Stop Endometriosis and Pelvic Pain: What Every Woman and Her Doctor Need to Know

Stop Endometriosis and Pelvic Pain: What Every Woman and Her Doctor Need to Know


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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 healthcare 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.

Product Details

ISBN-13: 9780984953578
Publisher: Femsana Press LLC
Publication date: 07/30/2012
Pages: 218
Sales rank: 839,622
Product dimensions: 5.90(w) x 8.90(h) x 0.60(d)
Age Range: 11 - 18 Years

About the Author

Andrew S. Cook MD, FACOG, founder and medical director of Vital Health Institute in Los Gatos, California, is an internationally recognized women's health expert who has devoted his professional life to helping women with complex health problems. A renowned gynecologic surgeon, he is a leader in minimally invasive surgical techniques and a pioneer in the treatment and management of endometriosis. He is one of only a handful of experienced specialists devoted to the treatment of endometriosis and pelvic pain. Even among these specialists, he is unique in his comprehensive approach to his patients' overall condition. He is known for an integrative approach that combines traditional Western medicine and surgical treatment with complementary care and a holistic philosophy. Robert Franklin MD, clinical professor of obstetrics and gynecology at Baylor College of Medicine in Houston, Texas, is affectionately known as the grandfather of endometriosis, and has treated over 20,000 patients with endometriosis during his sixty years of practicing medicine.

Table of Contents

Acknowledgments vii

Figures xiv

Tables xv

Foreword xvii

Introduction: The Overlooked Endo Patient 1

Part I The Reality of Endometriosis and Pelvic Pain

1 What It Really Means to Have Endometriosis 7

How Does Endometriosis Start? 9

How Does the Disease Progress? 11

The Invisible Disease 12

Why Is It So Hard to Find Good Care for Pelvic Pain and Endometriosis? 13

2 The Medical Mystery of Endometriosis 17

What Causes Endometriosis? 17

Why Are Some Women More Susceptible Than Others? 18


Epigenetics and Epigenomics

Environmental Exposure

Estrogen Metabolism

Immune Response

How Do I Know if I Have Endometriosis? 24

Misdiagnosis, Stigma, and Blame

Is There a Cure? 30

3 Myths and Misunderstandings about Endometriosis 33

Causes Myths 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 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 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 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 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.

4 A Healing Relationship: Finding Good Care and Treatment for Endometriosis 45

Advocating for Your Health 47

Characteristics of a Healing Relationship 48

How to Be a Partner in Your Care 52

How to Find a Good Doctor 53

Part II Diagnosis and Treatment of Endometriosis, Pelvic Pain, and Associated Conditions

5 Diagnosing Endometriosis and Other Causes of Pelvic Pain 59

Endometriosis Is Not the Only Cause of Pelvic Pain 59

Sit Down and Listen to the Patient 60

The Physical Exam 61

Transvaginal Sonogram

Residual Endometriosis-Patient Assisted Laparoscopy (PAL) 64

Pelvic Pain Not Caused by Endometriosis 65

Interstitial Cystitis (IC)

Pelvic-floor Muscle Spasm

Adhesions or Scar Tissue



Uterine Retroversion

Pelvic Congestion

Abdominal-wall Neuropathy

Pudendal Neuropathy and Pudendal Nerve Entrapment (PNE)

Food Allergies and Food Sensitivities

Ovarian Remnant

Foreign Body



Gastrointestinal Problems: Motility Problems, Redundant Colon, Diverticulitis, Anal Fissure

Lyme Disease

Generalized Visceral Hypersensitivity


6 Getting the Best Treatment for Endometriosis 83

Medications for Treating Endometriosis 83

Birth Control Pills



Progesterone Drugs

Aromatase Enzyme Inhibitors

Customer Reviews