A change is coming for endometriosis treatment. Until now, the clinical approach has been surgery followed by hormonal suppression with the hormonal birth control or other drugs. Going forward, the approach will shift to anti-inflammatory and immune-modulating treatments. That’s because there is growing evidence that endometriosis is not primarily a hormonal condition. It is autoimmune.
I invite you to think differently about polycystic ovary syndrome (PCOS) and the types of PCOS.
PCOS is not one thing. It is not one disease. Instead, PCOS is a set of symptoms, with the key symptom being impaired ovulation which leads to androgen excess or a high level of male hormones. Androgen excess then causes the common PCOS symptoms of hair loss, hirsutism, and acne.
To treat PCOS you must first ask: “Why, in your particular case, do you not ovulate?”
If you suffer acne or treat acne, then 2012 was an important year. That’s when this ground-breaking paper came out of Germany: Diet in Acne: Further Evidence for the Role of Nutrient Signalling in Acne Pathogenesis.
One sentence from the abstract says it all:
“Acne should be regarded as an mTOR-driven disease of civilization, like obesity, type 2 diabetes and cancer induced by Western diet.”