Christina Najjar

My Endometriosis Journey and the Underdiagnosis of Menstrual Issues

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We need to talk about something serious. And I’m not asking you to converse with me about your humourless uncle. No, I’m referring specifically to the underdiagnosis of menstrual issues like PCOS (polycystic ovarian syndrome) and endometriosis.

According to the Endometriosis Network Canada, it is estimated that 1 in 10 women has endometriosis. The prevalence of PCOS cases is roughly the same, as well. And yet, when we complain of severe menstrual pain, we’re told that we have PMS or dysmenorrhea, and that we should be taking the birth control pill.

This issue is very personal to me. I am one of the 1 in 10.

My Endometriosis Journey and the Underdiagnosis of Menstrual Issues

My endometriosis journey

The teenage years

The first few years of my period presented with the expected mood swings a teenager would experience, and “average” cramps (though it should be noted that average does NOT mean healthy). But a few years in, something started to go seriously wrong. When my period came around, I found myself curled up in pain on the bathroom floor, ready to vomit.

Visits to the doctor informed me that it was “just PMS”. I was prescribed a high dose of painkillers. And I continued to take them until I had built a tolerance, and found that they no longer had an effect on me. I was then told to take the birth control pill to “fix” my symptoms. When I eventually did start taking hormonal birth control, all seemed to be better.

If you’re in my Nutrition for PMS, PCOS & Endometriosis group on Facebook, or if you’ve read some of my previous posts, you already know that I’m not a fan of what birth control can do to the body. Research shows a correlation between some types of oral contraceptives used mainly for PMS symptom management (such as YAZ and Yasmine) and IBS.

The digestive issues and adrenal fatigue

Of course, I did develop IBS. I even had an acute bout of colitis and discovered a bunch of food sensitivities. Did you know that digestive problems worsen menstrual issues? And the birth control that was supposed to help my PMS was worsening my digestion. It’s a vicious cycle!

In my early twenties, I finally came off of hormonal contraceptives after 5-6 years of use. My digestive issues did improve a bit. However, it quickly became clear that the birth control had only been a band-aid solution for my menstrual issues.

Under the recommendations of my Naturopathic Doctor, I made lots of changes to my health. These changes showed varying degrees of improvement on my PMS symptoms. They did, however, help my digestion.

In nutrition school, I learned a wealth of information that I could directly apply to my health. I was in heaven. Once again, my period was manageable. But again, “manageable” doesn’t mean healthy.

After I graduated from nutrition school came the challenge of starting my nutrition practice. Let me say that starting a business is not a stress-free endeavour! The stress of doing two consecutive degrees and running a business pushed me over the edge to stage 3 adrenal fatigue.

The thing with adrenal fatigue is that it messes with the body’s hormones. Many hormones are produced in the adrenal glands, including sex hormones. And when one sex hormone is off, it can easily throw off the balance of the other sex hormones.

It was like I had been transported back 10 years. The pain came back in full force. Once again, I was curling up on the bathroom floor on the worst days of my period. I was unable to be mentally present during social gatherings because I was busy willing the pain to go away.

Testing for menstrual issues

Because my mother has PCOS, I pushed hard to get an ultrasound and some hormone tests done. But when those tests showed no PCOS, I was told it was only dysmenorrhea. As a healthcare professional who works mainly with menstrual issues, I knew that something had to be wrong for my body to react that way. But had I been a layperson, I would have accepted that explanation and continued suffering.

Once I found out I didn’t have PCOS, I continued to try to figure out what could be wrong with my body. My symptoms were suggesting endometriosis. But endometriosis is a condition which is a bit tricky to diagnose because it doesn’t show up on blood tests or most ultrasounds. It requires a laparoscopy, which involves filling the abdomen with air, and inserting a camera through an incision near the navel.

Diagnosis or not, I want this issue taken care of as soon as possible. I am currently on an anti-inflammatory diet, I started acupuncture a few weeks ago, and now I’m looking into also doing pelvic floor physiotherapy.

Last week, I finally went in for my physical. I brought up my concerns with my menstrual issues. As someone who doesn’t automatically choose conventional medical interventions, my concerns don’t always get taken as seriously. My doctor told me that since I am not looking to conceive in the next 6 months and I don’t plan on going back on hormonal birth control, there’s no point in looking further into my menstrual issues. But upon doing the actual physical portion of the appointment, she was convinced.

An optimistic future

I received a referral for a gynecologist so that we can discuss my options. Endometriosis is one of those conditions that, when left untreated, can get worse. But I am choosing alternative treatments that focus on bringing balance back into my body, rather than simply dealing with the symptoms. Bringing balance back into my body will also reduce my chances of having ovarian cancer, since endometriosis puts women at a higher risk.

After struggling for 13 years, I’m finally starting to get answers. Sadly, this is not out of the norm. In Canada, it takes an average of 7 to 9 years of complaining of symptoms to get a diagnosis.

Will I be able to reverse my endometriosis? Who knows! But I certainly won’t give up until I do. And not only will I fight for my own health, but I also plan to help as many women as I can along the way.

Do you struggle with menstrual issues? Click the button below to join the FREE Nutrition for PMS, PCOS, and endometriosis group on Facebook.
Nutrition for PMS, PCOS, and endometriosis

7 Ways to Reduce Your Exposure to Hormone Disruptors

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In last week’s post, I talked about how we’re surrounded by hormone disruptors called xenoestrogens. These hormone disruptors can be your worst enemy if you struggle with PMS, PCOS, endometriosis, or infertility.

Main sources of xenoestrogens include plastic, pesticides, and parabens (preservatives for cosmetics and household products). Thankfully, there are all kinds of things you can do to reduce your exposure to these hormone disruptors.

7 Ways to Reduce Your Exposure to Hormone Disruptors (Xenoestrogens)

7 Ways to Reduce Your Exposure to Hormone Disruptors

Switch to glass

Are you drinking out of plastic bottles, or storing your food in plastic containers? The softer the plastic, the more it leaches into your food and water. Consider using mason jars. They’re great storage for soups, curries and stews. They can also double as a water bottle, so no need to buy a fancy bottle!

For more solid foods, consider getting glass storage containers that can also double as oven cookware. If glass is too heavy for your needs, try stainless steel containers.

Use cloth produce bags

How many produce bags do you use per grocery trip? As your produce sits in these bags, it picks up some of the unwanted particles in the plastic. Try bringing your own cloth or mesh bags to the grocery store. As an added bonus, it’s also more environmentally friendly.

Buy organic

Pesticides are one of the worst offenders, when it comes to hormone disruptors. The best way to avoid or reduce pesticides is to buy organic. But when that fails, refer to the EWG’s Clean Fifteen and Dirty Dozen to decide on which produce you can safely eat conventional, and where you really should invest in organic.

Make your own hair products

Think of all the products you use on your skin and scalp. Between shampoos, conditioners, soaps, hair gels, deodorants, facial cleansers, moisturisers, night creams… Without even discussing makeup, you may already be using a wide variety of products that are less than friendly to your hormones.

The good news is that most hair products can be made quite easily with natural ingredients you just may already have in your home. Try recipes for flax hair gel, facial cleanser, or shampoo. If you want to make your hair care routine easier, you can also try the baking soda and apple cider vinegar method.

Switch to cleaner makeup

Most people know that clean makeup brands exist. The challenge is figuring out which brands of natural makeup actually make products you’ll want to use. There’s no way I’m going to walk around looking like a raccoon because my natural mascara can’t stay on all day.

Some of my favourite brands include Pacifica, Mineral Fusion, and Earth’s Beauty. And trust me, I’ve tried A LOT of different brands of natural makeup.

Clean with vinegar and essential oils

Rather than spending lots of money on cleaning products that are completely loaded with hormone disruptors, you can easily make your own for much cheaper.

All you need is water, white vinegar, and essential oils. Using these three ingredients in different concentrations, you can make cleaners for most surfaces.

Drink clean water

Did you know that tap water only filters out certain contaminants? Several thousands of contaminants could potentially be in the water. The City of Ottawa (where I live) only checks for 300 contaminants.

While some decent filters like Mavea and Santevia exist, they still don’t manage to filter out all contaminants. And don’t waste your money on a Brita filter, because it doesn’t do much that your city’s filtration system doesn’t already do. That is, if you live somewhere where the water is safe to drink.

To ensure that you have access to really clean water, consider installing a reverse osmosis filter in your home or choosing distilled water. However, make sure that you’re remineralizing that water, or you may end up with mineral deficiencies.

Disclaimer: The provided links may be affiliate links. Opinions are all my own. Any money received through these links will go back into this website to support the hours of work that go into weekly posts. Thank you for your support.

How do you reduce your exposure to hormone disruptors? Tell us in the comments!

Xenoestrogens: Hormone Disruptors That Worsen Your PMS

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When dealing with hormonal issues like PMS, PCOS, endometriosis, or infertility, it’s normal to feel like your hormones will never be normal again. In fact, regulating hormones now is harder than ever (speaking from experience). We are constantly surrounded by hormone disruptors called xenoestrogens.

Xenoestrogens: hormone disruptors that worsen your PMS

Xenoestrogens are molecules that look like estrogen to our bodies and our cells. Some of these affect our bodies by stimulating the production of more estrogen. Other types of these hormone disruptors pretend to be the estrogen produced by the body.

In simpler terms, they can worsen conditions with PMS symptoms.

How exactly, you ask? PMS and other related conditions becomes worse as a result of high levels of estrogen, or too much estrogen in relation to progesterone (called estrogen dominance).

Sources of xenoestrogens

These far too common hormone disruptors can be grouped into 3 main categories: plastics, parabens, and pesticides. The 3 P’s make it easy to remember! However, keep in mind that this isn’t a complete list of xenoestrogens.

Sources of xenoestrogens (common hormone disruptors)

Plastics

Look around your house right now. How much plastic do you see? It’s in food storage containers, the lining of food cans, water bottles, cosmetic bottles, the bags for your produce… Grocery store meats and many vegetables are pre-packaged in plastic. The softer the plastic, the more of these hormone disruptors you’re picking up (I’m looking at you, saran wrap!).

BPA has been the focus of many studies, linking it back to cancer, hormonal and reproductive issues in males and females, diabetes, cardiovascular disease, and the list goes on. As a result, many companies have started producing items made of BPA-free plastics. I hate to be the bearer of bad news, but these plastics aren’t any better, unfortunately.

Parabens

Next, think about the products you use on your skin and around the house. Look at your soaps, shampoos, makeup, face creams, bathroom cleaners, window cleaners, and so on. Unless you’re buying really clean brands or making these from scratch, you’re likely exposing yourself to parabens. These are preservatives for the products that are being absorbed into your body from your skin.

Some parabens can be recognized on ingredient lists because they end in -paraben. However, there are variations that make it harder to recognize. If you’re unsure of how clean your products are, check out the EWG’s Skin Deep Cosmetic Database.

Pesticides

Finally, we have pesticides. You probably know that if you eat conventional fruits and vegetables, you’re ingesting all kinds of pesticides. You can find out which vegetables and fruits are the most contaminated by having a look at the EWG’s Dirty Dozen list.

Most people know that they can reduce their pesticide intake by buying organic produce. But did you know that tap water is also loaded with pesticides? Distilled water and reverse osmosis are the two safest ways to avoid hormone disruptors in water. However, ensure that the water you drink has been remineralized.

How do you avoid xenoestrogens? Tell us in the comments!

All About PCOS: Testing, Root Causes, and Management

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You may have noticed that on this website, I gear many posts toward PMS and PCOS. I recently realized I had never really talked about these issues on their own. While most of the menstruating population is familiar with PMS, PCOS or Polycystic Ovary Syndrome is a bit of a lesser known issue.

The two syndromes are often grouped together because they tend to stem from the same roots. In fact, there is a big overlap of symptoms in the two conditions. For instance, acne, mood swings, and cramping are common in both. However, with PCOS, it’s not uncommon to see worse cramps, uncontrollable weight gain, hair growth on atypical places like the face or belly, missed periods, and infertility.

All About PCOS: testing, root causes, and management

Testing for PCOS

To be diagnosed with PCOS, you must present with at least two of these three characteristics:

1. High levels of androgens, the hormones that males typically produce in higher amounts than females (such as testosterone)
2. Irregular ovulation or lack of ovulation
3. Ovarian cysts

You may have noticed that this means that you can be diagnosed with a condition whose name implies ovarian cysts, without actually having cysts. This is because back in the day, as soon as doctors found ovarian cysts, the diagnosis was slapped on. And you can have ovarian cysts without having PCOS.

Unfortunately, some doctors still jump to a diagnosis as soon as they find cysts without further investigating. And conversely, if they don’t find cysts, some may decide that everything is normal.

Before anything can be determined, a hormonal panel should be carried out through a blood test or saliva test, and an ultrasound should be scheduled to look for ovarian cysts.

Root causes

PCOS can develop for many different reasons. While this is still under research, a few possible causes have already been determined.

Insulin resistance

You’ve probably heard of insulin before. It’s that hormone that tells your cells to take in sugar when there’s too much sugar in your blood. However, when insulin has to knock on the cell’s door day-in and day-out, the cell becomes desensitized to insulin. Your body responds by secreting more and more insulin so that your cells can continue to respond.

High levels of insulin actually send a message to your ovaries to produce more testosterone and stop ovulating normally. Those whose PCOS is rooted in insulin resistance tend to be the ones who experience uncontrollable weight gain, acne, and facial hair growth.

Inflammation

Chronic inflammation can also interfere with normal ovulation. Inflammation uses up a lot of your body’s resources. When there aren’t enough resources to go around, the body becomes choosy in how it spends those resources.

Because the reproductive system isn’t needed for immediate survival, it’s the first system to be cut. Your body especially doesn’t want to share limited resources with a second human life. Therefore, your body makes it difficult to conceive.

Hormonal birth control

When stopping birth control pill, many people notice that it takes several months for their period to come back. Others find that their period doesn’t start again on its own.

This happens because when taking synthetic hormones for years on end, your body “forgets” how to get your hormones back on track.

Hormone disruptors

Our environment is loaded with hormone disruptors. Tap water, plastics, cleaning products, and cosmetics all contain compounds that can mess with hormones. I’m sure I don’t have to tell you that that’s bad for you.

As hormone levels become wonky, cysts can develop, and periods can become less and less frequent.

Odds are that those with PCOS don’t only have a single one of these factors. All of these factors can combine in different ways to create different types of PCOS. These different types all manifest themselves differently. This can make PCOS particularly difficult to identify in some cases.

Management of PCOS

Typical mainstream treatment of PCOS involves taking hormonal birth control to mask symptoms. However, these symptoms return when coming off the birth control. In fact, quite often, they are worse than before starting birth control methods.

In cases of insulin resistance, many doctors prescribe Metformin, a medication for Type 2 Diabetes.

An often overlooked component of PCOS management is diet. Diet impacts how our bodies produce hormones, and how we react to the hormones in our bodies. Additionally, in cases of insulin resistance, changing the diet can make a world of difference. And finally, while it may not be possible to fully eliminate hormone disruptors from your environment, your diet can affect how your body processes them.

While there is no one-size-fits all diet for PCOS, certain changes seem to show consistent results. Gluten, dairy, and sugar are the most inflammatory components of the Standard American Diet. By eliminating these 3 ingredients, your body is better equipped to do some repairs to reduce inflammation.

In order to keep blood sugar levels stable to reduce insulin resistance, it’s important to eat healthy fats and good quality protein with each meal. And finally, make sure to eat a generous portion of vegetables with every meal. Yes, even breakfast. You’ll find tips on including vegetables with breakfast here.

Do you struggle with menstrual issues? Click the button below to join the FREE Nutrition for PMS, PCOS, and endometriosis group on Facebook.
Nutrition for PMS, PCOS, and endometriosis

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Christina Najjar - Natural Nutrition

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