tract is so intricately linked to the rest of your body (and mind). Practically every patient who comes to me with chronic health issues has some degree of imbalance in their digestive system. 

 

When our guts are healthy, good things happen for us. We absorb our nutrients. Our friendly gut bacteria help us detoxify estrogen and reduce inflammation. Our hormonal systems are balanced. All good things!

 

But when our guts are not healthy, it sets the stage for all of the things that we don’t want. Our metabolism doesn’t work right. We become full of inflammation. Our immune system is imbalanced and we can develop autoimmunity. It can ruin our thyroid function. We can’t get rid of excess estrogen. We can’t absorb the nutrients we need. And the list goes on.

 

More specifically, when the bacteria and other microbes in our gut are out of balance, there are some key factors that directly contribute to period pain. Unfriendly bacteria (referred to as “gram negative”) have something called lipopolysaccharide (LPS) on their outer surface. LPS is, by far, one of the most inflammatory and irritating substances to the human body. And when the gut isn’t healthy, LPS can move across the gut barrier and get into the bloodstream.

 

This creates a cascade of inflammation, revs up the immune system, blocks detoxification, and can specifically cause pelvic pain. In my practice, I’ve been able to link LPS with headaches, acne, and a host of other chronic conditions. 

 

One of the most common conditions that creates a large amount of gram negative bacteria and LPS in the gut is small intestinal bacterial overgrowth. This is a condition where the motility of the small intestine has been compromised, and bacteria proliferate in the gut. The classic symptom is bloating after meals, usually with a “pregnant belly” look. 

 

The other awful thing these critters do is produce an enzyme called beta-glucuronidase. This enzyme causes estrogen and toxins that would have otherwise been excreted to become freely circulating again. And remember that toxins and estrogen contribute to inflammation and pain.

 

So what causes your gut to become so unhealthy in the first place? Hands down, the number one cause I’ve seen among my patients is antibiotic use. Whether it’s for recurrent sinus infections, UTI’s or acne, frequent antibiotic use can destroy your health.

 

Don’t get me wrong! Antibiotics certainly have a time and a place. But the key is to support your immune system so that you’re not having to deal with to chronic infections in the first place.

 

Also you’ll want to choose organic foods as much as you can, because  pesticides and herbicides can selectively feed these pathogenic bacteria and cause them to grow out of control!

 

The bottom line:  If you want healthy periods, you absolutely must fix your gut. There’s no way around it.

 

Download a copy of our free Quickstart Guide to a Healthy Gut

 

7. You smoke.

It goes without saying that smoking is bad for you. Research shows that smoking even 1 cigarette per day is an important risk factor for painful periods. And the earlier you start smoking, the more likely you are to have painful periods. Quitting can be incredibly hard, but I’ve had more than one patient tell me that Allen Carr’s book worked like a charm for helping them quit for good!

 

8. You have Celiac disease.

Celiac disease is an autoimmune disorder where eating gluten (a protein found in wheat, rye and barley) causes serious damage to the small intestine.

 

 

Many health care practitioners don’t realize that the symptoms of celiac disease can vary, so many people go undiagnosed. In fact, less than half of people with celiac disease have the classic symptoms of GI pain and diarrhea.

 

Anything from skin rashes, neurological symptoms, fatigue, painful sex and menstrual pain can all be clues that you have this disease. Remember, anything that causes inflammation in the gut will cause inflammation in the rest of your body!

 

9. You have growths.

Uterine fibroids are noncancerous tumors of the uterus. They are incredibly common, and a majority of women will develop at least 1 small fibroid at some point. Fibroids don’t usually cause pain, but they can when they obstruct blood flow or if they grow rapidly. If your periods are becoming heavy, that can be a symptom of fibroids.

 

Adenomyosis is a condition where the inner lining of the uterus grows through the muscular uterine wall. This can cause heavy bleeding, cramps and bloating.  Many women also have ovarian cysts, which are fluid-filled sacs that can cause painful cramps. Most of the time cysts clear on their own, but they can require treatment if they start to obstruct the fallopian tubes or they become very large.

 

While these growths can be responsible for pain, keep in mind that they are symptoms of underlying inflammation and hormone imbalances. That’s why it’s so important to address things like gut health and nutrition. 

 

10. You have endometriosis.

It’s estimated that 1 in 10 women have a condition called endometriosis.

 

In endometriosis, the tissue that lines the uterus (called the endometrium) becomes implanted outside of the uterus, around other locations in the body. This misplaced tissue behaves in the same way as it would inside the uterus and it grows and bleeds in response to estrogen. Eventually, adhesions form. 

 

Adhesions are bands of scar tissue that can “glue” organs and body structures together. They can cause strong, sharp or burning pain, and even gastrointestinal symptoms like heartburn and constipation if the scars are attached to the intestines. Endometrial tissue can even attach to the lungs in rare cases.

 

The symptoms of endometriosis include:

  • SEVERE menstrual cramps (sometimes even painkillers won’t help) 
  • Abdominal or pelvic pain between periods – when you’re not even bleeding
  • Pain with sex or vaginal penetration
  • Urinary problems
  • Long periods
  • Heavy periods (which can lead to anemia)
  • Bloating
  • Constipation
  • Pain with bowel movements
  • Infertility
  • Fatigue

**It is entirely possible to have endometriosis with NO symptoms or very mild symptoms, and many women don’t know they have it until they have trouble getting pregnant.**

As you can see from the list above, endometriosis can mimic gastrointestinal conditions like irritable bowel syndrome. And sadly, a lot of women are misdiagnosed for years. The only way to get an accurate diagnosis for endometriosis is through a surgical procedure called laparoscopy. During laparoscopy, a thin tube (called a laparoscope) is inserted into your abdomen through a small cut. The tube has a camera attached to it, allowing the doctor to see your organs on a video screen. If you have endometriosis, the doctor will see adhesions.

 

The treatment for endometriosis is more in-depth than what I can cover in this article, but a strict dairy-free, gluten-free diet is a great place to start.

 

UPDATE! You can now watch Dr. Egeland’s 3-part video series on endometriosis!

 

Part 1: Symptoms and Diagnosis

Part 2: Causes

Part 3: Natural Treatment

 

How to Stop Period Pain Naturally

I admit that I am not a fan of using birth control pills or painkillers to treat painful periods.

 

Why? Because birth control pills increase the risk of blood clots, they can cause permanent side effects (like loss of sex drive and vaginal dryness), and they do nothing to address the root causes of the pain in the first place.

 

Period problems are a message from your body that something is out of balance. When we suppress those messages, we can create additional problems. 

 

Over-the-counter painkillers are effective for pain and can help to reduce heavy bleeding, but they can cause liver or kidney damage with long-term use. They can also damage the gut, which contributes to body-wide inflammation.

Let me be clear: there is a time and a place for medication, and you have to do what is best for you. Right now, you might need big doses of painkillers just to get through your day. No judgment. I totally get that! But my goal as a naturopathic doctor is for you to ultimately not need those medications because you’ve done such a great job getting your body back into balance.

 

In addition to minding your diet, stress, sleep and toxic load, there are some really helpful natural therapies out there. Keep in mind that not all of these will work for everyone, so you have to find something that is safe and effective for you. Remember to always check with your health care provider before trying any supplements or treatments.

 

  • Cramp Bark Extra by Vitanica is one of my favorite herbal formulas for painful periods. It’s something that can be taken as a substitute for painkiller meds right when you need it.

 

  • Heavy bleeding is common with fibroids and endometriosis, and I really like Slow Flow by Vitanica for helping to reduce blood loss on active bleeding days.  Note: this product contains Vitamin K1, so you should not take this if you’re on blood-thinning medications!

 

  • Curcumin is excellent for any kind of pain. It works by modulating the pathways that create inflammation. And by doing so, it also helps to reduce heavy bleeding. One of my absolute favorite products is Meriva 500-SF from Thorne Research. I usually recommend 3 capsules daily with food on a continual basis. Bonus: curcumin helps to support detox.

 

  • It’s incredibly helpful to balance the fatty acids in your body with high-quality omega-3 fats. Omega-3’s help to shift your body towards the anti-inflammatory prostaglandins. My go-to fish oil is ProOmega 2000 from Nordic Naturals.

 

  • A high-quality probiotic can be super helpful for balancing the gut. This probiotic contains a beneficial yeast called Saccharomyces boulardii, which “eats” the LPS from the outer surface of unfriendly gut bacteria. That means less inflammation and less toxicity.

 

  • Magnesium, magnesium, MAGNESIUM! This is such an important mineral, especially for hormonal health. It helps to relax the uterus, restore insulin sensitivity (that’s a really good thing!), and reduce inflammatory prostaglandins. Most of us aren’t getting enough magnesium from food, especially because our soil has become so depleted. I like the magnesium glycinate form, because the glycine it contains helps to support liver detox. I usually recommend 300-500 mg daily with food for general maintenance. (PS: alcohol, soda, caffeine, sugar and processed foods can leach magnesium from your body!)

 

  • Make sure you have enough B-vitamins. Vitamin B6 is especially important (but often lacking) for women who have severe PMS.

 

  • Find ways to manage stress: yoga, meditation, exercise and journaling are all great options.

 

  • In addition to sweating through exercise or a sauna, castor oil packs are a great way to support gentle detoxification. I’ve even had women tell me that castor oil packs helped to resolve their fibroids and cysts!

 

  • Eat an unprocessed, low-sugar, whole foods diet. Emphasize vegetables and choose wild-caught sources of fish, grass-fed meats, moderate amounts of fruit, and healthy fats from avocados, olive oil and nuts.

 

 

  • For my patients with very high levels of estrogen, I like to support their detox to the max. One of my favorite ways to do this is by using supplements Diindolylmethane (DIM) and calcium-d-glucarate (CDG). DIM supports phase 1 liver detoxification, and CDG supports phase 2. It’s really important to support both phases so that you don’t get a “traffic jam” of toxins if one of the phases is moving too slowly. Two of my favorite products for this are CDG-EstroDIM or DIM Detox. A lot of women notice much better periods within 1-2 cycles.

 

  • Pay close attention to toxic chemicals in your environment. Those scented lotions might smell yummy, but they’re full of chemicals that are trashing your hormones. Check out the Environmental Working Group’s Skin Deep Database to see how toxic (or non-toxic!) your personal care products are. And if you haven’t grabbed a copy of our Sources of Toxins handout yet, be sure to get it now!

 

Take-Home Message

My hope for you is that you no longer ignore your menstrual pain. And don’t let ANY doctor tell you that you’re “just one of those unlucky women” or that you just have “bad periods.”

 

Menstrual pain is a sign that something deeper is going on with your health. Keep pushing until you find answers. You may need to find a qualified naturopathic doctor who can help you figure out exactly what’s going on. 

 

Troubleshoot. Listen to your body. Are you stressed out all the time? Are you eating a lot of junk food and not enough real food? Do you have a history of antibiotic use? Find the root causes of your period problems so that you will be healthier overall. 

 

Now tell me:  Do your periods suck the life out of you? Are you in so much pain that your life practically stops? What have you tried that worked?  Leave your comments below!

 

Disclaimer: This article is for informational purposes only and is not a substitute for the professional advice of your physician or other licensed health care provider. Never avoid, disregard or delay seeking professional medical advice, or change any of your prescribed medical treatments because of something you have read on this blog. If you try any therapies or recommendations discussed on this blog, you do so at your own risk.

 

Are you struggling with your health? Our clinic proudly serves the Boulder and Denver, Colorado metro areas including Broomfield, Louisville, Lafayette, Arvada, Thornton and Westminster. Schedule a complimentary 10-minute phone consultation to find out how we may be able to help you.

Share This!

15 Comments

  • roselina mahlangu

    Reply Reply October 16, 2017

    thank you i have this problem its been five months now.i m on medication.my problem is i went to gynaecologist,GP but i didnt find help the gynae said i hv a left swollen tube he gave me medication but still i m suffering.

    • Dr. Ashley Biscoe

      Reply Reply October 16, 2017

      A swollen fallopian tube could be many things. If a tube becomes blocked, it can become filled with fluid and look swollen upon imaging. This is called hydrosalpinx. Most often, hydrosalpinx is caused by a long-term infection or even endometrial deposits (adhesions). I hope you can find a doctor who can give you the right treatment. Don’t stop looking!

  • DeAnna

    Reply Reply January 10, 2018

    Thank you so much for this!! I have been having issues since January 2012. My period has gotten heavier and heavier. I use a diva cup and now lose about a cup of blood per cycle. My bleeding lasts about 3-4 days and every month its a few days later than the month before. My blood loss contains clots that are the size of the palm of my hand causing me to be anemic. The pain in my left ovary makes me nauseous and on a scale of 1-10 it’s worse than child birth. About 6 months out of the year it effects my job and I can’t make it into work. I never had these problems growing up. I am now 42 and can only pray that menopause is around the corner! I have seen countless DRs and they either want me to take hormones (BCP/IUD) or have an ablation. I refuse. I don’t take meds at all. I do use crampbark but it doesn’t help much. The only thing that seems to offer any comfort is soaking in warm water. I eat about 75% clean and don’t use lotions or chemicals to clean my home. I feel so lost most days because the pain is so miserable.

    • Dr. Ashley Biscoe

      Reply Reply January 10, 2018

      I’m so sorry to hear this, DeAnna. Have you been evaluated for endometriosis? The intense pain and the large clots make me suspect that condition. It’s quite common among women in their 30s and 40s.

  • Yasmeen

    Reply Reply August 6, 2018

    I have been in pain for more than a year now I had endometriosis, I did a labracacpy in March but the pain is still there it’s getting worse land worse every month I can’t Handel it anymore

    • Dr. Ashley Biscoe

      Reply Reply August 6, 2018

      Hi, Yasmeen-

      I am so sorry to hear about your unbearable pain. Sometimes the endometrial adhesions need to be removed or broken apart before the pain will stop. In addition to the supportive therapies discussed in this article, many women find relief by working with a physical therapist who can perform the Wurn technique. This helps to manually break up the painful scarring: http://www.clearpassage.com/who-we-are/about-the-wurn-technique/

      You might also find Dr. Egeland’s new video helpful: https://www.youtube.com/watch?v=cp7PqdR3Z2A&t=6s

      Always remember that healing is possible, even when it doesn’t seem that way. I wish you all the best!

  • Kelly Libby

    Reply Reply October 28, 2018

    This is great info. I’ve had hormonal issues since I first got my period. At 15 My doctor diagnosed me with PCOS simple because of my hormone levels. I didn’t have the typical visual symptoms. I’m 37 now and I’ve gone through phases where the pain was bearable, meaning it would respond to a handful of Advil…eek. And other times, like now, where the pain is so out of control and overwhelming that it causes me to pass out, throw up and become a half conscious mess on the bathroom floor for HOURS. No amount of Advil helps at this point. It’s torture. I live a clean lifestyle, I’m 125 lbs, I teach several yoga classes a week. I eat organic also. I’m noticing pre-mature aging, gray hairs rapidly coming in, little black (hormonal) hairs sprouting on my chin and other places, body hair growth patterns changing (excess androgens??), vaginal dryness. I don’t understand !!!! Suggestions? I’ve been trying to figure this out for years and I just don’t know what to do?!?!

    • Dr. Ashley Biscoe

      Reply Reply October 29, 2018

      Hi, Kelly –

      I’m really sorry to hear about the terrible pain you’re having! I’ve had a lot of patients describe their symptoms the same way you do.

      It sounds like you’re doing the right things with diet and lifestyle, so there are likely some deeper issues going on. High stress (emotional stress or toxic exposures) can reduce your sex hormones, including the androgens like DHEA, estrogen and testosterone, because the body ‘steals’ pregnenolone to make cortisol. This can contribute to vaginal dryness. And to compensate for the low DHEA and testosterone, your body can convert the testosterone that you do have into 5-alpha DHT, which is the strongest (most androgenic) type of testosterone. So even though you may very well have low testosterone overall, you might be shunting much of it towards the 5-alpha DHT pathway, which can lead to excess hair. Also, at 37, you’re likely having more cycles where you don’t ovulate. The perimenopausal transition can start around this age, and less ovulation means less progesterone to balance the inflammatory effects of estrogen.

      The early graying is also important clue, because that’s a sign of oxidative stress (free radical damage). When the body is stressed (again – emotionally or from chemicals, metals, or microbial toxins), it makes the stress neurotransmitters dopamine, epinephrine, norepinephrine, and serotonin. When these neurotransmitters eventually get broken down, they release toxic compounds including hydrogen peroxide (hence the hair lightening!). Since hydrogen peroxide is damaging to the body, you will use up a lot of your glutathione to neutralize it. The problem with this is that glutathione is your body’s main antioxidant defense, and if it gets depleted because you’re constantly having to break down the stress neurotransmitters, the free radicals in your body can get out of control and perpetuate the cycle of inflammation (pain and damage).

      In my experience, when people are eating a clean diet and living a healthy lifestyle but are STILL struggling, there’s something else that needs to be removed. In naturopathic medicine, we call these “obstacles to cure.” I really encourage you to work with a practitioner who can asses you for toxic chemicals, metals, chronic infections, and other factors that could be disturbing your health.

      I will also say that lately I’ve been seeing a strong correlation with food intolerance and painful periods. Some of my toughest cases have improved dramatically when they start avoiding foods to which they have immune reactions.

      Best of luck, Kelly! I truly hope you find answers and relief. Thanks for reading and commenting!

  • Kelly Libby

    Reply Reply November 1, 2018

    Thank you so much for your thorough insight. This all makes sense to me. In fact just over this past weekend at a restorative yoga Workshop,I came to the conclusion that my nervous system has been chronically ‘jacked up’for years, and I didn’t even realize it! When that’s our chronic mode of opperating I guess we become accustomed to the level of emotional stress that we are actually experiencing…and numb to it. It wasn’t until I took my nervous system all the way into parasympathetic mode through restorative yoga over weekend, that I could see/feel the contrast! Wow! There is so much to be said about REAL self care. Thank you again. Your knowledge is a blessing 🙏

    • Dr. Ashley Biscoe

      Reply Reply November 2, 2018

      Thank you for your kind words, Kelly! I’m so glad that I’ve been able to help you. You are so right about REAL self care. I always tell myself and my patients that stress will sabotage all of our best wellness efforts. Keep taking good care of yourself! 🙂

  • asdasd asdasdas

    Reply Reply December 1, 2018

    Great post

  • Sirin

    Reply Reply December 7, 2018

    Thank you so much for writing this article! It is brilliant, incorporates everything that i have instinctively felt and explains the science behind it as well as goes into detail on so many levels, covering so many issues in one place! It has made so much sense to me and will be extremely helpful in my future choices and decisions regarding my body! ❤️

    • Dr. Ashley Biscoe

      Reply Reply December 7, 2018

      Thank you for the kind words, Sirin! It makes me incredibly happy to know that you found my article helpful. Hugs and best of luck to you on your wellness journey!

  • Namwi

    Reply Reply December 7, 2018

    My periods are very straight sometimes they go through my pad and the blood it self is so sticky and jelly

    • Dr. Ashley Biscoe

      Reply Reply December 7, 2018

      Yes, menstrual blood will be somewhat sticky because it contains tissue from the uterine lining. The thing to look out for is if you’re having a lot of large or very dark clots (anything larger than a dime concerns me). Clots can be a sign of endometriosis or inflammation in general. And if you’re bleeding a lot, it could be a sign of endometriosis, too much estrogen, or even a blood clotting disorder. Thanks for reading and commenting!

Leave A Response

* Denotes Required Field