We first heard about Eat Love Move on the Secret Birds Podcast a couple of months ago when founder Le’Nise Brothers was interviewed about health, hormones and barriers.  We were really impressed with all the great work that Le’Nise is doing and it also piqued our interest because of the work we’ve been doing on fibroids, an area that Le’Nise focuses on too. We felt the services offered by Eat Love Move would be of interest to you, our readers, so in today’s blog we introduce you to their services.

Who Is Eat Love Move?

Eat Love Move is a business that focuses on women’s health and offers personalised hormonal health programmes and workshops. At the helm of the company is Le’Nise Brothers, a registered naturopathic Nutritional Therapist who specialises in women’s health, anxiety, depression and weight loss.

As a nutrition and wellbeing coach for women, Le’Nise’s mission is to help women understand and embrace their hormones and menstrual cycle and thus much of her work focuses on women who struggle with low energy, sugar cravings and hormonal issues such as PMS, PCOS, endometriosis, heavy & painful periods, fibroids, perimenopause and menopause.

“I’ve had a life-long interest in food – eating it, cooking it and sharing it. I slowly started to make the connection between what I was eating and how I was feeling and used diet and lifestyle changes to improve my anxiety, depression and irritable bowel syndrome.”  – Le’Nise Brothers

Le’Nise firmly believes in the power of food and she takes the time to understand her clients, their lifestyle and goals, and then designs nutrition and lifestyle programmes that are tailored to the individual.

Their Services

Eat Love Move’s services fall into three categories:

• Personalised Health Programmes
• Hormone Health Programmes
• Workshops and Talks

Personalised Health Programmes – these are a minimum of 8 weeks long and are for women who have symptoms or health issues, are concerned about their family’s medical history or have been advised by their doctor to improve their diet.  A typical personalised health programme consists of the following:

• Initial personal consultation including an in-depth health and lifestyle assessment
• Personalised nutrition advice and supplement plan
• Current medication and nutrient interaction evaluation, if applicable
• Recommendations of clinical tests and interpretation, if applicable
• Follow up consultations – face to face, skype, telephone
• Mini progress review calls
• Email support
• Personalised menu planning and recipes

Hormone Health Programmes – Eat Love Move offers three programmes:

1. Period Helper – this is a personalised programme that helps women with their periods and menstrual cycle so they enjoy life with no PMS or pain (yay!)
2. Hormone Helper – this programme teaches women how to manage their hormones and stress, and how food can bring things back into balance.
3. Menopause Helper – teaches women how to support their hormones and get a sense of balance so they feel better as they go into perimenopause and menopause

Workshops and Talks

Le’Nise is passionate about helping women learn more about how they can improve their health and wellbeing and regularly facilitates workshops and delivers talks covering a range of topics including meal planning, wellbeing in the workplace, self-care and hormone health.

More Information

For more information and to book a free 20 minute health and wellbeing review you can email hello@eatlovemove.com or visit their website

Eat Love Move offers Skype and FaceTime consultations so you can access their services from anywhere in the world, or if you’re based in London you can find Le’Nise at the Onebody Clinic in Chiswick on Tuesdays and Saturdays from 9 – 11am

Alternatively, you can join Eat Love Move’s private Facebook group, Embrace Your Hormones. It’s a private and positive space for women to ask questions about their hormones and menstrual cycle and get evidence-based information and support.

Disclosure: this post contains an affiliate link. Find out more here

 

 

 

Today we tackle a question that we are asked quite regularly at our fibroids events: ‘Is there a link between fibroids and endometriosis?’

To answer this question, we’re going to look at what research tells us, but first let’s start with a bit of background on endometriosis. You can find out about fibroids on our fibroids page here

What is Endometriosis?

Endometriosis occurs when cells similar to those that line a woman’s womb are found in other parts of the body like the ovaries, fallopian tubes, bladder and stomach. The problem with this is that the cells that line the womb have a specific function which is only appropriate in the womb. The cells that line the womb build up, break down and bleed every month during our period. In the womb the blood has an escape route (the vagina), but in endometriosis the blood from the womb-like cells don’t have an escape route, and this can cause pain, inflammation and scarring.

Endometriosis is a long-term condition that affects millions of women worldwide causing a range of symptoms, such as heavy and painful periods, back pain, constipation, infertility and more. Thus, it has a significant impact on a woman’s quality of life.

Is there a link between fibroids and endometriosis?

When we look at research that has been conducted in this area, there does seem to be a link between fibroids and endometriosis. Firstly, several studies have found that many women with fibroids also have endometriosis, but just how common it is to have both fibroids and endometriosis isn’t clear as it has varied between studies. For example, a study carried out in the US by a team in Stanford in 2010 found that 86% of patients with fibroids also had endometriosis, whilst in 1994 a team in Italy found that just 12% of women with fibroids had endometriosis. Furthermore, three other studies found that 87%, 21% and 28% of women with fibroids also had endometriosis.  So, it does vary from there being a very strong link (87%) to a relatively weak, but significant link (12%).

When we look at the biology of fibroids and endometriosis there is evidence of a link between these two conditions. It has been reported that fibroids and endometriosis have common biological abnormalities that contribute to the development of both conditions. Namely these are defects in molecules called 17B-hydroxysteroid dehydrogenase (involved in hormone regulation) and aromatase (involved in the production of oestrogen). Related to this it is thought that women with fibroids and/or endometriosis tend to have a hormone imbalance having excess amounts of oestrogen in the body which, in both conditions, causes growth of the abnormal cells.

Why is it important to know about this link?

It’s important for patients and doctors to be aware of the link between fibroids and endometriosis so patients can receive the most appropriate treatment. If there is no awareness that women with fibroids are likely to also have endometriosis, patients diagnosed fibroids will be treated for just their fibroids and their symptoms may persist which the doctor and patient may think is due to the treatment being ineffective, but the persistent symptoms could be due to undiagnosed endometriosis. Researchers from the Stanford Study therefore recommend that doctors explore whether their fibroids patients also have endometriosis. Their study did identify helpful clues to identify whether a patient with fibroids may have endometriosis. They found that women who were diagnosed fibroids were more likely to have endometriosis if they:

• Had pelvic pain that was disproportionate to the size of their fibroids
• Were infertile

Therefore a good starting point for doctors and patients wanting to explain persistent symptoms after fibroids treatment is to explore whether the two symptoms above are present as this could mean the patient has endometriosis. If we can pinpoint these patients early then steps can be taken to alleviate their symptoms and thus improve their quality of life.

More Information

For more information about endometriosis you can visit Endometriosis UK’s website and for more information about the link between fibroids and endometriosis you can check out the references below.

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References

1. Huang J.  et al. (2010). Coexistence of endometriosis in women with symptomatic leiomyomas. Fertil Steril, Volume 94(2), p 720.
2. Nezhat C. et al. (2016). Strong Association Between Endometriosis and Symptomatic Leiomyomas. JSLS, Volume 20 (3).
3. Maclaran K., Agarwal N. and Odejinmi. (2014). Co-existence of uterine myomas and endometriosis in women undergoing myomectomy: risk factors and surgical implications. J Minim Invasive Gynecol, Volume 21 (6), p 1086.
4. Tanmahasamut P., Noothong S., Sanga–Areekul N., Silprasit K. and Dangrat C. (2014). Prevalence of endometriosis in women undergoing surgery for benign gynecologic diseases. J Med Assoc Thai, Volume 97 (2), p147.

Disclosure: this post contains an affiliate link

We recently came across this really useful ‘Know Your Flow’ infographic created by Be Prepared.Period. It provides really clear information to help you understand what is normal with regards to your period.

For women with fibroids this infographic may be useful  in assisting you when you’re having a conversation with your doctor during your follow-up appointments.  Using the information provided in this infographic you can describe how heavy your period is and explore with your doctor whether the colour of your period is cause for concern.  This may help your doctor understand whether your symptoms are getting better and whether a particular treatment has been effective.

Check out the infographic below and let us know in the comments section below whether you found this useful or not, and you can find out more about Be Prepared. Period on their website here

Disclosure: this post contains an affiliate link

We were so delighted when we received an email from the All-Party Parliamentary Group on Women’s Health a few months ago telling us that they would be carrying out an inquiry into informed choice and fibroids and endometriosis,  two of the most common conditions affecting women.

The aim of the inquiry was to explore whether women with fibroids and endometriosis are given an informed choice about the treatment options available and to outline what improvements need to be made.

In order to assess this issue the APPG on Women’s Health consulted with women affected by these conditions as well as healthcare professionals. This was done through a survey, written evidence submissions, an oral evidence session and freedom of information requests to all 139 hospital trusts in the UK.

The Lake Foundation started working on providing information and support to women with fibroids about two years ago following our own survey which found that more needed to be done to ensure women had enough information and support to manage their condition. We published a fibroids booklet, formed an Ask the Expert panel and hosted our first fibroids conference for women affected by fibroids. So for us the APPG’s inquiry was a breath of fresh air as it finally put a national spotlight on fibroids and in doing so enabled the challenges that women with fibroids experience to be raised at the highest level possible, in parliament, and we hope that this will bring about real change.

Results from the Inquiry

The inquiry has now come to an end and this week the APPG on Women’s Health published their report and, like the results of our survey, their report makes for grim reading. Nothing has changed.

Over 2,600 women with fibroids (237) and endometriosis (2,367) completed their survey and:

• 62% said they were not happy with the treatment choices
• 42% said they were not treated with dignity and respect
• 67% said they first found information about their condition from the internet

Looking at just the answers that related to fibroids, 70% of women were told about a hysterectomy suggesting that women are pushed towards this treatment option when many other options are available.  Over 20% of women with fibroids felt the need to get a second opinion and 34% of women were not satisfied with their treatment.

Additionally, over 40% of women with fibroid were not told about the short-term complications of their treatment and over 50% weren’t told about the long-term complications.

The inquiry also identified a number of barriers that prevent women from receiving the best care possible. These included:

• Lack of public awareness
• Lack of understanding of these conditions by GPs
• Common myths about fibroids and endometriosis
• Lack of information
• An inefficient diagnosis pathway
• Lack of follow-up and support after treatment

As a result of their inquiry the APPG made a number of recommendations which fell into the following categories

• Improve patient experience
• Improve awareness
• Improve the diagnosis pathway

Our Thoughts

The Lake Foundation was happy to see this inquiry take place and happy to see the report published. We were disappointed that, even though we raised it, there was no recognition of the fact that fibroids are more common in black women and black women are more likely to develop multiple and more aggressive fibroids. This is an important point to highlight as it means that there needs to be a greater focus on black women who will need more support. GPs need to be aware of this so they can diagnose black women quickly and look at treatment stratgies before symptoms become unbearable.

More Information

For more information you can read the APPG’s full report below.

 

Today, Cancer Research UK and Public Health England announced that a recent analysis of cancer data revealed that black women are twice as likely to be diagnosed with late stage breast cancer as their white counterparts. They found that 25% of black African breast cancer patients and 22% of black Caribbean patients had late stage disease compared to 13% of white patients.

The fact that black women are more likely to be diagnosed at a late stage has been known for some time and has also been observed in not just the UK but in the USA too. The Lake Foundation has conducted work in this area to explore the possible reasons behind this. In 2011, we carried out some qualitative research to explore black women’s beliefs about breast cancer and their help-seeking behaviour to determine whether these two factors may lead to delays in diagnosis. Overall our study suggested that, when it comes to seeking help, black women are quite proactive and there would be no delay in visiting their GP (doctor) if they noticed a breast lump; delays in visiting a GP could occur if black women experience other symptoms as they were less aware of these.

We also found that the following factors could delay help seeking in black women: other priorities such as family or work commitments; language barriers; lack of access to information; age (older people are more likely to delay visiting their GP); difficulty getting appointments; cultural insensitivy of the healthcare system, inaction by GPs; and a lengthy referral process. You can read more about this work on our research page (scroll to the bottom of the page).

National data suggests that black women are less likely to take part in the NHS Breast Screening Programme and this could be another reason for the late stage diagnosis. In 2011, our founder Abi Begho worked with Betterdays Cancer Care, the NHS and Cancer Black Care to determine why black women are less likely to attend breast screening and whether patient navigation could be an effective way of improving screening uptake in black women in Peckham and Lewisham. We found that, at the time, black women living in Lewisham and Peckham who were of screening (over the age of 50) were very mobile with many women being unreachable, on an extended trip abroad; having moved from their GP registered address or had relocated and lived abroad,  hence they missed their breast screening appointments. We found that patient navigation was effective at reaching women as numerous and extensive attempts were made to contact women and then support them to attend their screening appointments. You can read more about this work here

Finally, scientific research has also suggested that black women are more likely to develop a more aggressive form of breast cancer which grows rapidly, so this could explain some of the late stage cases. Studies also suggest that black women are more likely to develop breast cancer at a younger age.

This recent analysis by Cancer Research UK has reminded the nation that there is an issue around black women and breast cancer that needs to be addressed. We need to ensure that black women are aware of all the signs and symptoms of breast cancer and that they seek help quickly if they notice any of the symptoms. We also need to understand the biology of the disease and the best ways of detecting and treating the more aggressive forms of breast cancer.

So, the message to black women is:

• Be aware of all the signs and symptoms of breast cancer
• If you’re worried about any symptoms that you have, please visit your doctor as soon as possible
• Eat a healthy diet, keep active and maintain a healthy weight to reduce your risk of developing breast cancer
• If you’re aged 50 or over, consider accepting your invitation from the NHS to take part in breast screening
• Know your family history. If you have a strong family history of breast cancer you may be at an increased risk so visit your GP for some advice and information

On 8^th November 2016 Target Ovarian Cancer will be holding an event called Being Together in Hertfordshire. This is a free event for all women with ovarian cancer and will take place at the Jurys Inn Hotel in Watford from 10am – 4:30pm and will include lunch and refreshments.

Feedback  from previous Being Together events have shown that these days are extremely beneficial in helping women feel less isolated and more knowledgeable about ovarian cancer:

“The whole day has been brilliant. The hospitality was superb and the quality of the event was excellent”

 The event is an ideal opportunity for women to meet those with similar experiences and put their questions to a panel of experts. Women will also have the opportunity to take part in workshops surrounding living well, such as nutrition and relaxation. Although the event is free booking is essential.

You can book a place at www.targetovariancancer.org.uk/hertfordshire or by calling Target Ovarian Cancer on 020 7923 5475.

 

 

This blog is the second in a two-part series discussing alternative feminine hygiene products. This follows on from our blog on menstrual cups and this series is a result of a discussion at our recent fibroid focus conference that got us thinking about the fact that many women with fibroids experience heavy and prolonged periods. This means they use large quantities of tampons and pads and we want to ensure that women who use these products more frequently than most are aware of all the options out there so they use the best products for them.

What’s the Problem?

Over the last few years there has been quite a bit of focus on the chemicals in feminine hygiene products and these chemicals have raised concerns about their possible health effects.

Research has shown that chemicals like dioxins are found in trace amounts in tampons and pads. These chemicals are by-products of the bleaching process and whilst they are in small quantities and cause no harm after just a one-off exposure, women use these products very frequently and it’s not clear if the frequent exposure could lead to an accumulation of dioxins in the body. The WHO states that long-term exposure to dioxins  is “linked to impairment of the immune system, the developing nervous system, the endocrine system and reproductive functions.”

Additionally, testing has found detectable amounts of pesticides in five out of eleven of the products tested and long-term exposure to pesticides may affect the liver, brain and reproductive system and has been linked to autism and some types of cancer.

Furthermore many manufacturers don’t list all the chemicals in their products making it hard for women to make an informed choice about the products they use. This led to a petition calling for companies to list all the components of their feminine hygiene products which has been signed by over 250,000 people.

The Solution

In order to avoid the chemicals in tampons and pads a number of companies now manufacture organic feminine hygiene products to give women a more natural alternative.

Companies producing organic feminine hygiene products tend to used certified organic cotton as their absorbent material rather than synthetic absorbent material. They also don’t use harsh bleaching agents so their products are chlorine free and won’t have traces of dioxins.  They are also plastic free, fragrance free and many consider the environment and make their products biodegradable.

These organic products are a good alternative to the synthetic products that are widely available and it is worth searching them out.

Where Can I get Organic Feminine Hygiene Products?

One of the most well-known manufacturers of organic tampons and pads is Natracare, they have been producing these products for almost 30 years and have a wealth of experience. Their products are plastic free, certified organic, animal friendly, don’t result in fibre loss and are recommended by gynaecologists.  To find out where you can purchase their products click here.

Other organic feminine hygiene products include:

• Organyc
• NatraTouch
• Naty Nature Women Care
• The Honest Co. Feminine Care

For a convenient one-stop-shop that sells a few different brands, then you can try Be Prepared.Period who sell a range of organic feminine hygiene products.

If you’re looking for a more natural alternative when it comes to tampons and pads then why not give the  above mentioned organic products a try.

Do you use any of these products? What are your thoughts? We’d be interested in hearing what you think about this topic. Is using organic feminine hygiene products important to you? Leave a comment below.

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References

A question for women’s health: chemicals in feminine hygiene products and personal lubricants. Environ Health Perspect. 2014 Mar; 122(3): A70-5.

Feminine Protection Products: What do they consist of? 60 Million Consumers, 23^rd Feb 2016

Tampax tampons and Always sanitary towels among feminine hygience products that contact toxic chemicals.  The Independent, 25^th Feb 2016.

Many years ago before I even knew what endometriosis or fibroids were I knew the sudden stabbing pains I felt in my side weren’t right. My periods were often heavy and ‘clotty’ but I was too embarrassed to discuss it with anyone and so I suffered in silence.

Some years later I was living in England and when the pain recurred I went to see my GP who disappointed and shocked me with his response when I described my symptoms to him. My GP asked me whether I was planning to have children. I was 22 then and not ready. He replied, ‘well there are a lot of people who don’t have children’. I left the clinic stunned. I wasn’t very assertive then so didn’t answer him back.

Fortunately, I did have my son a couple of years later and all was well. I remember though that the pains would come and go but I just bore it. During a trip to Ghana, I woke up to stabbing pains in my right side again which had me doubled up in pain. When I got back home I saw my GP who referred me to a Consultant who happened to be the one to travel this journey with me. She sent me to carry out some tests which revealed I had endometriosis and fibroids. I was given tablets to help and the pain subsided. By then my son was 5/6 years old. At one of my check-ups my Consultant asked me whether I wanted any more children and advised me to do it ‘sooner rather than later’.

A year later, on Valentine’s Day, I went for another check-up, my Consultant was about to prescribe some more medication for me when I told her I might be pregnant. We did a test which was positive!

Whilst pregnant and after my daughter’s birth there were no symptoms and my doctor told me many women find the fibroids and endometriosis disappear during pregnancy.

Eight years ago I felt the pains and discomfort again. The same Consultant I had seen over 12 years earlier was still working at the hospital which I considered a blessing as she knew my history. She sent me off for a scan. I knew there was a problem when the lady carrying out the scan stopped joking and suddenly had a serious look on her face. I asked whether everything was alright, she told me my Consultant would be in touch.

I received an appointment. It was a different Consultant this time who asked me to have some blood tests done. I asked him whether I should have them done at my local hospital, he said no and that I had to have the blood tests done straight away!! As I walked to the department to have the tests done I opened the letter and saw the letter C scribbled amongst other medical jargon. I knew straight away I was being sent to test for some form of cancer. And I was on my own!

I got home and looked the medical term up on the internet which confirmed my fears, it was a test for cancer!

Another appointment came and my husband accompanied me. Thankfully it was my regular Consultant. She gave me the results and explained the scan showed a very large cyst on my right ovary which they thought could have been cancerous. The blood tests had however come back clear.

My Consultant went on to say she felt I needed to have a hysterectomy as soon as possible because I had a ‘diseased womb’. My husband and I were shocked and we tried to ask for other options. She told us that this time I didn’t have a choice and that on top of my problems with fibroids, endometriosis and the cyst on my ovary I also had an ‘enlarged womb’! Gosh, the list just gets bigger! She then booked an appointment whilst we were in her office for my surgery in 2 weeks’ time!

I had the surgery by this Consultant in September 2006 and thank God all was well. No cancer found. I however had to undergo a ‘total hysterectomy’ which meant losing my ovaries, womb, tubes and cervix. I guess the risk of cancer was great and she wanted to eliminate any possibility.

I cried for a while to think I had lost my ‘womanly bits’ but my husband sternly told me to be grateful to be well and alive. That shook me up and I started to take a positive approach. I had two healthy children, one of whom I didn’t think I would be able to have. I used to call her my ‘little miracle’.

After my surgery I had to go on HRT which I didn’t want to because it made me ‘feel old’. I soon went on it though when I had a sudden surge of heat through my body and quickly stuck my head in the freezer! My family watched me do this in amazement, confusion and amusement!

I have been on HRT patches for 8 years now and feel fine. I have put on a lot of weight but I’m not sure whether that has anything to do with the HRT or the lovely cakes people keep bringing in to work!!

Two months ago a friend mentioned HRT caused her to put on a lot of weight. She came off it and used another form of medication which is made from natural minerals. I have started using it too and have taken myself off the HRT. I have weighed myself and found I have lost a little weight. I need to cut out the cakes and do some walking and I will be back in shape.

I am thankful for my life and have learned it is good to talk, share our fears and experiences; you can learn from someone else and they can learn from you! Let’s be aware and educate ourselves.

Well done on setting up this website!

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The Lake Foundation would like to say a big thank you to Naa for sharing her experience with fibroids and endometriosis, we hope that through her experience you have gained some insight into these conditions.

To learn more about fibroids download our booklet below  and for more information about endometriosis visit Endometriosis UK’s website

Disclosure: this post contains an affiliate link. Find out more here.

A study published in the British Journal of Cancer has found that the effect of combined hormone replacement therapy (HRT) in increasing a women’s risk of developing breast cancer is likely to have been underestimated in previous studies.

HRT is used to treat the symptoms of menopause (hot flushes, mood changes etc) by replacing the oestrogen that is lost during a woman’s menopause. There are two type of HRT, oestrogen only HRT and combined HRT which is mixture of oestrogen and progestogen.

Over the years studies have identified that women using HRT have an increased risk of developing breast cancer but this was only felt to be a slight increase with many stating that the benefits of taking HRT outweigh the risks.  This new study has found that combined HRT actually has a bigger effect on breast cancer risk than was previously thought.

This New Study

This new  piece of work was part of the Breast Cancer Now Generations Study which was set up in 2004 to understand the causes of breast cancer. The full Generations Study is following 113,000 women in the UK for 40 years.

 For this research into the effect of HRT, 39183 women from the Generations Study were selected who were at menopausal age. These women had  been monitored for 6 years through questionnaires which asked a number of questions including questions about their HRT use.

After the six years of monitoring it was found that 775 of the 39,183 women had developed breast cancer. Statistical analysis revealed that women using combined HRT were 2.7 times more likely to develop breast cancer than those who had not used HRT. This applied to use of HRT for a median length of time of 5.4 years and when they explored longer use of HRT, so 15+ years of use, this increased to women being 3.27 times more likely to develop breast cancer. No overall increase in breast cancer risk was observed in women who used oestrogen only HRT.

They also found that the increase in risk returns to almost normal once combined HRT use is stopped. Researchers noted that after a year and also two years of ceasing to take combined HRT there was no significant increase in breast cancer risk.

How Did Other Studies  Result in an Underestimation of Risk?

The underestimation by previous studies occurred because of the way the studies were carried out. Previous studies didn’t comprehensively follow-up with women and document their use of HRT  (e.g. did some women  stop using HRT over the course of the research) nor did they determine the age at which women went through the menopause.  These oversights caused inaccuracies.

What Does this Mean for Women Considering Taking Combined HRT?

Baroness Delyth Morgan, the Chief Executive of Breast Cancer Now said:

“Whether to use HRT is an entirely personal choice, which is why it’s so important that women fully understand the risks and benefits and discuss them with their GP. We hope these findings will help anyone considering the treatment to make an even more informed decision.

 

“On balance, some women will feel HRT to be a necessity. But in order to minimise the risk of breast cancer during treatment, it is recommended that the lowest effective dose is used for the shortest possible time.

 

“The good news is that the increased risk of breast cancer begins to fall once you stop using HRT. “If anyone is at all worried about either HRT or breast cancer, we’d highly encourage you to speak to your GP.”

The Lake Foundation believes that women considering using the combined HRT should have a discussion with their doctor about the pros and cons and make an informed decision about whether to proceed with treatment. If you can avoid combined HRT we would recommend that you do so.

You can download the full research paper below.

 

At our recent Fibroid Focus conference an interesting question was raised: “Has anyone used the Mooncup?” There were a few blank stares, which came from us too, and then an attendee answered: “Yes, and it is so much better than tampons and pads.”

This little exchange got us thinking.

Many women with fibroids experience heavy prolonged periods meaning they use large quantities of pads and tampons. Over the last few years there has been quite a bit of focus on the chemicals in these products and this has raised concerns about possible health effects. This led to the formation of a number of companies who now manufacture organic feminine hygiene products to give women a natural alternative.

But are women with fibroids aware of all the options available when it comes to feminine hygiene products and are they aware of alternatives like the Mooncup (a menstrual cup made by Mooncup Ltd)? This is particularly important for women with fibroids, who are likely to need to use large quantities of pads and tampons, and may be concerned about their prolonged exposure to the chemicals in these products.

In this blog series we are going to introduce you to a selection of feminine hygiene products starting with the menstrual cup today.

What is a Menstrual Cup?

A menstrual cup is a small flexible cup usually made of silicone, but can also be made of rubber, that is inserted into the vagina and collects menstrual blood. Depending on the amount of flow the cup is removed every 4-8 hours, emptied, washed and reinserted. At the end of a woman’s period the cup can be sterilised and the same cup used again every month. The shelf life of menstrual cups is fairly long with manufacturers recommending that they be replaced, on average, every 5 years.

Many companies make menstrual cups and these include:

• Mooncup Ltd
• DivaCup
• Lunette
• IrisCup
• MeLuna

Are Menstrual Cups New?

The menstrual cup was invented by Leona Chalmers in the 1930s and she patented her design in 1935. So the menstrual cup is over 80 years old and has been used for decades.

Is it Safe to Use?

Research has shown that the cup is safe to use with only a very small number of issues reported.

There has been just one case of toxic shock syndrome linked to the use of a menstrual cup, making this a very rare occurrence.  Additionally, one research paper reported that a woman may have developed adenomyosis and endometriosis  after using a menstrual cup for four years and the Endometriosis Research Centre in the US has called for more research to determine if there is link between the use of the menstrual cup and endometriosis.

Several studies have shown that, provided the cup is used properly and is kept clean, the risk of infection is low.  Also, for those worried about allergic reactions the majority of cups are made from medical grade silicone and silicone sensitivity is very rare. For those with a latex allergy they just need to ensure that they use a cup that is made entirely of silicone and does not contain rubber.

The Benefits

There are many benefits of using a menstrual cup. These include:

• Environmentally friendly – one cup can be used for 5 years which means there is less waste created than if tampons or pads are used
• Cost effective – menstrual cups costs about £20 and last for up to 5 years so this works out much cheaper than pads which are estimated to cost about £80 per year and tampons about £43 per year.
• No exposure to toxic chemicals – menstrual cups do not contain the bleaches, pesticides and other chemicals that the majority of pads and tampons contain
• Doesn’t cause dryness –tampons and pads can cause vaginal dryness because they are made of absorbent material, the cup simply collects fluid and isn’t drying
• Less leaks

The Drawbacks

There are some disadvantages associated with the menstrual cup:

• Inserting and removing the cup can be challenging
• Emptying the cup can be quite messy
• Women with certain conditions may not find a cup that fits properly. This has been reported for women with a dropped uterus and certain types of fibroids
• The cup needs to be kept clean to avoid infection so it requires some maintenance every month and needs to be sterilised after each cycle

Conclusion

If you’re looking for an alternative to tampons and pads a menstrual cup is an option you can explore. It may take some time to get used to it, but we recommend that you give it a few months before you make a judgement.