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Many aspects play a role in our body-mind health balance and may contribute to the trajectory of medical conditions. Womenâs health issues frequently, remain undetected or mistakenly diagnosed. One of these issues, which affects an estimated of 10% women globally, endometriosis. It has enormous implications on the quality of a woman's life. This severe inflammatory condition occurs globally in 190 million women of reproductive age (1). Endometriosis can cause constant and intense pelvic pain, especially during periods, fatigue, depression, anxiety, and infertility. Endometriosis is the cause of 70% of all chronic pelvic pain cases in women in the United States (2). The cost of illness burden is significant in women with chronic pelvic pain, particularly the productivity costs (3). They are the greatest contributor to overall costs. Given pain is the most significant contributor, priority should be given to improving pain control in women with pelvic pain (4).
It is a chronic disease associated with severe, life-impacting pain during periods, sexual intercourse, bowel movements and/or urination, chronic pelvic pain, abdominal bloating, nausea, fatigue, and sometimes depression, anxiety, and infertility.There is currently no known cure for endometriosis and treatment is usually aimed at controlling symptoms.Access to early diagnosis and effective treatment of endometriosis is important, but is limited in many settings, including in low- and middle-income countries (5).Treatment
Treatments to manage endometriosis can vary based on the severity of symptoms and whether pregnancy is desired. No treatments cure the disease.
A range of medications can help manage endometriosis and its symptoms.
Non-steroidal anti-inflammatory drugs (NSAIDs) and analgesics (painkillers) like ibuprofen and naproxen are often used to treat pain.
Hormonal medicines like GnRH-analogues and contraceptive (birth control) methods can also help control pain.
These methods include:
pillshormonal intrauterine devices (IUDs)vaginal ringsimplantsinjectionspatchesReferences
References
https://www.ox.ac.uk/news/2023-03-14-global-study-shows-experience-endometriosis-rooted-genetics#:~:text=Endometriosis%20has%20enormous%20implications%20on,depression%2C%20anxiety%2C%20and%20infertility.Payne JA. Acupuncture for Endometriosis: A Case Study. Med Acupunct. 2019 Dec 1;31(6):392-394. doi: 10.1089/acu.2019.1379. Epub 2019 Dec 13. PMID: 31871528; PMCID: PMC6918512.Armour M, Lawson K, Wood A, Smith CA, Abbott J. The cost of illness and economic burden of endometriosis and chronic pelvic pain in Australia: A national online survey. PLoS One. 2019 Oct 10;14(10):e0223316. doi: 10.1371/journal.pone.0223316. PMID: 31600241; PMCID: PMC6786587.https://www.who.int/news-room/fact-sheets/detail/endometriosishttps://www.endometriosis-uk.org/endometriosis-facts-and-figures@drschwank
@unesurcent
@optimalperformancezurich
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LHave you experienced such a situation yourself, where just completely foreign to all around?
Staying in Shanghai for my research after a quick stop over in Hong Kong, which Iâve visited early 2020 and early 2024. Yes, itâs different too, but by no means as much as the city I so love and lived in 10 years ago. The feeling of being all so foreign and seen as a stranger, is quite a unique encounter in todayâs globalized world. Itâs interesting to face this situation as a white woman. Itâs such a rare encounter and I guess a large majority in the west hadnât encountered it, on any of their global trips. Itâs in a way a good thing for the white majority to experience, makes one more humble, but also at the same time more entitled, a strange combination.
How do we cope with the loneliness, such an experience brings?
How to deal with the frustration of being lost in translation?
How to avoid abusing the privileged status and lack of social control?
@drschwank
@unesurcent
@optimalperformancezurich
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Fehlende Folgen?
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Currently on a global research trip in Hong Kong and Shanghai, combining research and clinical work in Europe at the same time is a stretch, considering the 7 hours time difference. On top being in a place thatâs become very foreign and without Madarin Chinese proficiency hardly possible to navigate without a local support. Luckily, I do speak Mandarin Chinese and used to live in a very different, way more international Shanghai. Getting around is therefore possible for me, without getting lost.
This daily challenging bridging of obligations in all directions and feeling itâs never enough. Thatâs the hardest feeling of all. So what can we do to keep up with the best personal balance?
Reflections over regaining and reshaping balance in body and mind:
Rebalancing nutrition and healthy eating habits, sleep, exercise, family obligations, work, and other social activities. Wow, itâs a lot!
Take one step at a time! Seek help to mediate, if itâs too difficult to cope with all the tasks and people involved. Be humble to what you know and seek help from experts, thatâs very important!
@drschwank
@unesurcent
@optimalperformancezurich
@omni.vitality
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Global female networking
Travelling globally for research, takes a creative mind to figure out the options available to make it happen. I love to combine exercising and meeting people, a walk and even just a quick coffee in between meetings, lectures, running errands, and heading to the airport.
Flexibility and creativity are queen.
The more we take care and accommodate to the external situation of time zones, season, weather, and our personal rhythm, the smoother the transitions. Female bodies are complex, the hormones, and cycle being impacted by change of time zones, mixing up the circadian rhythm. Be mindful and balance your daily obligations well.
Personally, yoga and running are a very helpful tool to adjust to Jetlag. Yet, I do notice myself to be more hyper vigilant, potentially the circadian rhythm thatâs out of balance, the digestive system, and the hormonal balance in the body.
Note from a frequent global traveler:
I did understand to slow down, planning less meetings, and being more go with the flow, attuned to my body and mindâs needs!!
@drschwank
@unesurcent
@optimalperformancezurich
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In todayâs society, womenâs roles have shifted. Theyâre no longer out of reach when it comes to power. Theyâre in power over the most relevant subject of all societies. To decide over their fertility, their trajectory in terms of when and if and how many children they envision to have. Birth rates have dropped drastically over the past decades and are continuing on a downward spiral.
It is about time to inquire what factors mainly play into, why women choose to postpone their family planning, have very few children, children by themselves, children at a late stage or decide to be childless.
Governments around the world would like to know the answer to these questions.
In our global research project, analysing womenâs fertility planning, we want to find the root of this global trend.
As women we need to put ourselves out there and explore the world, connect and exchange with other women from different social backgrounds. These exchanges provoke reflection and potential change of old norms.
Thatâs exactly what Iâm doing right now; flying to Hong Kong to connect with global women at an event at Upper House on understanding female health.
@drschwank
@omni.vitality
@optimalperformancezurich
@unesurcent
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Todayâs conversation, live from Hong Kong with Katia, Nutritional Therapist, NLP coach, and the founder of Omni Vitality. I offer solutions for menstrual problems and womenâs hormonal conditions such as PMS, endometriosis and PCOS, and help women regain control of their bodies and emotions. This is the first of many more episodes to come. Stay tuned.
@drschwank
@omni.vitality
@optimalperformancezurich
@unesurcent
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How do women decide over their bodies and their reproductive health choices?
A globally extremely relevant question many governments wrap their heads around. In globalized societies fewer and fewer women decide to have kids and if they do, postpone it too much later than in the past. A situation that follows with its consequences, women naturally deciding to have fewer kids, but in addition having lower rates of success to conceive, due to a drop in fertility related to older age.
The global multi-center study on womenâs fertility plans in China, Sweden, Switzerland, and the US, asks women about their reproductive decision-making and potential options:
The Swedish welfare state assumes that it is easy to have children, despite that the birthrate dropped significantly.How do government incentives and child policies for (i.e. parental leave, financial support) impact family planning of young people in childbearing age?Todays women choose to get pregnant later in life, in order to invest in themselves first through education and career.Difference in attitude to freezing eggs between women and men?If it is not possible to get pregnant, what do women / men think?What are these couples willing to invest for having a child?Why don't women today want to have children?Why do young men not want any children?How do young women and men define family?How do young people in childbearing age describe what expectations there are of being a family?Results of the study aim to inform public health officials, governments, companies, and families, and individual women and men themselves. We aim to improve womenâs reproductive health care experience and reduce a constrain on either side of their family planning choices.
@drschwank
@optimalperformancezurich
@unesurcent
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Living with the stress of not being able to convince is a huge problem. It affects both partners and can impact the individual, the coupleâs relationship, and cause mental and physical problems. The more we focus on individual, as well as couple health care, the more preventative measures can be put in place. Think carefully if youâd like to reach out to a specialist to get support. Whom that could be? A personal or coupleâs therapist or both?
Reach out early to have someone by your side to follow your journey and whom youâll feel familiar with in some of your likely most vulnerable moments in life.
Acknowledge yours and your parentâs feelings, the IVF lifeâs a rollercoaster. Nothing is more challenging in life, than an unpredictable, stressful period with no clear ending, no matter how desired one of them is. Itâs also random, how hard you even try. The randomness and unpredictability, the mind game that causes you to pay attention to only that one outcome, to hold a healthy baby in your arms. Something you may think so many achieved parenthood effortless and at times even unwanted. That can trigger even more emotions and feelings of why me?
How to cope?
Try to maintain a healthy daily routine of both physical and social activities. Routines rock, especially when so much uncertainty is all around you.
@drschwank
@optimalperformancezurich
@unesurcent
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Todayâs episode is live from Shanghai during an Asian research trip in reproductive health. The current global research project focusses on the declining birth rate in China. A global trend that China is following with declining birthrates and womenâs alternative choices of family planning. Despite initiating a three-child policy and governmental incentives, including monetary benefits of having multiple children, the birthrate in 2022 has dropped in China to a record low of 1.2 children. Even if financial reasons have been discussed widely, itâs the social norms, as well as the individuals in reproductive age themselves, who grew up without siblings, surrounded only by other only children. A further topic is the lack of access to professional information and education surrounding childbirth and the perinatal period, leading to child-birth and parenthood related anxiety.
The research project investigates urban Chinese womenâs own reproductive choices and their causes. Dive in and stay tuned for more.
@drschwank
@unesurcent
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Todayâs episode is live from Hong Kong during an Asian research trip in reproductive health. The latest project focusses on the declining birth rate in China, despite initiating a three-child policy and governmental incentives, including monetary benefits of having multiple children.
The research project investigates urban Chinese womenâs own reproductive choices and their cause. Dive in and stay tuned for more.
@drschwank
@unesurcent
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Different scholars and news outlets conclude differently on the matter.
The pro team suggests that New Years resolutions foster:
#1 â Intention
#2 â Hope and Engagement
#3 â Responsibility
According to Forbes, YES: âStrive to be in the minority of people who keep their New Yearâs resolutions. But know even if you donât keep every one, the act of making them and striving toward them will have positive effects for you and for others.â
Much of our success depends on the habits we form in order to push ourselves forward.
Follow these 8 recommendations for creating New Yearâs Resolutions you'll keep:
1. Make resolutions for areas of your life that you can be passionate or excited about. Develop resolutions that are based on your values.
2. Create a positive resolution statement. For example rather that I want to lose 10kg, reframe it as Iâm going to eat healthier and exercise regularly.
3. Make your goals as specific as possible. Some suggest making SMART (specific, measurable, achievable, reasonable and timely) goals.
4. Donât just state a goal, create a strategy or system to achieve your goal. For example, if your goal is to eliminate financial debt. Your strategy might include monitoring your spending, creating a budget, making your lunch, having a spending free day each week, paying an extra amount of money each month on your credit card etc.
5. Focus on the process of moving forward rather than the outcome.
6. Take small steps.
7. Avoid blaming or shaming yourself. View mistakes, failures and setbacks as opportunities for learning and growth.
8. Remember, progress not perfection. Keep trying.
âAtomic habitsâ by James Clear, a more condensed way of how to maintain habits.
His 4 rules of atomic habits:
The 1st law (Cue): Make it obvious.
The 2nd law (Craving): Make it attractive.
The 3rd law (Response): Make it easy.
The 4th law (Reward): Make it satisfying.
The contra team lead by Karen Vanscoy shares the opinion that New Years resolutions increase stress and have a negative impact on our well-being.
"Many if not most of us will fail to follow through with our New Year commitments within the first couple of weeks. We all see and know that from the gym and their statistics.
The con team suggests, that people believe that if they achieve their resolutions theyâd be happy. As such, people have a tendency toward focusing on the end result (not very mindful), as opposed to appreciating the process (mindfulness in the moment) as a result. This is why they create and canât undue stress. A lot of pressure unnecessary pressure."
@optimalperformancezurich
Resources
https://www.forbes.com/sites/tracybrower/2021/12/31/4-reasons-to-make-new-years-resolutions-even-if-you-dont-keep-them/?sh=152a935066a1
https://hbr.org/2021/12/should-you-even-bother-with-new-years-resolutions-this-year
https://www.mymentalhealthsolutions.ca/blog
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Itâs the most magical time of the year. A time for family and friends, me-time often becomes a spares good. The more we anticipate and plan carefully the better.
Book in treatments, an exercise session or even better the more the merrier! Traveling and spending extended time with family can be intense for everyone. Even if you get along very well.
@drschwank
@optimalperformancezurich
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Holiday âbluesâ. Stress, loneliness, grief, loss, conflict, and unrealistic expectations during the âmost beautiful time of the yearâ.
What helps to alleviate the symptoms?
1. Create islands of me time. Be kind to yourself. Treat yourself.
2. Let go of expectations. Take a moment to feel and express gratitude.
3. Care for others. Volunteer. Serve a holiday meal.
4. Go on a walk in nature. Watch a holiday movie or go to a restaurant.
5. Seek help. Reach out for support.
6. Set boundaries, say no.
7. Stick and remind yourself of healthy habits. Pay attention to nutrition, exercise and sleep to boost your resilience.
8. Practice loving people that irritate you.
@drschwank
@optimalperformancezurich
References
https://www.mymentalhealthsolutions.ca/blog/title/holiday-blues/id/69/
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Itâs the most wonderful time of the year. Yet only if we can truly enjoy and stand still to observe the wonders. Look at the holiday season through the eyes of a child and donât stress. Enjoy little islands of me time. The perfect way to reset the nerves. Light a candle, head to a massage. Enjoy the tranquility of simply being in the here and now. Even if you donât have much time at your disposal. Every me minute counts! Try to be fully one and present.
L
@drschwank
@unesurcent
@optimalperformancezurich
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Learning to be patient..how challenging for the mind to be stuck on ground and not able to fly. Waiting in snow chaos in Zurich. As if thereâs never any snow here!! Weâre seriously challenged to remain calm, when in such a special scenario. The crew and all passengers kept very quiet. Thanks to the chocolate everyone got, I assume!
Personally, I feel I didnât deal well with the situation! Itâs been mentally very stressful to just sit and wait, without any agenda!!
Especially, since I have specific plans for this evening and my sonâs very first birthday!
I so wish, Iâd been up earlier this morning and having had my exercise in, instead of wanting to squeeze that in too.
But thatâs the typical âshoulda, woulda, couldaâ attitude that doesnât change anything, only makes one more irritated.
Lesson learned:
Do everything you want BEFORE a flight or train ride!Find tranquility in a situation you canât change!Stay open-minded and curious.Challenging times ask for decompression! Go for some exercise to not share the negative energy elsewhere!Look at the bright sides, stay positive!@drschwank
@unesurcent
@optimalperformancezurich
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Infertility can affect anyone. Thereâs no socioeconomic advantage or exception of infertility. Yet, of course depending on the medical system, it can also be a very costly experience.
Yet while infertility can be a major stressor on a relationship, many aspects can actually help strengthen it. The most important part of the process is, to undergo it as a team, with a united goal, to become a family, one way or another. Thatâs however much easier said than done. Here are some aspects to keep in mind, that can help a couple to cope with infertility.
Be a team self-blame starts when you see infertility as your own struggle.Try to keep some spontaneous intimacy. âPlanned sexâ is unsexy.Manage your stress. Seek professional help, if your stress becomes unbearable and overwhelming. Communicate honestly. Resentment and anxiety can shut down the lines of communication in a marriage or partnership. Become educated. Knowledge is powerful, especially when it comes from a qualified expert. Set goals and limits. Communicate honestly about your limits, and set mutual goals. You may also decide to explore alternative methods of starting a family, such as egg or sperm donation, or adoption and decide when youâll consider such methods,@drschwank
@unesurcent
@optimalperformancezurich
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Lifestyle choices, such as excessive alcohol consumption, smoking, obesity, and high stress levels can negatively impact fertility in men and women.
What can be done?
Itâs always easier said than done!Change is super tough!!
Ask yourself, which adjustments are feasible and sustainable.-Less is more. If you want to change a habit, start with a small change that you can maintained over a long period of time.
-Do it as a team and support each other.
Fertility treatments are super tough. You may therefore fall back into old habits. Donât blame each other.
-Meet each other with dignity, kindness, and respect.
Set yourself a goal, like the Everest camps.Start with base camp one, two, etc. nobody reaches the top within one day!
Keep living!Fertility treatments can take a longtime to succeed. Keep your daily life and especially important your social life going. Itâs crustal for mental and physical well-being.
@drschwank
@unesurcent
@optimalperformancezurich
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Hormonal problems and irregularities, such hyper and hypo thyroid activity can impact fertility, the female cycle and male sperm production and quality.
Common causes of hormonal imbalance that affect ovulation
Some of the most commonly diagnosed conditions and hormonal imbalances are anovulation, polycystic ovary syndrome (PCOS) and hyperprolactinemia.
These conditions often result in infrequent or absent ovulation, which complicates an individualâs or coupleâs ability to become pregnant.
Symptoms of hormonal imbalance
Often times, hormonal imbalance is not diagnosed until an individual experiences infertility. Women may experience one or more of the following symptoms:
Absent or irregular periods.Spotting between periods.Heavy or painful periods.Increased hair growth on the face, neck, chest, and back.Unexplained weight gain.Constipation and diarrhea.Men are less likely to have a hormonal imbalance that contributes to infertility than women, but they may still experience symptoms such as:
Erectile dysfunction.Low sperm count.Reduced body hair growth.Breast tenderness and overdevelopment of breast tissue.Thinning hair or male pattern hair loss.Itâs important to discuss any of the above symptoms with a reproductive endocrinologist if infertility is suspected.
@drschwank
@unesurcent
@optimalperformancezurich
Source: https://lomalindafertility.com/infertility/women/hormonal-imbalance
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No specific cause of infertility can be identified despite thorough testing and evaluation. Treatments include fertility medication, lifestyle changes, intrauterine insemination (IUI) and in vitro fertilization (IVF).
How many couples have unexplained infertility?
The exact rates vary because the definition of fertility testing varies. What one provider considers standard or comprehensive fertility testing may differ from other providers.
According to one source, in 10% of couples trying to conceive, fertility tests are normal and thereâs no detectable cause for infertility. But another source says unexplained infertility cases are as high as 30%.
Is it possible to get pregnant with unexplained infertility?
Yes, it's possible to get pregnant if you're diagnosed with unexplained infertility. A study from the National Institute of Health (NIH) found that 92% of couples with unexplained infertility who had fertility treatments ultimately had a child. A diagnosis of unexplained infertility doesn't mean you have to give up your dreams of a baby.
Lifestyle changes
Several lifestyle factors contribute to infertility. Some things you can do to help your chances of conceiving are:
Avoid smoking, drinking alcohol and using recreational drugs.Maintain a healthy weight.Eat a well-balanced diet.Try to get 30 minutes of exercise each day.Limit caffeine consumption.Reduce your stress.@drschwank
@unesurcent
@optimalperformancezurich
Source: https://my.clevelandclinic.org/health/diseases/23187-unexplained-infertility
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Key points about male factor infertility
Male infertility means a man is not able to start a pregnancy with his female partner.Male infertility can have many causes. You may not make enough sperm or healthy sperm. You may have a genetic problem like cystic fibrosis. You may have a blockage in your genital tract.You may be more likely to have male infertility if you have had genital infections, injury to your testicles, or early or late puberty.Treatment depends on what is causing your infertility. Treatments include artificial insemination, medicines, and surgery.Next steps
Tips to help you get the most from a visit to your healthcare provider:
Know the reason for your visit and what you want to happen.Before your visit, write down questions you want answered.Bring someone with you to help you ask questions and remember what your provider tells you.At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.Ask if your condition can be treated in other ways.Know why a test or procedure is recommended and what the results could mean.Know what to expect if you do not take the medicine or have the test or procedure.If you have a follow-up appointment, write down the date, time, and purpose for that visit.Know how you can contact your provider if you have questions.@drschwank
@unesurcent
@optimalperformancezurich
Source: https://www.hopkinsmedicine.org/health/conditions-and-diseases/male-infertility#:~:text=Male%20infertility%20means%20a%20man,blockage%20in%20your%20genital%20tract.
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