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Hysterectomy and Recs after Surgery

My client, who is 43 years old, has had a hysterectomy carried out 8 weeks ago, and has been given medical clearance to return to training. While I’m aware of the importance of reconditioning the abdominal wall after this procedure,I have no previous experience of working with a client who has had this type of surgery.

There are a lot of components that go with this:

1.       After this surgery most women are given synthetic estrogen. Why you might ask…I ask the same thing! If you know the body, women produce more hormones than just estrogen and with this surgery why do MD’s just supplement with estrogen. According to Dr. Lee in the book Hormone Balancing Made Simple, the body stops producing progesterone 100% in the mid to late 40’s (can even be lower now a days secondary to the pill, medications, poor nutrition and lifestyle, plastics and pesticides). As well, most women only stop producing 60% estrogen by their mid 40’s and keep producing it in their adrenal glands and fat cells (this is very common because most people in our society today are overweight). So, if you are still producing it, why supplement with estrogen…why not supplement with other hormones that the body is not producing after this surgery or from menopause? What about progesterone, pregnenolone, DHEA, etc? For a client such as this, I would run the #205V from BioHealth Diagnostics (full hormone and adrenal profile) to see where all her hormone levels are at. These are saliva labs and not blood, which are more accurate as they test for the active form of the hormone. As blood only tests for the inactive forms..what is used up. From there, you will know what to supplement with, either herbs, bio-identicals,etc.

2.       Women with this surgery who do not supplement correctly with the above, typically end up with HPATGG axis dysfunctions (Hypothalamus-pituitary-adrenal-thyroid-gut-gonadal) according to Jeff Bland. What does this mean? Well assessing your client on all levels in order to get her nutrition and lifestyle in order to bring these axis’s closer to homeostasis.  I am not saying you should supplement all of these and test all of these, but keep your eye on them and treat them initially with the 6 Foundational HLC principles.

3.       You will commonly see weight gain and emotional issues as well from this surgery (midsection and depression). These are common side effects from a hysterectomy = estrogen dominance. These need to be addressed with labs, bio-identical and possibly and NT lab test from Metametrix to see where she might be off.

4.       What I have seen clinically (not diagnosing or doing research) is women who have this surgery and go on estrogen have a higher incidence of cancer (breast, cervix, etc).

5.       Focus as well on some NMT for her scar, as this will help with your physical work and inner unit function.

6.       Work on any energy work, etc to the 3rd chakra, solar plexus, or SP/ST area, as this area is the mother of the 2nd charkra, etc. That is where all her symptoms showed up.

 

Joshua Rubin

www.eastwesthealing.com

 

 

July 2, 2008 - Posted by Josh and Jeanne Rubin | Functional Medicine, Hormones, Nutrition, Pain, Rehabilitation | | 1 Comment

1 Comment »

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