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How do they clean out endometriosis?

One procedure used to treat endometriosis is laparoscopic surgery to remove scar tissue, endometriosis and cysts that build up as a result of endometriosis. During the procedure, a surgeon will insert a tube with a small camera on the end into a small incision in the abdomen to find and remove the endometriosis.

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If your day-to-day activities are affected by painful periods, you’re not alone. Many women live with cramping, bloating and more throughout their cycles. And while they may not always indicate a serious health concern, it’s important to talk with your gynecologist about your symptoms because they can help you rule out conditions like endometriosis. Find out what endometriosis is and when surgery might be necessary to find relief.

What is endometriosis?

Endometriosis is a health issue that can affect women through their childbearing years. It occurs when the tissue that typically lines your uterus grows in other parts of your body, most commonly in the lower abdomen, affecting the ovaries, fallopian tubes and tissue lining the pelvis. “With endometriosis, the endometrial tissue outside the uterus acts the same way as it does inside the uterus, responding to the hormones the ovaries make each month, thickening and breaking down,” says Jennifer Gell, MD, an OB-GYN and division chief of reproductive endocrinology at Geisinger. “But because the tissue is outside the uterus on surfaces where it does not belong, inflammation occurs.” This can cause irritation and scarring of the surrounding tissue. It can also cause symptoms including:

Bleeding between periods

Cramps during the weeks around menstruation

Discomfort during bowel movements

Heavy menstrual bleeding

Infertility

Lower back pain

Pain during intercourse

Painful periods

Endometriosis treatment

Treatments for endometriosis include:

Over-the-counter pain medication to reduce inflammation and pain

Contraceptives such as birth control pills, the patch or the ring

Other types of hormone therapy

However, many of these treatment options also prevent women from trying to conceive, and they don’t treat infertility related to endometriosis. “About one-third to one-half of women with endometriosis have trouble conceiving naturally without some medical intervention,” says Dr. Gell. For these women, a surgical procedure may be necessary. One procedure used to treat endometriosis is laparoscopic surgery to remove scar tissue, endometriosis and cysts that build up as a result of endometriosis. During the procedure, a surgeon will insert a tube with a small camera on the end into a small incision in the abdomen to find and remove the endometriosis. “Laparoscopic surgery that keeps the ovaries and uterus intact may help a woman who’s trying to get pregnant, and it can reduce pain for other patients,” says Dr. Gell. “However, endometriosis and pain can come back after surgery.” In some cases, more traditional abdominal surgery using a larger incision may be done to remove widespread endometriosis. In rare cases, a hysterectomy and oophorectomy may be necessary to fully treat advanced endometriosis. A hysterectomy is a surgical procedure to remove the uterus and cervix. An oophorectomy is a surgery to remove the ovaries. Removing the ovaries will cause estrogen levels to drop, which will most likely reduce pain symptoms. However, this may also spur menopause symptoms. “This type of surgery is often a last resort for women with unmanageable pain who’ve tried other treatments with no success,” says Dr. Gell. When trying to treat endometriosis, work with your doctor to find the best treatment option for you. With options from medications to surgery available, you can find relief from your pain.

Meet Jennifer Gell, MD

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Is black pepper high in histamine?

Reasonable serving sizes of black pepper are typically low histamine and well-tolerated by patients on a low histamine diet.

Just starting a Low Histamine diet?​

The Low Histamine diet helps reduce symptoms from conditions like Histamine Intolerance (HIT) and Mast Cell Activation Syndrome (MCAS). The diet is challenging to follow, as there are very few primary data sources available that accurately detail which ingredients are:

1.) High in histamine and other amines like tyramine

2.) Histamine liberators (ingredients that trigger release of the body's natural histamine)

3.) DAO blockers (ingredients that block DAO, the enzyme that breaks down histamine and other amines) We've done our best to provide accurate information on the histamine content of black pepper; however, we suggest working with a dietitian to navigate the diet and understand your individual needs. Keep in mind that multiple histamine food lists exist. Some of them are based on science, and some of them are based on patient experiences. Use these lists as a starting place for your own personalized list of food triggers. You know your body best! Check the Fig app for the latest ingredient annotations. Other helpful resources include SIGHI and Histamine Intolerance Awareness UK.

Spot an error? Let us know at support@foodisgood.com.

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