Endometriosis and adenomyosis are challenging gynecological conditions that affect millions of women worldwide. As awareness grows about these conditions, many are exploring holistic approaches like acupuncture to alleviate symptoms and improve quality of life. In this blog, we will delve into what endometriosis and adenomyosis are, their symptoms, who they affect, potential causes, current treatment options and how Traditional Chinese Medicine (TCM) and acupuncture can offer relief.
What Is Endometriosis and Adenomyosis?
Endometriosis is a condition where tissue similar to the lining of the uterus (endometrium) grows outside the uterus. These growths can be found on the ovaries, fallopian tubes and other pelvic structures, causing pain and inflammation. When endometriosis is found around the ovaries it can form blood filled cysts called endometriomas (or “chocolate cysts”). Endometriosis causes thick, fibrous scar tissue to form which creates adhesions and causes pelvic tissues and organs to stick to each other.
Adenomyosis, on the other hand, occurs when the endometrial tissue grows into the muscular wall of the uterus. This can lead to an enlarged uterus, severe pain and heavy menstrual bleeding. The growth of the endometrial tissue is dependent on estrogen which is why this condition generally improves after menopause.
In both endometriosis and adenomyosis the displaced endometrial tissue continues to act as it normally would in the uterus – it thickens, breaks down and bleeds during each menstrual cycle. This leads to painful and heavy periods which negatively impact a person’s quality of life.
Symptoms of Endometriosis and Adenomyosis
Both conditions share some overlapping symptoms, which can include:
- Severe pelvic pain, particularly during menstruation
- Heavy or irregular menstrual bleeding
- Pain during intercourse
- Chronic fatigue
- Digestive issues like bloating, nausea, or diarrhea
- Infertility or difficulty conceiving (particularly with endometriosis) – Chronic inflammation affects the shape of the uterus and ovaries. Lesions create scar tissue and adhesions which can impede blood flow to the uterus and ovaries (affecting egg quality, ovulation and embryo implantation). Secretions from the lesions can also block the fallopian tubes causing hydrosalpinx – which prevent transportation of the sperm to the egg.
Who Is Affected?
Endometriosis and adenomyosis primarily affect females of reproductive age, typically between the ages of 25 and 40. However, symptoms can start as early as adolescence. A family history of endometriosis or adenomyosis, early onset of menstruation and shorter menstrual cycles (less than 27 days) are some of the risk factors. Other risk factors include: prior uterine surgery such as c-section, fibroid removal or dilation & curettage (D&C), low BMI and high levels of estrogen in your body.
Causes of Endometriosis and Adenomyosis
The exact causes of these conditions remain uncertain, but several theories exist:
- Retrograde menstruation: Menstrual blood flows backward through the fallopian tubes into the pelvic cavity, leading to the implantation of endometrial cells.
- Hormonal imbalances: Excess estrogen may stimulate abnormal tissue growth.
- Immune system dysfunction: An impaired immune system may fail to eliminate misplaced endometrial tissue.
- Genetic predisposition: A family history of these conditions increases the likelihood of developing them.
Current Treatment Options
Conventional treatment options for endometriosis and adenomyosis aim to manage symptoms and may include:
- Medications: Hormonal therapies like birth control pills, progestins, or gonadotropin-releasing hormone (GnRH) agonists can reduce pain and bleeding.
- Pain relief: Over-the-counter or prescription pain relievers are commonly used.
- Surgical intervention: Procedures like laparoscopy may be performed to remove endometrial growths or, in severe cases, a hysterectomy.
- Lifestyle changes: Dietary adjustments, stress management, and regular exercise can help manage symptoms.
While these treatments can be effective, many people seek less-invasive, drug-free, complementary therapies to enhance their well-being—this is where acupuncture comes in.
The TCM Perspective on Endometriosis and Adenomyosis
Traditional Chinese Medicine views the body as an interconnected system where balance is key. In TCM, endometriosis and adenomyosis are often associated with:
- Qi and blood stagnation: Blockages in the body’s energy and blood flow can lead to pain and inflammation.
- Cold and damp accumulation: Environmental factors, diet, or lifestyle habits may contribute to these imbalances, exacerbating symptoms.
- Kidney and liver deficiencies: TCM believes these organs play a vital role in reproductive health and their dysfunction can lead to gynecological disorders.
How Acupuncture Helps Endometriosis and Adenomyosis
Acupuncture, a cornerstone of TCM, involves the insertion of thin needles into specific points on the body to restore balance and promote healing. For endometriosis and adenomyosis, acupuncture offers several benefits:
- Pain relief: By stimulating the release of endorphins and improving blood circulation, acupuncture can help reduce pelvic pain.
- Hormonal balance: Acupuncture supports the endocrine system, helping to regulate menstrual cycles and alleviate hormonal imbalances.
- Reduced inflammation: It modulates the immune response and decreases inflammatory markers associated with these conditions.
- Stress reduction: Chronic stress exacerbates symptoms. Acupuncture calms the nervous system, fostering relaxation and emotional well-being.
What to Expect During Acupuncture Treatment
During your first acupuncture session, your practitioner will conduct a detailed health assessment, including questions about your menstrual cycle, pain levels and overall health. The treatment plan will be specific to your body constitution and disease pattern. The acupuncture treatment needs to be phasic and fluctuate with your menstrual cycle. Together we will track your cycle and select acu-points based on which phase of your cycle you are in. Treatment typically involves:
- Needling specific points: Points on the lower abdomen such as Ren-4 (Conception Vessel 4), SP6 (Spleen 6) and LV3 (Liver 3) are often targeted for gynecological health. These points increase blood flow to the pelvic organs and will clear up stagnation in the uterus.
- Adjunct therapies: Techniques like moxibustion (warming therapy), TDP Heat lamp therapy (far-infrared heat) or dietary recommendations and lifestyle counselling may also be integrated into your treatment plan.
- Frequency: Regular sessions over several months yield the best results, especially for chronic conditions. 2x per week initially, then re-assess.
Why Choose Acupuncture for Endometriosis and Adenomyosis?
Acupuncture is a gentle, holistic approach that complements conventional treatments. It’s safe, minimally invasive and tailored to individual needs. By addressing the root causes of imbalance, acupuncture provides not just symptom relief but also long-term wellness. Allowing you to live your life without revolving it around your menstrual cycle.
Final Thoughts
Living with endometriosis or adenomyosis can be incredibly challenging, but holistic therapies like acupuncture offer hope and healing. If you’re considering acupuncture, consult a registered and experienced practitioner to develop a treatment plan tailored to your needs. In Ontario, you will want to look for someone with the protected title R.Ac (Registered Acupuncturist). With consistent care, you may find relief from pain, improved hormonal balance, fertility and enhanced quality of life.
Ready to explore the benefits of acupuncture? Contact Amanda Barone, R.Ac and take the first step toward natural relief today.
Book now: www.besthealthacupuncture.com
