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Endometriosis and Menorrhagia

Endometriosis occurs when the endometrium does not slough off normally at menstruation. It is usually accompanied by menorrhagia (heavy bleeding), severe menstrual cramps, and pain with defecation, intercourse and even ovulation. In severe cases the endometrium or lining of the uterus migrates to other sites such as the intestines and the bladder. The islands of the endometrium cause pain when they go through the cycle of menses and bleed as if they were normal uterine tissue. Cysts and fibroid tumors are common side effects.

It is thought that endometriosis and related disorders are associated with a disruption in the estrogen-progesterone cycle, resulting in high levels of estrogen and low levels of progesterone. In monkeys, exposure to dioxin, which is an estrogen-like compound, resulted in moderate to severe endometriosis. In horses, endometrial fibrosis has been treated successfully with dimethyl sulfoxide (DMSO), which is approved for use in animals but not in humans.

Orthodox treatment includes estrogen-blocking drugs, such as Danocrine, and laser treatment of the endometrium. Unfortunately Danocrine can provoke many side effects, including weight gain, fatigue, dizziness, headaches, acne, increased facial hair, pelvic and back pain, breast problems, cramps, hot flashes, depression, rashes and allergies. When laser treatment is not successful, the only remaining surgical option is hysterectomy. In fact, the leading cause of hysterectomy is excessive bleeding, often associated with endometriosis.

Most popular books on endometriosis warn patients not to eat animal foods such as butter, liver and eggs because these contain arachidonic acid, a long-chain fatty acid which serves as the substrate for localized tissue hormones-called prostaglandins-that provoke inflammation. Actually endometriosis is not really an inflammation of the type that occurs after an injury; and arachidonic acid also serves as the substrate for prostaglandins that counteract inflammation. The irony-actually the tragedy-of this advice is that animal foods like butter, liver and eggs are excellent sources of vitamin A. And endometriosis and excessive bleeding respond very well to vitamin A therapy. In South Africa, vitamin A has been used as standard practice for the treatment of menorrhagia (excessive bleeding) since 1977 with a 92 percent cure rate!

Virtually every popular book dealing with women's health contains fundamental misinformation on vitamin A, asserting that vitamin A from animal foods is toxic and recommending carotenes from plant sources instead. Typical of the confusion about vitamin A is this statement from a book on endometriosis: "Vitamin A taken too enthusiastically can be toxic, since it is stored in the liver. Beta-carotene, however, is not converted into vitamin A unless the body requires it, and you cannot suffer from toxic levels of it." Actually natural vitamin A from cod liver oil and other animal sources is not toxic except in very large amounts. The liver is exquisitely designed to store vitamin A so that this vital nutrient is available in times of scarcity.

Many conditions prevent the conversion of beta-carotenes into true vitamin A, including low thyroid function; and even individuals who convert beta-carotene easily cannot obtain optimum amounts from plant foods. Finally, both synthetic vitamin A and synthetic beta-carotenes can be toxic. Yet books on women's health usually recommend supplements containing the synthetic forms.

Calcium, phosphorus, magnesium, zinc, potassium, iron and good quality protein are all recommended for endometriosis and related conditions. Yet the body cannot absorb these minerals and protein without adequate amounts of natural, animal sources of vitamin A and D in the diet. Iron deficiency is a critical problem for women suffering from heavy bleeding but iron cannot be absorbed without adequate vitamin A. Many women have reported that bleeding worsened when iron was given without supplementation with vitamin A.


Wise Choices, Healthy Bodies: Diet for the Prevention of Women's Diseases Written by Sally Fallon and Mary G. Enig, PhD -2000   


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