Endometriosis for dummies

Krotec, Joseph W. (Author). Perkins, Sharon. (Added Author).

Book - 2007

618.1 Kro

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Subject

Endometriosis.

ISBN: 0470050470
ISBN: 9780470050477
Physical Description xviii, 362 pages : illustrations.
Publisher Hoboken, NJ : Wiley Pub., [2007]
Copyright ©2007

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Bibliography, etc. Note:	Includes bibliographical references (page 343), Internet addresses (pages 341-344) and index.
Immediate Source of Acquisition Note:	LSC 25.99

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--For dummies

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Table of Contents

Syndetic Solutions - Table of Contents for ISBN Number 0470050470

Endometriosis for Dummies

by Krotec, Joseph; Perkins, Sharon

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Table of Contents

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Endometriosis for Dummies

Section	Section Description	Page Number
	Introduction	p. 1
	About This Book	p. 2
	Conventions Used in This Book	p. 2
	What You're Not to Read	p. 2
	Foolish Assumptions	p. 3
	How This Book Is Organized	p. 3
Part I	Endometriosis: What It Is and Isn't	p. 4
Part II	Digging Deeper into Endometriosis	p. 4
Part III	Treating Endometriosis	p. 4
Part IV	Living with Endometriosis	p. 4
Part V	The Part of Tens	p. 4
Part VI	Appendixes	p. 5
	Icons Used in This Book	p. 5
	Where to Go from Here	p. 6
Part I	Endometriosis: What It Is and Isn't	p. 7
Chapter 1	The Lowdown on Endometriosis: A Quick Run-Through	p. 9
	Defining Endometriosis	p. 9
	Figuring out why endometriosis moves	p. 10
	Understanding why endometriosis hurts	p. 10
	Going Public: Why Don't People Know About Endometriosis?	p. 12
	Endometriosis is a women's disease	p. 12
	Endometriosis symptoms are "all in your head"	p. 12
	Endometriosis is invisible until you have surgery	p. 13
	Endometriosis isn't glamorous	p. 13
	Who Gets Endometriosis?	p. 14
	Counting the women with endometriosis	p. 14
	Looking at age and endometriosis	p. 15
	Linking pregnancy and endometriosis	p. 17
	Calculating the Cost of Endometriosis	p. 18
	Eying the economic costs	p. 19
	Considering the diagnostic and treatment costs	p. 19
	Looking at the cost on relationships	p. 20
	Do You Have Endometriosis: A Self-Test	p. 21
Chapter 2	Suspecting Endometriosis: Defining the Symptoms	p. 23
	Considering the Most Common Symptoms of Endometriosis	p. 23
	Dealing with painful periods	p. 24
	Hurtin' for certain during sex	p. 25
	Feeling mid-cycle pain	p. 27
	Experiencing abnormal bleeding	p. 27
	Conceiving problems	p. 28
	Experiencing chronic pain	p. 29
	Facing autoimmune issues	p. 30
	Being tired all the time	p. 31
	Noting the Not-Quite-As-Common Symptoms of Endometriosis	p. 32
	Living with your bowels in an uproar	p. 32
	Recognizing urinary symptoms	p. 33
	Coping with respiratory symptoms	p. 33
	Minding endometriosis and the brain	p. 34
	Writing It Down: How a Diary Can Help	p. 35
	Recording symptoms (and everything else important) from month to month	p. 35
	Keeping track of your menstrual cycle	p. 36
	Rating your pain	p. 36
	Locating your pain	p. 37
	Homing in on your feelings	p. 37
	Plotting your energy levels	p. 38
	Listing your pain treatments - both the good and the bad	p. 38
Chapter 3	Endometriosis: A Quick Review of Biology	p. 39
	Getting Back to Basics: Bio 101 of Female Anatomy	p. 39
	The uterus: Your womb	p. 40
	The uterine ligaments: The stabilizers	p. 41
	The ovaries: Your egg producers	p. 42
	The fallopian tubes: Your conveyor belts	p. 42
	The vagina and cervix: The openings	p. 42
	Other important parts	p. 43
	Measuring How Endometriosis Affects Your Reproductive and Other Organs	p. 44
	Endometriosis and your fallopian tubes	p. 45
	Endometriosis and your ovaries	p. 46
	Endometriosis and your pelvic cavity	p. 49
	Endometriosis and your cervix and vagina	p. 54
Chapter 4	Determining What Causes Endometriosis	p. 55
	Speculating on How Endometriosis Develops: The Most Common Theories	p. 55
	Migrating out the tubes: Retrograde menstruation	p. 56
	Blaming Mom: Is endometriosis hereditary?	p. 58
	Exploring Other (Not-So-Common) Theories	p. 61
	Using tampons	p. 61
	Having a tubal ligation	p. 63
	Answering some of the unanswered questions: The metaplasia theory	p. 64
	Understanding your immune system's role in endometriosis	p. 65
	Meeting the immune cells	p. 65
	Exploring the autoimmune connection	p. 68
	The Mystery of Traveling Endometriosis	p. 72
	Hitching a ride in the lymphatic and vascular systems	p. 72
	Spreading endometriosis through surgery	p. 73
	Avoiding Endometriosis: Is It Possible?	p. 75
	Does pregnancy help prevent endometriosis?	p. 75
	Watching what you eat	p. 76
	Considering environmental factors	p. 77
Part II	Digging Deeper into Endometriosis	p. 81
Chapter 5	Understanding Your Menstrual Cycle (And Its Relationship to Endometriosis)	p. 83
	Your Period and Endometriosis: Why Are They Connected?	p. 84
	Looking at a healthy cycle	p. 84
	Understanding how endometriosis affects your period	p. 88
	A Pain by Any Other Name Is Still a Pain, But Is It Endometriosis?	p. 91
	Identifying the pain	p. 91
	What causes the pain?	p. 91
	Regulating Your Menstrual Cycle to Reduce the Pain	p. 93
	Using medication	p. 93
	Considering surgery	p. 94
	Hello Menopause: Goodbye Endometriosis?	p. 95
Chapter 6	Looking Closer at How Endometriosis Also Affects Other Body Parts	p. 97
	What a Gas! Endometriosis and Your Intestines	p. 97
	Twisting through your intestines	p. 98
	Suspecting intestinal endometriosis	p. 99
	Diagnosing (and treating) intestinal endometriosis	p. 102
	Endometriosis and Your Urinary Tract: More Than Just Another Infection	p. 105
	Naming the main symptoms	p. 105
	Understanding a cystoscopy	p. 107
	Treating urinary tract endometriosis	p. 109
	Endometriosis in Your Lungs: Coughing, Chest Pain, and Breathing Problems	p. 110
	Endometriosis in the lining of the lung (pleura)	p. 111
	Endometriosis in the lung tissue (parenchyma)	p. 111
	Diagnosing thoracic endometriosis	p. 111
	Treating thoracic endometriosis	p. 112
	Endometriosis in Your Brain: Rare, but Possible	p. 112
Chapter 7	Endometriosis and Infertility: Having a Baby (Or Trying To)	p. 113
	Figuring Out Why Endometriosis Is a Major Cause of Infertility	p. 114
	A quick overview: The steps to pregnancy	p. 114
	Whose fertility is affected by endometriosis?	p. 116
	Endometriosis In, Around, and On Your Ovaries	p. 117
	Understanding the link between endometriosis and egg development	p. 119
	Processing how endometriosis destroys ovarian tissue	p. 120
	Looking at luteinized unruptured follicle syndrome (LUF)	p. 22
	Interfering with a Good Uterine Environment	p. 123
	Checking out other hormonal problems: Luteal phase defect	p. 123
	Noting the chemical effects of endometriosis	p. 124
	Evaluating enzyme abnormalities	p. 125
	Messing with Your Fallopian Tubes	p. 125
	Adhesions tangle your fallopian tubes	p. 125
	Blocked tubes can cause ectopic pregnancy	p. 126
	Partially blocking tubes are bad too	p. 127
	Diagnosing Infertility Caused by Endometriosis	p. 128
	Seeing an infertility specialist	p. 128
	Drawing and testing blood	p. 129
	Debating the endometrial biopsy	p. 130
	Having a hysterosalpingogram (HSG)	p. 130
	Opting for a sonohysterogram	p. 132
	Doing a hysteroscopy	p. 132
	Probing with ultrasounds	p. 133
	Starting with Simple Treatments	p. 133
	Ovulation Induction (OI)	p. 133
	Intrauterine Insemination (IUI)	p. 135
	Progesterone supplements	p. 135
	Taking the Next Step: Surgery to Treat Infertility	p. 136
	Removing adhesions	p. 137
	Taking out endometrial implants or not?	p. 137
	Going for the Big Guns: Is In Vitro Fertilization (IVF) Necessary?	p. 139
	What's involved with IVF?	p. 140
	How does IVF bypass the problems of endometriosis?	p. 140
	What's the downside of IVF?	p. 141
	Miscarriage and Endometriosis: Is There a Connection?	p. 141
Chapter 8	Finding the Right Doctor	p. 143
	Finding a Gynecologist	p. 143
	Looking for the right doc	p. 144
	Narrowing your search	p. 146
	Scheduling your first appointment	p. 147
	Navigating the First Doctor's Visit	p. 148
	Describing your symptoms	p. 150
	Interviewing your doctor	p. 150
	Making your final decision	p. 151
	Working with Your Doctor	p. 151
	Communicating your concerns	p. 152
	Keeping your expectations realistic	p. 152
	Divorcing Your Doctor Painlessly	p. 153
Chapter 9	Do You Have Endometriosis? Your Initial Exam and Diagnosis	p. 155
	Preparing for Your Diagnostic Exam	p. 155
	Knowing what to do (and not do)	p. 156
	Bringing information with you	p. 156
	Understanding How Your Doctor Makes a Diagnosis	p. 157
	The general exam	p. 157
	The pelvic exam	p. 158
	Ouch! Tenderness during the exam	p. 160
	Keeping the Lines of Communication Open	p. 160
	Talking openly with your doctor	p. 160
	Maintaining your own set of records	p. 161
	Undergoing a Few Diagnostic Tests	p. 161
	It's a draw - blood, that is	p. 162
	Checking your stool for blood	p. 162
	Your cup runneth over: The urinalysis	p. 163
	Testing, testing: Ultrasounds, X-rays, CT scans, MRIs, and more	p. 163
	Diagnosing Endometriosis Surgically	p. 165
	Biopsying endometriosis	p. 166
	Diagnosing endometriosis visually	p. 166
	Looking at endometriosis under the scope	p. 169
	Staging Endometriosis	p. 170
Part III	Treating Endometriosis	p. 171
Chapter 10	Relying on (Prescription) Drugs to Treat Endometriosis	p. 173
	Understanding Medical Treatment: How Drugs Fight Endometriosis	p. 173
	Mimicking pregnancy	p. 174
	Mimicking menopause	p. 175
	Looking at Hormonal Medication Options	p. 175
	Popping the Pill: Oral contraceptives	p. 176
	Considering progestins alone	p. 181
	Debating danazol (Danocrine)	p. 183
	Trying GnRH agonists	p. 185
	Inserting an IUD for pain relief	p. 190
	Checking Out Nonhormonal Options	p. 192
	Using NSAIDs	p. 192
	Trying other painkillers	p. 193
	Looking at What the Future Holds	p. 193
	Looking at GnRH antagonists	p. 193
	Pursuing antiprogestins	p. 194
	Selecting SERMS	p. 195
	Examining aromatase inhibitors	p. 195
	Testing SPRMs	p. 195
	Finding new treatments (and wrinkles) all the time	p. 196
Chapter 11	Contemplating Surgery to Improve Your Endometriosis	p. 197
	Eyeing the Two Main Surgical Methods	p. 197
	One option: Having a laparoscopy	p. 199
	Another option: Choosing laparotomy	p. 205
	Naming the Surgical Tools	p. 208
	Cutting with knives and scissors	p. 209
	Vaporizing tissues: Electrosurgery	p. 209
	Beaming away the tissues: Lasers	p. 210
	Using the harmonic scalpel	p. 211
	Putting everything back together	p. 211
	Knowing which tool is better	p. 212
	Starting Surgical Treatment Conservatively	p. 212
	Cutting away adhesions	p. 213
	Trying ablation of endometriosis	p. 213
	Removing ovarian cysts - How much?	p. 215
	Looking at LUNA	p. 216
	Decreasing endometrial pain: Presacral neurectomy	p. 218
	Opting for Radical Surgery	p. 219
	Removing your ovaries	p. 220
	Having a hysterectomy	p. 222
	Choosing how to approach a hysterectomy	p. 222
	Recovering from hysterectomy	p. 224
	Making the Right Surgical Choice	p. 226
Chapter 12	Considering Alternative Therapies and Remedies to Relieve the Pain	p. 227
	Being Aware of Alternative Medicine Pitfalls	p. 228
	Finding a competent practitioner	p. 228
	Protecting yourself from dangerous (or useless) pills	p. 230
	Accessing Acupuncture	p. 231
	Easing the pain with just a little prick	p. 231
	Finding a licensed acupuncturist	p. 232
	Considering a Chiropractor	p. 232
	Understanding what a chiropractor does	p. 233
	Finding a chiropractor	p. 233
	Using Heat and Massage for Pain Relief	p. 233
	Relying on Relaxation Techniques	p. 234
	Stretching with Yoga and T'ai Chi	p. 235
	Finding out more about yoga and T'ai Chi	p. 236
	Looking closer at the benefits of yoga and T'ai Chi	p. 236
	Using a TENS Unit	p. 237
	Trying Traditional Chinese Medicine	p. 237
	Considering Herbal Medicines	p. 239
	Trying an herbalist	p. 239
	Working with a homeopath	p. 240
	Seeing a naturopath	p. 241
	Breathing Your Way to Feeling Better: Aromatherapy	p. 241
	Considering Immunotherapy	p. 242
	Naming the two main treatment options	p. 243
	Considering biologic response modifiers	p. 244
Chapter 13	Managing the Chronic Physical Pain	p. 245
	Defining Chronic Pain	p. 246
	Self-Medicating with Over-the-Counter Meds	p. 246
	Comparing the types of OTC painkillers	p. 246
	Choosing meds wisely	p. 249
	Trying Prescription Medications	p. 250
	Taking prescription NSAIDs	p. 250
	Considering opioids	p. 251
	Trying Ultram	p. 253
	Taking antidepressants	p. 254
	Considering antiseizure medications	p. 256
	Creaming Away the Pain	p. 256
	Exercising Away Your Pain	p. 257
	Using Heat and Massage for Pain Relief	p. 258
Chapter 14	All Things Teens: Diagnosing, Treating, and Coping with Endometriosis	p. 259
	Making a Diagnosis in Teens (And Preteens)	p. 259
	Letting teens know that severe menstrual pain isn't normal	p. 260
	Understanding why pain doesn't recur every month	p. 261
	Getting through the gyno exam	p. 261
	Ruling out other problems	p. 262
	Knowing the Risks When Choosing Treatment for Teens	p. 263
	Being more conservative (or more aggressive?) when treating teens	p. 263
	Realizing that teens may still be growing	p. 263
	Eying the medication risks	p. 264
	Identifying surgical risks	p. 266
	Keeping Communication Open between Parent and Teen	p. 266
	Helping Teens Live with Endometriosis	p. 267
	Handling school absence	p. 268
	Watching for signs of depression	p. 269
	Preserving fertility in teens with endometriosis	p. 270
	Finding a teen support network	p. 270
Pavt IV	Living With Endometriosis	p. 271
Chapter 15	Coping with Endometriosis and Your Emotions	p. 273
	Understanding How Endometriosis Can Affect Your Mental Health	p. 274
	When Depression Rears Its Ugly Head: Feeling Down in the Dumps	p. 274
	What exactly is depression?	p. 275
	What are the signs of depression?	p. 276
	How do I know when I need help?	p. 277
	Determining If Anxiety Is Your Problem	p. 277
	Defining anxiety	p. 277
	Looking for possible signs	p. 278
	Treating Emotional Problems with Medication	p. 278
	Trying tricyclics	p. 279
	Switching to SSRIs and other new antidepressants	p. 281
	Looking at the latest antidepressants	p. 281
	Avoiding serotonin syndrome	p. 282
	Stopping antidepressants	p. 282
	Expressing Your Frustration without Alienating Everyone You Know	p. 283
	Finding friends who understand	p. 283
	Looking for support from groups	p. 284
	Turning to a therapist	p. 286
Chapter 16	Changing Your Lifestyle When You Have Endometriosis	p. 287
	Focusing on Life beyond Endometriosis	p. 288
	Keeping a positive attitude	p. 288
	Scheduling around good and bad days	p. 289
	Coping with Work When You Don't Feel Good	p. 290
	Finding the right job for you	p. 290
	Being honest with your potential boss?	p. 291
	Being aware of your sick time	p. 292
	De-stressing Your Life: More Than Just Breathing in Slowly	p. 293
	Changing Your Bad Habits	p. 294
	Eating well really can change your life	p. 295
	Cutting back on the drinks	p. 299
	Snuffing out the smokes	p. 299
	Exercising for Health and Other Benefits	p. 299
	Understanding the benefits of movement	p. 300
	Taking the first step	p. 300
	Finding Chemically Safe Products	p. 301
	Adjusting Your Sex Life	p. 302
	Being upfront with your partner	p. 303
	Getting the most out of sex	p. 304
	Trying different positions	p. 304
Chapter 17	Just for Friends and Family: Help and Support	p. 305
	Living with Endometriosis - Secondhand	p. 306
	Understanding how endometriosis affects her	p. 306
	Helping without being a pain	p. 307
	Coping with the sexual effects of endometriosis	p. 309
	Keeping afloat financially	p. 310
	Persevering Through Infertility Treatments Together	p. 310
	Just for Moms and Dads: Being There for Your Adult Daughter	p. 312
	Finding Support for Yourself	p. 313
Part V	The Part of Tens	p. 315
Chapter 18	Ten Myths about Endometriosis	p. 317
	Endometriosis Is All in Your Head	p. 317
	Endometriosis Is Just Cramps	p. 318
	Only Women Get Endometriosis	p. 318
	Teenagers Don't Get Endometriosis	p. 318
	Endometriosis Goes Away at Menopause	p. 319
	Endometriosis Is a Career Woman's Disease	p. 319
	Endometriosis Only Exists in Industrialized Countries	p. 319
	A Hysterectomy Cures Endometriosis	p. 320
	Endometriosis Is Easy to See and Remove during Surgery	p. 320
	You Can't Get Pregnant If You Have Endometriosis	p. 320
Chapter 19	Ten (Or So) Trends in the Future of Endometriosis	p. 321
	Determining the Source of Endometriosis	p. 321
	Identifying Endometriosis Genes	p. 322
	Overcoming Infertility in Endometriosis	p. 322
	Diagnosing Endometriosis Earlier	p. 323
	Refining Medication Treatments	p. 323
	Improving Immune Therapy	p. 324
	Gaining Respect for Endometriosis	p. 324
	Starting More Organizations to Help	p. 324
	Getting Insurers to Help Cover the Costs	p. 325
	Transplanting Ovaries and Other Reproductive Organs	p. 325
	Decreasing Surgical Risks	p. 326
Chapter 20	Ten Strategies to Help with the Pain	p. 327
	Planning to Avoid Pain	p. 327
	Jumping on Pain the Minute It Begins	p. 328
	Keeping Medications You Need on Hand	p. 328
	Soaking in a Hot Tub	p. 328
	Massaging Away the Pain	p. 329
	Breathing Slow and Easy	p. 329
	Using Your Imagination	p. 329
	Talking It Over	p. 330
	Trying a Little Laughter	p. 330
	Knowing What Works for You	p. 330
Part VI	Appendixes	p. 331
Appendix A	Glossary	p. 333
Appendix B	Resources and Support	p. 341
	Looking for an Organization	p. 341
	Going Online	p. 342
	Flipping through Books	p. 343
	Reading Newsletters	p. 343
	Getting Involved in Clinical Trials	p. 344
	Attending Meetings and Support Groups	p. 344
	Asking Relatives and Friends	p. 344
	Index	p. 345

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