Healing Pelvic Pain by Peta Wright

Author:Peta Wright
Language: eng
Format: epub
Publisher: Pan Macmillan Australia
Published: 2023-07-29T00:00:00+00:00

Supplements and botanical medicines

As part of a holistic treatment approach, some women may find certain supplements beneficial. Large studies looking at the effectiveness of supplements are limited, but some that show promise include:

• curcumin (turmeric), which in endometriosis lesions accelerates healthy cell death, suppresses local production of oestrogen and inhibits formation of new blood vessels as well as blocking the effects of toll-like receptors. The usual dose is 1000 milligrams twice daily.

• zinc, which repairs intestinal permeability to help normalise immune function, is anti-inflammatory and helps to relieve pain. The usual dose is 30 milligrams a day taken with food.

• NAC (N-acetyl cysteine amino acid), an antioxidant and immune regulator that can help reduce inflammation and pain. In a very small 2013 study of 92 women, 47 took 600 milligrams of NAC three times a day for three months and 45 took a placebo. Of those who took NAC, 24 women (i.e. half) cancelled their scheduled laparoscopy due to a decrease in symptoms or because they had become pregnant, compared with one woman in the placebo group.

• magnesium, taken daily or with periods, it has been shown in some studies to be more effective than a placebo at improving period pain. It works as an anti-prostaglandin to reduce inflammation. The usual dose is 300 milligrams at night throughout the cycle and/or 300–600 milligrams during the period. I usually recommend magnesium glycinate because magnesium citrate can cause loose stools in some women.

• fish oil (omega-3), which reduces prostaglandin synthesis and thus inflammation. The suggested dose is 1000 milligrams daily.

• vitamin D, several studies have shown if a blood test reveals low vitamin D levels, vitamin D supplements may improve period pain by reducing prostaglandin synthesis.

• probiotics, which are helpful in restoring a healthy gut biome and reducing gut symptoms and pelvic pain.

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