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Endometriosis & Adenomyosis

No more severe, unbearable pelvic pain that happened on and off randomly.

February 17, 2016.

I am contacting you with some questions. If you don't mind, let me explain my symptoms here first.

I am 42 y.o. female, had abdominal fibroid removal surgery about 2 years ago. Currently, experiencing ongoing, episodic, significant lower abdominal pain almost daily for the duration of 4-8 hrs especially about 2 hrs after eating food. GI work up was done---CT abdomen negative, Colonoscopy negative, MRI abd negative. So MRI pelvis was done and showing two relatively small fibroids and likely adenomyosis. Currently I do not have heavy bleeding issue like I had before my fibroid removal surgery in the past. It's more like.. unable to eat normal amount of food as before because of increased lower abdominal distension and pain. Over the last one month, I lost 10 pounds and it makes me underweight now. 

 Here are my questions.
1. Would Progestelle help my current symptoms and fibroids and likely adenomyosis?

2. If so, how much dose is recommended and for how long is it recommended to be on?

3. If on Progestelle, would I have periods at all or no periods? FYI; I am not concerned about fertility at this time. I just need my normal life back.

I would really appreciate your response.

Sincerely,

Kris

Concord, California

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After our talk several months ago, I started using Progestelle oil from April. I was recommended to use from D6 through D26 of my cycle. Now I am day 23 and have signs and symptoms of the start of my period. Should I still continue to use Progestelle through day 26 or should I stop using it for this time and restart based on this new cycle?

 Kris

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 April 23, 2016

I am not getting worse, for sure. 

It's just too early to say. I would cautiously say it's a little bit more positive side.

But I do not know for sure without closely monitoring for the next several more months since I still have symptoms intermittently.

I am hoping to be able to say that I am definitely getting better with the use of progestelle etc. in the near future.

Again, thank you for the insights and guidance you share.

Sincerely, 

Kris

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April 22, 2016

Thank you for prompt response.

I don't mind at all. Thank you for asking. As I mentioned in our previous email correspondence, currently I have random on and off pelvic pain regardless of my cycle, which is totally new to me. This new pelvic pain is so severe at times, almost feel like contraction-like pain. So strange and challenging! Extensive GI work-up was done and all negative. And MRI pelvis showed 2 very small fibroids and likely Adenomyosis.  My GYN doctors don't think my symptoms are from GYN issues since I do also get pelvic pain while I am not on my period. I have a history of abdominal myomectomy in July, 2013 and benign fibrocysitic breast lump removal surgery in 2005. 

Based on my medical history, I was doing some research and coming to the term, estrogen dominance by Dr. John Lee. Sadly, conventional medical doctors are not interested or giving any guidance in this perspective at all. As a nurse and patient, it is a real struggle to find a fundamental solution to my current issues.

As you have advised, I have tried my best to eliminate all xenoestrogen in the past several months and started progestelle from this month first time. I am also on all supplements you have recommended. 

Thank you in advance for your insights you share.

Sincerely, 

Kris

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June 22, 2016

Hi Dr. Eckhart,

I thought I would update you on my current condition since I talked to you on the phone a couple months ago.

My symptoms are much improved, I would say!

No more severe, unbearable pelvic pain that happened on and off randomly.

Only a few episodes of mild pelvic pain, which is less frequent as well. 

This is much improvement for me. 

So far, I have used progestelle 3 months ( D6 through D26 each cycle) in higher dose.

So I would appreciate your recommendation from here.

Should I reduce the dose to 20mg/day from now on? How long should I be on progestelle?

Ideally I would like to have another u/s done to see if my fibroids are not growing bigger. 

Yet, I am not sure if my conventional GYN doctor would let me have another one done soon without any worsening symptoms.

Your thoughts and recommendations would be greatly appreciated.

Thank you very much.

Sincerely,

Kris

Concord, California

 

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