who sells viagra over the counter singapore don puedo comprar viagra singapore silnafil vs cialis hong kong what happens if you take viagra singapore kamagra per nachnahme bestellen new zealand what is better cialis or viagra singapore buy viagra pill australia where to find viagra singapore cialis cvs singapore levitra generic price australia cialis vs viagra which is better australia typical viagra dose south africa kamagra 100 effervescent tablets singapore buy generic cialis south africa priligy in singapore levitra and exercise hong kong buy priligy online hong kong generic viagra si effects new zealand buy viagra online australia propecia vs finasteri australia how to get maximum effect from cialis new zealand cialis once a day hong kong viagra natural para hombres hong kong what is cialis used for new zealand does kamagra oral jelly work australia walgreens viagra price hong kong comprar viagra singapore cialis dosage singapore does viagra stop you coming australia levitra 20 mg south africa cialis drug class south africa natural viagra for women new zealand can you take viagra with food new zealand female cialis review south africa priligy buy singapore viagra canadian pharmacy ezzz australia best time to take viagra for best results singapore teva 5343 vs viagra hong kong do you need a prescription for viagra new zealand can you take cialis and viagra at the same time south africa snorting viagra south africa viagra femenino south africa cialis directions australia is kamagra illegal in new zealand purple viagra pill south africa viagra empty stomach australia viagra essential oil south africa teva generic viagra cost singapore tadalafil vs viagra australia kamagra eu australia viagra heart palpitations australia viagra gold singapore viagra pill picture hong kong can you take viagra with priligy new zealand how to buy viagra new zealand cialis si effects singapore priligy singapore buy viagra without prescription south africa pills like viagra hong kong viagra connect amazon hong kong cialis how does it work south africa kamagra effervescent 100mg new zealand generic levitra pills singapore viagra for sell south africa is watermelon a natural viagra hong kong comparison between viagra cialis and levitra singapore does viagra really work australia buy cialis online without prescription hong kong for hims viagra australia rogaine and propecia australia cialis erectile dysfunction hong kong levitra how does it work south africa generic viagra white pill singapore where to buy viagra online singapore cialis for sale south africa what does viagra feel like hong kong liquid cialis new zealand viagra chewable new zealand kamagra or cialis australia how long does it take for cialis to work singapore recreational viagra reddit singapore cialis overdose singapore cialis 5mg daily australia porn viagra new zealand viagra without prescription australia kamagra jelly for sale hong kong cenforce 100 vs viagra hong kong does viagra really work singapore viagra how it works new zealand how to get viagra online new zealand viagra canadian pharmacy ezzz south africa generic cialis name new zealand priligy 30 mg uses new zealand buy cheap cialis australia viagra for womens where to buy new zealand best way to take cialis australia kamagra cialis biz opinioni south africa liquid viagra drink hong kong can you buy viagra at hong kong priligy 30mg buy online new zealand do you need a prescription for cialis hong kong when viagra doesnt work diabetes hong kong sertraline and viagra new zealand cialis manufacturer new zealand cialis manufacturer coupon 2020 hong kong viagra discount hong kong what does womens viagra do australia viagra porn hong kong can viagra make you bigger new zealand cialis and grapefruit south africa how old do you have to be to take viagra new zealand viagra walgreens singapore viagra in india australia viagra tolerance new zealand viagras cartel south africa how many viagra can you take new zealand cialis leg pain new zealand cialis heart benefits south africa canadian pharmacy cialis 20mg australia what would happen if a girl took viagra yahoo answers singapore viagra medication hong kong levitra dosage 40 mg new zealand cialis 25mg south africa viagra and heart disease new zealand how long is viagra effective singapore viagra empty stomach hong kong best female viagra singapore 60 mg cialis south africa is flomax like viagra australia horse viagra new zealand cialis headache australia generic viagra pictures new zealand roman viagra hong kong is there a generic cialis available hong kong cialis indication australia how long does viagra last hong kong hims cialis south africa viagra wikipedia new zealand cialis 20mg daily singapore how long do cialis si effects last singapore how do you take cialis new zealand cialis v viagra australia biannca prince viagra new zealand does cialis make you bigger south africa what happens when a woman takes viagra hong kong where to buy viagra without prescription australia viagra 4 hour warning new zealand viagra si effects australia viagra supplement new zealand cialis cvs new zealand viagra discount card hong kong does male viagra work on females new zealand does viagra make your dick bigger hong kong how do you spell viagra australia women taking cialis singapore cialis what is it singapore pills like viagra over the counter hong kong does viagra lower your blood pressure singapore the kamagra store australia viagra movie australia can priligy be taken with viagra australia is viagra safe singapore how long do viagra pills last hong kong girl on viagra south africa viagra for pulmonary hypertension hong kong can you get viagra without a prescription south africa can i buy viagra at cvs singapore can you take cialis daily new zealand cialis drug interactions south africa gnc viagra new zealand natural viagra gnc singapore generic propecia australia is viagra prescription medicine australia viagra for sale south africa kamagra oral jelly how long does it last singapore kamagra tablets next day livery hong kong other uses for viagra hong kong anti viagra singapore propecia hair loss singapore varnafil vs viagra singapore viagra drugs singapore cheap viagra pills singapore cialis blue pill singapore is cialis a controlled substance australia better than viagra new zealand what drugs should not be taken with viagra australia can women take cialis hong kong cheap kamagra hong kong is viagra prescription hong kong roman viagra cost hong kong online pharmacy cialis singapore viagra after prostate radiation australia cialis overdose hong kong viagra para mujer australia cialis tubs singapore teva generic cialis south africa who makes cialis australia kamagra 100mg chewable tablet south africa cheap kamagra australia what happens if a woman takes viagra south africa can you drink alcohol with viagra singapore how old do u have to be to buy viagra australia propecia hair regrowth south africa priligy available new zealand priligy dapoxetine price singapore what happens when a female takes viagra hong kong priligy for sale australia propecia pills singapore can you cut viagra in half south africa cialis dosage 20mg south africa viagra meaning australia buy viagra without prescription new zealand i am a woman and i took viagra singapore natural viagra foods south africa where do they sell viagra hong kong does walgreens sell viagra hong kong viagra for sale online new zealand celebrities on propecia south africa cialis for daily use hong kong girl takes viagra south africa white generic viagra south africa viagra pill womens australia how does levitra work south africa home remedies for viagra south africa cialis actress singapore viagra and adrall australia priligy in south africa priligy pakistan new zealand viagra gel hong kong priligy price in india online south africa mixing cialis and viagra singapore purple viagra pill australia generic priligy dapoxetine 60mg australia viagra pharmacy south africa do women take viagra new zealand cialis pill new zealand kamagra oral jelly effects new zealand can i buy levitra at walgreens singapore viagra and alcohol forum australia cialis interactions new zealand low price cialis new zealand how to get cialis online hong kong viagra f hong kong kamagra for her new zealand cialis commercial south africa don venn viagra hong kong kamagra perth singapore can i buy viagra at walgreens hong kong viagra duration south africa difference between kamagra and kamagra gold hong kong viagra reddit singapore viagra type pills new zealand long term effects of viagra south africa how long does cialis take to work singapore viagra and food australia cialis 10mg price new zealand can you buy over the counter viagra south africa que es viagra australia levitra dosage new zealand viagra for women cvs hong kong how long does viagra take to kick in south africa cialis experience new zealand buy propecia online singapore d and b nation viagra australia what are the effects of viagra new zealand wellbutrin viagra singapore viagra for women cvs australia viagra pill meaning south africa natural viagra pills singapore viagra and afib australia kamagra 100mg oral jelly singapore honey viagra new zealand cialis image south africa ajanta pharma kamagra review new zealand viagra in singapore over the counter womens viagra hong kong cialis pill new zealand kamagra 100mg oral jelly new zealand propecia alternative south africa viagra and cialis hong kong viagra stories australia viagra discount hong kong does viagra help with pe new zealand what is better viagra or cialis singapore levitra 20 mg singapore sports viagra boys new zealand what does a generic cialis pill look like hong kong what's the difference between cialis and viagra new zealand how much viagra should i take for fun south africa chewable cialis south africa does female viagra work new zealand filna vs viagra new zealand long term effects of cialis south africa will viagra raise my heart rate hong kong can you buy kamagra in australia viagra finition hong kong don comprar viagra south africa when is the best time to take viagra hong kong women and viagra new zealand cialis 10mg daily australia female cialis review singapore foods that enhance viagra hong kong natural viagra substitutes australia free viagra samples walgreens australia is there anything over the counter that works like viagra singapore whats viagra new zealand viagra at walgreens singapore viagra 6 free samples hong kong kamagra eshop new zealand kamagra gel mk hong kong kamagra 100 hong kong is propecia safe singapore viagra and afib australia drugs like viagra south africa how often can you take cialis south africa viagra drink australia viagra vs cialis vs levitra price australia cialis 5mg si effects new zealand how much cialis should i take south africa viagra dosage for 70 year old hong kong after pictures viagra before and after photos south africa viagra for women south africa porn viagra new zealand viagra para hombre en south africa how long does cialis take to work south africa how long cialis last south africa can you snort viagra new zealand recreational viagra new zealand viagra in australia viagra substitute cvs hong kong is cialis better than viagra new zealand viagro south africa viagra pill pink new zealand viagra effects on men singapore cialis leg pain australia cialis dosage for ed singapore viagra stories south africa viagra and speed south africa viagra pill picture australia viagra white pill new zealand home remedies for viagra singapore natural viagra gnc new zealand buy cialis online hong kong propecia results south africa what color is viagra hong kong viagra what is it south africa kamagra online new zealand is viagra taxed south africa propecia hair new zealand does viagra help with pe hong kong cialis with viagra south africa cialis si effects forum south africa blue viagra australia viagra si effects on partner new zealand viagra dosage for 80 year old australia viagra boner new zealand cialis com hong kong online pharmacy cialis new zealand viagra gel australia how much viagra cost australia viagra discount coupons south africa how long does it take for cialis to work hong kong viagra rx south africa kamagra oral jeely hong kong the kamagra store south africa does viagra make your dick bigger singapore 30 mg priligy singapore cialis how long does it last australia priligy precio en farmacias south africa female viagra near me singapore herbal viagra pills hong kong daily viagra dosage new zealand cialis and viagra together new zealand female viagra pill near me new zealand legal viagra new zealand cialis super force singapore viagra moa singapore priligy 30mg buy online south africa 20 mg cialis daily south africa best way to take viagra singapore viagra for men price south africa how long should you wait after eating to take viagra new zealand priligy buy hong kong viagra what is it australia does viagra increase penis size south africa how much viagra should i take singapore mom son viagra south africa female viagra prank australia is kamagra legal in new zealand cialis duration new zealand can you buy viagra online australia cialis 20 mg tablet singapore propecia shedding singapore metformin and viagra hong kong cialis alternative hong kong viagra cena australia dog eats viagra australia cialis vs viagra which is better new zealand viagra drug class hong kong does viagra south africa

Coping With Infertility From Endometriosis

Coping With Infertility From Endometriosis

Being diagnosed with endometriosis — and the fertility problems that often come with it — can bring on a roller coaster of emotions. Shock, denial, anger, and depression are common. If these feelings are affecting you, try these smart strategies to help you cope.

If you’re ready to start a family, having endometriosis may make it more difficult. A review published in December 2012 in Obstetrics and Gynecology Clinics of North America indicates that as many as 30 to 50 percent of women with endometriosis struggle with infertility. The challenges are emotional as well as physical.

“If a woman has been diagnosed with endometriosis, which results in secondary infertility, and she has decided that she wants to start a family — then she’s experiencing distress from two different angles,” explains reproductive endocrinologist Judi Chervenak, MD, associate clinical professor of obstetrics and gynecology in women’s health at Montefiore Medical Center in New York City.

“The first [stressor] is that she has a medical condition, which is resulting in infertility and which could also be causing her physical distress,” Dr. Chervenak says. “But she also is experiencing [emotional] distress, in that her physical condition is limiting her ability for that which she so desires.”

From the wish to have a baby to the diagnosis of reproductive problems and the often lengthy process of trying to conceive, the experience of infertility can cause anger, confusion, depression, a sense of helplessness, and frustration.

Struggling With Loss

With infertility “you experience loss — the loss of the image you have of yourself as a healthy person, as a fertile person,” explains Mary Lou Ballweg, co-founder and executive director of the Endometriosis Association. “It’s like losing a dream.”

Shannon Carney, a 36 year-old from Milwaukee, experienced painful periods for years before she was diagnosed with endometriosis at age 32. “I had symptoms back as far as I can remember,” says Carney. She also had trouble conceiving. Around the time she was getting advice on endometriosis treatment options, she unexpectedly became pregnant. But the intense joy she felt turned into “the worst, devastating grief” when she had a miscarriage at eight weeks.

“How did I cope?” she asks out loud, “through self-educating myself, which then led me to other women who had similar experiences. Everyone has their own road map. It’s too late for me — I can’t go back and change things. I can’t go back to get the diagnosis 10 years earlier, when I was healthier and could have tried for a baby then. Now I want to spread education and awareness about endometriosis to as many women as I can,” says Carney, who is the education program coordinator for the Endometriosis Association.

Tips for Handling Endometriosis-Related Fertility Issues  

If a jumble of painful emotions is affecting you, take heart: there are resources you can turn to. Start with these tips:

  • Remember you aren’t alone. In the United States, about 1 in 10 women between the ages 15 and 44 have trouble getting or staying pregnant, according to the Centers for Disease Control and Prevention. And endometriosis affects about 176 million women worldwide — or about 1 in 10 women, according to the American College of Obstetrics and Gynecology. As many as half of these women are struggling to get or stay pregnant.
  • It’s OK to feeling anxious, sad, and stressed. “Infertility was long thought to be the cardinal symptom of endometriosis,” explains Ballweg. “But now we know that usually, pain comes first; long before infertility issues, there’s the physical pain of the disease.” This means you’ve probably been dealing with difficult issues for a while. So while the emotional pain of infertility is particularly difficult, it’s important to not feel weak in any way for feeling the way you do, or if you need help coping.
  • You may go through several stages of feelings. The process of coping with a fertility problem can be likened to the well-known “grief cycle” described by the Swiss doctor, Elizabeth Kubler Ross. This response to grief involves going through periods of shock, denial, anger, bargaining, depression, testing, and acceptance. Ballweg cautions that dealing with a reproductive problem, especially if you’re trying to conceive, may mean revisiting the stages of grief over and over.
  • Information is your friend. “The more you know, the more empowered you’ll feel,” says Ballweg. Learn as much as you can about endometriosis as well as infertility. RESOLVE from the National Infertility Association offers links to support, learning, and action on infertility issues around the country.
  • Develop an action plan. Keep an ongoing list of questions for your doctors. Knowing that you are taking positive steps forward will probably also make you feel more in control about your future. Ask for information on endometriosis resources in your community.
  • Don’t be afraid to ask for support. Whether it’s expressing yourself through journaling, talking to a social worker, or joining an endometriosis support group, it’s important to voice your fears and frustrations in some way. Endometriosis and general infertility support groups can be found all over the country.

The most important thing, says Ballweg, is to make getting well — not just getting pregnant — your focus. Things have changed over the last few years, she says. “It used to be, let’s just get her pregnant. Now it’s, ‘first, let’s get you well.’” And there’s so much that can be done to have that happen, she says.

When you’re in a lot of pain, and your life is upside down, it can help to learn about the disease, learn about the toxicities — learn about it all. “There’s so much to it, so much to learn and do about first getting well,” she says.

Article Origin: www.everydayhealth.com

The information contained on www.ksanghvimd.com (the “Site”) is provided for informational purposes only and is not meant to substitute for advice from your doctor or healthcare professional. This information should not be used for diagnosing or treating a health problem or disease, or prescribing any medication. Always seek the advice of a qualified healthcare professional regarding any medical condition. Information and statements provided by the site about dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease. www.ksanghvimd.com does not recommend or endorse any specific tests, third-party products, procedures, opinions, or other information mentioned on the Site. Reliance on any information provided by www.ksanghvimd.com is solely at your own risk.