
Nutrients and Endometriosis
OBGYN.net Conference CoverageFrom Endometriosis 2000 - 7th Biennial World Congress - London, May, 2000
Dr. Mark Perloe:       “I’m Dr. Perloe and we’re here with Diane Mills.  Too often as a  physician, patients come to me and they ask whether they’re better  treated with medicine or surgery, or people ask through e-mail is there  anything that I can do to improve the problems that I’m having with  endometriosis?  Diane Mills has just written a book that I think  provides some additional resources for women who are dealing with  endometriosis.  Diane, can you tell us about that book?”
       
       Diane Mills:  “Yes, Mike and I  wrote it from a point of view that we were looking at women who were  quite ill with endometriosis and having got well with nutrition myself  and having taught nutrition since 1971, it was a case of trying to  empower women with information that could help them with eating healthy,  and facilitating and helping them to make sure they received the  nutrients that they needed for their endocrine and immune systems and  correcting any digestive system problems.”
       
       Dr. Mark Perloe: “As a medical  student, I didn’t learn much about nutrition.  I think we probably  spent two or three days covering lectures that were pretty bland, so  most physicians I think don’t know and, therefore, dismiss nutrition as  playing a role in this and in many conditions.  How would physicians get  involved and educate themselves - is this book written at a level that  physicians will find enlightening?”
       
       Diane Mills:  “I hope so,  we’ve put lots of nutritional science research in there to explain  what’s happening.  What we’ve tried to do is look at the digestive  system in one chapter, the immune system in another chapter, the  endocrine system in another chapter, and look at how nutrients work your  body by a chemistry and that if anything is disrupted for stress  reasons or if you take an antibiotic and they’ve disrupted your gut  floor, what you can do to correct what’s going wrong.  Basically, the  gut floor is so important in estrogen metabolism.  So we tried to look  at the body as a whole and explain to people what’s going wrong in each  area and how they can look at what they’re eating and eat more healthy  to take the nutrients in, and also look at using supplements in the  short term because supplements are used to help the body correct itself  but we shouldn’t need supplements all the time.  So it’s looking at  using supplements in the short term to try and correct what’s going  wrong so that they can regain their health.”
       
       Dr. Mark Perloe: “When you  meet with patients, are there clues from their history or in talking to  them that let’s you know there is a problem or are there clues that they  can see themselves or do they really require a thorough dietary  evaluation before they’re going to make any headway?”
       
       Diane Mills:   “Yes, I work at  the Center for Nutritional Medicine with two gynecologists and three  general practitioners.  I work with a general practitioner with me all  the time.  We have an eight-page questionnaire, which is very detailed  on health history and what people are eating, and we work through that  over an hour’s consultation.  We look at what’s going wrong with them,  what foods they’re eating, and you can see very often what’s going wrong  in their diet whether they’re eating too much of one thing, whether  they’re an atopic family history, and you pick up things.  You listen to  what they’re saying of all the symptoms that they’re getting overall  and advise them on what to eat, what not to eat, and also any  supplements that might help them.  Basically, I feel sometimes that the  pain we get with endometriosis is not always from endometriosis.  I  think some of the pain may be due to those malabsorbing nutrients, which  deal with pain.  A lot of nutrients help like B-1 thiamine, it’s part  of the morphine endorphin system so if you’re deficient in thiamine then  your pain sensitization may be heightened.  So trying to look at it  from that point of view is helpful because we can try and guide people  into healthy eating so we make sure they’re taking in nutrients and also  make sure that their digestions working.  Very often, I’d say 70% of  the women with endo have digestive problems, they’ve had antibiotic  treatments, they’ve been on the pill or HRT or steroids, and all disrupt  gut floor to some extent, and you often need to correct that.  I think  working alongside orthodox medicine is very important because with  orthodox medicine you’re using drugs like danazol or whatever or the  GnRH analogues and they may not be absorbed if the digestive tract is  malfunctioning so trying to get digestion corrected is almost vital.”
       
       Dr. Mark Perloe: “You make it  sound kind of complicated, there’s an eight page history, there’s an  hour consultation - are people going to benefit or how will they benefit  by going through the book?”
       
       Diane Mills:  “They are  benefiting, people are coming back after a month saying that their pain  levels gone down.  I had one lady this week tell me she woke up and her  period had started and she didn’t even know it.  I had two people ring  in pregnant this week and one person gave birth last week, and they’ve  all gone through the IVF program.  So it is helping people by reading  the book and by finding out what’s going wrong with you and looking at  how you can eat well.  It’s not magic, the body’s nutrition is a  balance, it’s only a face if it wants your body to be in balance by  giving yourself healthy foods.  I always say it’s more or less eating as  your grandmother ate.  Foods that are not adulterated, that are the  freshest you can buy which are the best ways of eating because that way  you’re getting the nutrients in.  You’re not taking chemicals in and the  body can use that.”
       
       Dr. Mark Perloe: “It’s  interesting that each week there’s a new article on the news that now  provides objective evidence that our parents and grandparents were right  when they told us how to eat, and we just never listened and now we’re  paying the price.”
       
       Diane Mills:  “Grandma always said eat your green leaf - your vegetables, and I think they are almost one of the most important foods.”
       
       Dr. Mark Perloe: “If someone  wanted to read this book and learn more, the first thing that they need  to know is the name of the book and authors and where they find it.”
       
       Diane Mills:  “Yes, the book is available I think in most book stores, and I’ve have a website       
       
       Dr. Mark Perloe: “Thank you so much for telling us about your book and sharing.  I look forward to seeing it soon.”
       
       Diane Mills:  “Thank you very much.”
       
       Dr. Mark Perloe:  “Thank you.”
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