Health News and Information

The “complex” B’s are actually a group of eleven separate but interrelated vitamins. They are vitamin B1 (thiamine), B2 (riboflavin), B6 (pyridoxine), B3 (niacin), B12 (cobalamin), pantothenic acid, biotin, folic acid, choline, inositol, and PABA (para-aminobenroic acid). All B vitamins are intimately involved with the breakdown of carbohydrate, protein, and fat in the body, powering the mechanisms that release energy to the muscle cells. B6 has been shown to influence the release of the brain’s neurotransmitters dopamine and serotonin and may be the most critical vitamin for women. These neurotransmitters regulate mood, and a lack may cause a sense of agitation or depression. Folic acid and B12 are instrumental in red blood cell production, and red blood cells, in turn, transport oxygen to muscles. Research on choline points to some evidence that this vitamin is linked to brain chemistry and may be a factor in memory retention. Physical activity, alcohol, refined sugar, birth control pills, and emotional stress deplete B vitamins, and since they aren’t stored in the body, the more active or under stress you are, the more you need.These vitamins not only regulate the menstrual cycle but are also crucial for the well-being of women with endometriosis and have been known to help lessen symptoms of PMS. To begin, B vitamins are implicated in liver function and in the synthesis of estrogen. This hormone is broken by the liver into a more benign form, called estriol, which will not make cells proliferate. Undegraded estrogen, called estradiol, is closely linked to endometriosis as well as to cases of fibrocystic disease and breast cancer, uterine fibroids, and heavy menstrual flow. If a woman’s diet is poor in B complex vitamins, liver function is impaired and more estradiol enters the system, causing greater endometrial inflammation.Women who are taking oral contraceptives, arc pregnant and/or lactating, and those with endometriosis are all subject to greater B complex needs because of altered or unbalanced hormonal states. An intake of these vitamins should help to elevate moods, control fluid retention, and improve hair and skin qualityDosage: B complex is best taken in a balanced-formula pill. Taking an overload of one of these vitamins may increase the need for the others. Since these vitamins arc water-soluble, you’ll do best to rake them with meals. A full stomach will also offset any side effects of the dosage, such as mild nausea. To keep mood and hormones balanced harmoniously, endometriosis sufferers should begin with a 100-mg B complex tablet, with an additional 50-200 mg of B6. From the two weeks before the menstrual cycle, increase vitamin B6 intake to 500 mg and take it along with B complex and magnesium tablets. This combination should help reduce estrogen overloading. It’s a good idea not to take a high-dosage vitamin C supplement at the same time you are taking the B’s. Vitamin C in large quantities tends to destroy B12.Best selection of foods with B vitamins: These critically important vitamins are often sacrificed by overcooking, canning, overprocessing, and long-term storage—an unfortunate byproduct of the modem food industry. It may not be an intentional disservice, but nevertheless, we are sometimes consuming prepackaged foods that are poor in B complex vitamins when they should  be naturally B complex rich. Strive, then, for the freshest food products. To benefit most, the best sources are liver, brewer’s yeast, whole grains (wheat bran, rice bran, and oatmeal), soybeans, peanuts, peas, lima beans, dark leafy vegetables, tuna, turkey, veal, asparagus, walnuts, and raw pecans.*79\43\4*

When it comes to disorders affecting the uterus, the procedure known as dilatation and curettage (D and C) is grossly overused. There is now ample research indicating it has significant shortcomings, yet it continues to be carried out both to provide samples of tissue for further investigation and as a ‘treatment’ for women with menstrual irregularities. In fact, its ability to provide useful samples for diagnostic purposes is quite limited; and when used for treatment purposes it is very disappointing, reducing menstrual flow for only one cycle in most women. In 1991-92 in New South Wales alone, more than 35 000 D and Cs were performed, suggesting that the annual figure for this procedure in Australia probably exceeds 100000.

The D and C technique is usually carried out under a general anaesthetic in a day hospital or general hospital setting. During dilatation, the cervix is gently stretched open by inserting progressively larger instruments. This is followed by a curette in which the endometrium is gently scraped away using an elongated instrument with a scoop attachment.

An alternative diagnostic procedure that can be used when a detailed patient history, examination and laboratory tests have failed to reveal the cause of abnormal bleeding is hysteroscopy. A hysteroscope is basically a tubular instrument with a light at one end and an optical system for transmitting an image to a display monitor. It is inserted through the vagina and cervix to observe the inside of the uterus. After obtaining ultrasound images of the uterus and introducing gas to separate the pelvic organs, the cervical canal is gently stretched to allow the hysteroscope to pass into it. It is then possible to get a good view of the uterus in about 80% of patients. (In the remaining patients, the view may be obscured by heavy bleeding.) Of women with menstrual irregularities in whom the uterus can be observed, more than 60% have no apparent uterine abnormality. These women are spared a diagnostic curettage. The others may have fibroids, polyps, endometriosis, pre-cancerous changes or endometrial cancer. If any area of abnormality is identified, a sample can be removed, checked by a pathologist and, in many cases, destroyed on the spot by an instrument inserted through the hysteroscope.

Hysteroscopy is thus a useful diagnostic test which can be used as the basis for treatment. It can be carried out without hospital admission or general anaesthesia, a considerable benefit in the eyes of many women (particularly those who are elderly and have multiple medical problems). A study by the University of Adelaide and the Royal Adelaide Hospital suggests that Australia’s health budget could be reduced by at least $30 million a year if outpatient hysteroscopy (also called office hysteroscopy) was adopted instead of performing D and C procedures in day surgery units.9 This 1994 study quoted the cost of a hysteroscopy at about $100, while a D and C cost over $500 when carried out in a day surgery unit and over $1000 if an operating theatre and overnight stay were required.

Serious complications such as bowel perforation occur in less than 1% of patients having a hysteroscopy, but about 70% experience the discomfort of menstrual-type pain, sensations of dizziness, tremor, shoulder tip pain or nausea, which is often followed by vomiting. If doctors explain possible side-effects before the procedure starts, this can help to reduce anxiety in patients when they occur. As increasing numbers of gynaecologists become familiar with the technique of hysteroscopy, it is hoped that D and C will be used more selectively.

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Agnus Castus (Vitex/chasteberry)

This is a popular herb which grows in Mediterranean countries and central Asia. It does not contain any hormones but it stimulates the function of the pituitary gland which controls and balances our hormones by producing luteinising hormone. This increases progesterone production and helps regulate a woman’s cycle. Agnus castus also helps keep prolactin secretion in check. (Excessive prolactin can prevent ovulation.)

This herb has been used by women who had established luteal phase defect (shortened second half of the cycle) and high prolactin levels. In one study 48 women diagnosed with infertility took agnus castus daily for three months. Seven of them became pregnant during that time and 25 of them regained normal progesterone levels.

Agnus castus works to restore hormonal balance and can be used where there are hormone deficits as well as excesses. It:

• regulates periods

• restarts periods which have stopped

• helps with heavy bleeding

• helps with too-frequent periods

• helps with painful periods

• increases the ratio of progesterone to oestrogen by balancing excess oestrogen

I have seen a number of women who needed to have IVF treatment” but could not do so because their levels of Follicle Stimulating Hormone (FSH) were too high. The highest FSH level for most IVF treatments is 10, and rising FSH levels can indicate a pre-menopausal condition. The use of agnus castus, sometimes with a mix of other herbs, brought down the FSH level so that the women could go for IVF treatment.

Dong Quai (Angelica Sinensis)

This is an Oriental herb frequently used for menstrual complaints. It is extensively cultivated in Asia for medicinal purposes and in traditional Chinese medicine is well-known as a tonic for the female reproductive system. It:

• tones a weak uterus

• regulates irregular periods

• alleviates period pains

• reduces spotting

• helps with absent periods

False Unicorn Root (Chamaelirium Luteum)

This North American herb is a good tonic and strengthener for the reproductive system and can be used for both men and women, as it has a balancing effect on hormones. Herbalists often give it to women after a miscarriage or an infection in the pelvic area. Mixed with other herbs, it can be given for ovarian cysts or endometriosis. It is also used to try and prevent a threatened miscarriage. It:

• balances the hormones

• regularizes delayed periods

• regularizes absent periods

Saw Palmetto (Serenoa Serrulate)

This is one of the best herbs for the male reproductive system. It acts like a tonic for the man and has traditionally been used for centuries to treat enlarged prostate.

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