BlogFibroids Twitter Chats
On 10th October, we had a very interesting and informative discussion with Julia Mandeville. Julia is the Co-Founder of the Barbados Association of Endometriosis and PCOS, and we chatted about fibroids and endometriosis during our regular #FibroidsChat twitter event.
This #FibroidsChat was organised to explore the link between fibroids and endometriosis as research suggests that 12% to 87% of women with fibroids also have endometriosis. The challenge for women with fibroids is that this additional condition can go undiagnosed for many years. By raising awareness of endometriosis we can empower women with fibroids with the information needed to facilitate an early diagnosis, should they also have endometriosis, so that the most appropriate treatment is received without delay.
About Julia
Julia Mandeville has been a science and health educator since 2010, gaining a B.Sc in Biology with Microbiology with honours from the University of the West Indies. She also holds a Master of Public Health with a specialization in Global Health from the University of Manchester. Julia is an emerging global health professional who has a particular interest in reproductive health rights, invisible chronic disease management, research and policy specifically as it relates to Caribbean women’s health.
With Julia’s personal and professional experience it was pleasure to have her as our special guest for this #FibroidsChat.
#FibroidsChat Highlights
If you missed this Twitter chat you can read through the highlights of our conversation below and if you have any questions or comments, please leave them in the comments section at the bottom of this page or send us an email, we’d love to hear from you.
You can also read the highlights of our previous #FibroidsChats here and you can sign-up to receive our fibroids newsletter to be kept informed of future chats.
Hello Twitter family, it’s our pleasure to welcome you to another #fibroidsChat.
Today, we’re absolutely delighted to have as a guest @juliamandeville, the co-founder of the #Barbados Association of #Endometriosis and #PCOS (@Endoandpcosbb) (1/3) #WomensHealth #WombHealth pic.twitter.com/QqEtctxLIY
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
As always, there will be time for you to make comments and ask our guest questions. If you’d like to make a comment or ask a question, please use the hashtag #FibroidsChat (2/3)
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
Now, it’s my pleasure to introduce our guest @juliamandeville, of @Endoandpcosbb
Welcome Julia and thank you so much for taking part in this Twitter chat, it’s a pleasure to have you. Please can you tell our audience a bit about yourself #FibroidsChat (3/3)
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
Hi @lakehealthwell. Hi Twitter. It’s my honor to be here with you! Excited to discuss the #womenshealth topics of #endometriosis and #fibroids
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
Ok, we’ll get started with today’s #fibroidschat. Before we get into the link between #fibroids and #endometriosis. @JuliaMandeville, let’s start at the beginning. What actually is #endometriosis?#fibroidschat
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
It’s a chronic inflammatory condition, characterized by #endometrial-like cells/tissue outside the uterus associated with scarring, pelvic pain, and/or infertility. These cells/tissue respond to changes in hormone levels just like those in the uterus. (½) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
This means they build up and degrade but unlike those cells which are shed from the uterus, these cells cannot escape. This causes an inflammatory response. #endometriosis affects up to 10% of women of reproductive age. (2/2) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
It’s said approximately 176 million #women globally are affected by #endometriosis…and counting. #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
That sounds like a very complex condition. Do you know what causes #endometriosis and what factors may increase a woman’s risk of developing endometriosis?#fibroidschat @JuliaMandeville #womenhealth
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
We are not sure what causes #Endometriosis. Some theories postulate that for some it could develop: due to issues with menstrual flow, hormonal imbalances, immune system dysfunction, cell transport, genetics and foetal development. #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
I guess the challenge with not knowing the cause means it is quite hard to treat #fibroidschat#WomensHealth
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
It has proven challenging yes. To treat and diagnose. #endometriosis #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
Can you tell us a bit about what the symptoms are and how #endometriosis is diagnosed and treated?#fibroidschat @JuliaMandeville
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
Certainly! Common symptoms include pain especially in the pelvis, lower abdomen, back, vagina, rectum; Pain could be cyclic with menstruation (severe cramping) or for some persons it can happen throughout the month. Some persons could also be #asymptomatic (1/5) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
So #chronicpelvicpain, #dysmenorrhea (painful periods), #menorrhagia (abnormally heavy menstrual bleeding), dyspareunia (painful sex) and dysuria (difficult/ painful urination) and #infertility. For certainty, persons would require a medical diagnosis. (2/5) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
Unfortunately, #diagnosis has been and is still difficult as there is no singular non-invasive test to evaluate the presence of #endometriosis. The #GoldStandard is a #laparoscopy (link: https://t.co/JQLLjsZSdb). (3/5) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
#Treatment varies based on the individual and symptoms experienced. Painkillers can range from OTC analgesics to controlled drugs. Hormonal treatments can range from birth control to GnRH agonists. IVF treatments may be sought to address fertility issues (4/5) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
Persons may also undergo several surgeries & medical procedures to remove lesions or structures impacted by endometriosis. There are also self management methods some individuals would utilize. Please note there is currently no cure for #endometriosis (5/5) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
Thank you for going through the symptoms. There are certainly a lot of symptoms which are similar to the symptoms of #fibroids.
Is there any way a woman could determine whether her symptoms are due to endometriosis vs. fibroids? Or is just hard to differentiate#fibroidschat
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
This may be difficult to self assess-they both present with similar signs and symptoms. It’s best to seek the services of a qualified physician- preferably an #OBGYN. He/she could evaluate your clinical and menstrual history for tentative diagnosis. (1/2) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
However, again, note that #endometriosis is only confirmed with #surgery. (2/2) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
Ok, we’ll move on slightly and get some personal reflections from you.@JuliaMandeville , what are the most important lessons you have learnt about #endometriosis and its impact on women?
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
How #systemic it is. It’s costly to treat and manage. #endometriosis invades every aspect of a person’s wellbeing- social, emotional, physical, financial. That period pain a young woman is complaining of may have a deeper meaning-severe pain is NOT normal. (½) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
That is so important to note! We have normalised pain and many don’t realise that their pain isn’t normal and therefore suffer in silence #fibroidchat#PeriodProblems
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
Thanks! It is very good that you mentioned the misconception of normality of menstrual pain as that is so often heard with the result that woman just don’t know they can take action and live with the pain #FibroidsChat https://t.co/8RaVJBUGKl
— OH Services (@OHServices2018) October 10, 2018
No two women will have the same experience with Endo and the current staging doesn’t address the pain of adequately address #extrapelvic #endometriosis. We still have a lot of work to do. Thankfully #endoadvocates are making strides in raising #Awareness 🙂 (2/2) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
Next question. Research suggests that a significant number of women with #fibroids have #endometriosis, why do think some women develop both conditions? @JuliaMandeville
#fibroidschat #womenshealth— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
#Biochemical research of the diseases have linked certain genes, enzymes and receptors associated with oestrogen-production. Specifically, anomalies in oestrogen-receptor pathway signalling has been implicated in both #endometriosis and #fibroids development. (1/3) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
#endometriosis responds and the tissue proliferates with oestrogen. Its effects generally decrease for many who have been diagnosed with it after menopause or ovariectomy.(2/3) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
#Fibroids are known to increase in size in women who have them when their estrogen levels are elevated. Treatment for both conditions may involve therapy which blocks the production of or lowers the levels of oestrogen. (3/3) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
Can you tell us about what some of the challenges that women with both #fibroids and #endometriosis experience? #fibroidschat #womenshealth
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
One commonality- Pain. Relationship issues re. Family planning, those the rollercoaster of emotions and pain they experience. Financial burdens re treatment and management of the conditions. Self perception associated with their reproductive health. #FibroidsChat #WomensHealth
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
What do you think needs to be done by Governments, doctors and NGOs to address these challenges that women with multiple gynaecological conditions face?#fibroidschat
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
We keep hearing and saying it over and over again- a #multidisciplinaryapproach. Gynaecological conditions aren’t siloed off to only that physiological system. A network of professionals should be on hand to evaluate the condition in its entirety. (¼ ) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
The impact of the #morbidity of these conditions should be thoroughly evaluated.The research and facts are out there that health is a significant a driver of economic growth,the development of human capital and improved societal outcomes. (2/4) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
The #unmet needs in the #gaps in #womenhealth care are #undermining the progress that we can make as a society.(3/4) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
#Financing and work-related policies which address the impact on #Productivity and economic growth of the individual should be discussed and developed in order to find solutions which improve the #HRQoL of those who are impacted.(4/4) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
@JuliaMandeville, what tips/advice would you give to women living with #fibroids and/or #endometriosis?
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
Be your own #healthadvocate. You know your body and when something’s not right. Do your research, ask questions! Know that you didn’t cause this to happen to you and there are others fighting for answers along with you. Be #patient with and #kind to yourself. #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
We’re now going to move on to find out about @Endoandpcosbb.@JuliaMandeville, can you tell us what motivated you to start BAEP (@Endoandpcosbb)?
#fibroidschat— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
@endoandpcosbb was started after my personal diagnosis of #endometriosis and outside of the medical resources that were available- I had no idea where else to go in Barbados for help with the other aspects of dealing with the condition. (1/2) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
I cofounded it with Dawn ( no Twitter account, lol). She also had #Fibroids and #adenomyosis. We have a great #team of people around us. We all #volunteer our #time and #resources to help those who are like us. (2/2) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
Can you tell us about the work that @Endoandpcosbb does? #fibroidschat
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
@endoandpcosbb seeks to support #women in #Bdos who have been diagnosed w/ #endometriosis, #PCOS and other #debilitatingpelvicconditions. Bring awareness to these “#invisibleillnesses” and their direct impact on the individual and extended impact on society. (1/5) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
It’s great to hear there are #Endometriosis, #Adenomyosis & #Fibroids support groups in 🇧🇧 Barbados, St Kitts & hopefully across Caribbean & 🌎. There are some in 🇺🇸 & France @FibromeInfoFr Canada 🇨🇦 @V100fibromes it would be great to collaborate @JuliaMandeville #FibroidsChat
— Fibroid Network UK (@fibroidsupport) October 10, 2018
We’re always ready to discuss collaboration to promote the cause of #improved #womenshealth.
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
We try to work with stakeholder and beneficiaries to help to improve the #qualityoflife of the girls and women in our community who have been diagnosed by #engaging in #meaningfuldialogue and provide avenues to as many relevant resources as possible . (2/5) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
We do #school & #communityoutreaches, #semimars have a f2f support group, an ongoing virtual support group, members have access to discounted yoga, counselling and nutritional services (3/5)#FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
We work with select local pharmacies, massage therapists and a medical spa (generally for #pcos related issues) (4/5) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
For more information persons can go to https://t.co/qbWU4PY9KT (5/5)#FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
Our #fibroidschat is coming to an end. We’ve been really enjoying our conversation with @JuliaMandeville.
We’re going to hit her with three questions at once (!) as we’re running out of time 🙂
1/3
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
1. What has been the most surprising thing you have learnt about endometriosis, PCOS and women’s health since starting BAEP?
2. To date, what has you been proudest moment with regards to BAEP’s achievements?
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
3 .What changes would you like to see in the Caribbean to improve the situation for women with fibroids, endometriosis and PCOS?
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
Ok :). When I learnt of #thoracicendometriosis from an EndoSister in J’ca I was stunned. Women’s health is expansive, diverse and needs more attention and resources. It’s because of this I want to keep working in this field and learning more. #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
We’ve only been in existence for two years so there’s still a lot we are working on but, whenever someone says that our work helped them to gain information and seek a diagnosis . Providing tangible support to those who need it most, makes me happy(1/3) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
The support group we’ve built amongst our members and friends is strong and persons are more comfortable with discussing these “taboo” issues in our society. The recent public lecture on Endo jointly hosted with the Bdos Drug Service was a testament of that. (⅔) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
We are working on some projects with and these will help to advance our mission in Bdos and the region (3/3) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
A3: More available resources in general for menstrual and reproductive health. Inclusion of menstrual health and the extension of the scope of reproductive health in a more comprehensive sexual health curriculum for our younger persons. (¼) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
The implications of #fertility also should be addressed in comprehensive sex education. Not everyone may want to become a parent and not everyone can biologically become one. Both of these aspects of #familyplanning aren’t fully addressed during sex ed. (2/4) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
It’s assumed that when you reach a certain age & stage that children are a given-especially in Cbbn society. This #misconception should be addressed as it leads to #psychological and #social issues for persons on the receiving end of pressure to have children. (¾) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
Finally, too often, persons saying if I had known, I could’ve learnt to deal with it at an earlier age and may have fared better. Research has shown that the earlier persons are diagnosed, the better the quality of life (link: https://t.co/4wG766nELk) (4/4) #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
Well… folks, i think that is a wrap for today’s #fibroidschat. Sorry we had to rush a bit at the end, time just escaped me. I was enjoying the conversation a bit too much 🙂 #fibroidschat
Once again a big BIG thank you to @JuliaMandeville for joining us today. So informative
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
and so wonderful to hear of the great work being done by @Endoandpcosbb. We wish them all the best#fibroidschat
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
I would also like to thank everyone who joined us today, thank you for your comments and questions. #fibroidschat@fibroidsupport @fibroidforum @OHServices2018
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
The pleasure was mine @lakehealthwell. I thank you on my and @Endoandpcosbb ‘s behalf for providing this platform to discuss #womenshealth #issues. #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
Remember that you can find out more about @JuliaMandeville and @Endoandpcosbb at https://t.co/BiEBiUuLSD#fibroidschat pic.twitter.com/7uQxUlDEys
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
We’re on most social media platforms (FB: @endofacts, IG & TW: @endoandpcosbb) our email address: endoassociationofbdos@gmail.com . They can also visit our website https://t.co/DqQEHwkZ0T and ask me @JuliaMandeville directly here on twitter 🙂 #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
So much great information. Really enjoyed today’s #fibroidchat. @Endoandpcosbb @JuliaMandeville was a great guest! 👏🏽👏🏽 Thanks @lakehealthwell and everyone who took part. I learnt a lot x
— thefibroidforum (@fibroidforum) October 10, 2018
You are doing great work! https://t.co/W3T3UxxKdM
— thefibroidforum (@fibroidforum) October 10, 2018
Questions and Comments
10% seems awful high in my experience
— Aaron Shiloh MD FSIR (@Drshiloh) October 10, 2018
But adenomyosis (the cousin of endometriosis) is likely more prevalent than we know and the symptoms when present are very similar to fibroid disease
— Aaron Shiloh MD FSIR (@Drshiloh) October 10, 2018
True. More investigation of #adenomyosis is also needed but I think doctors use the type of tissue biopsied to distinguish between #adenomyosis and #fibroids. #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
Biopsy should rarely be needed. Where MRI is available it’s fairly easy to distinguish the two. Ultrasound in the right hands can also be effective.
— Aaron Shiloh MD FSIR (@Drshiloh) October 10, 2018
Ok, thank you @Drshiloh
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
Thanks for explaining it all. I was wondering as the symptoms are similar’ish to PMS and Fibroid when would be the best time to get or ask for a diagnosis?
— OH Services (@OHServices2018) October 10, 2018
It’s difficult to give a specific time. It depends on the individual knowing their body tbh. #endometriosis has been found in young girls prior to menstruation. This is why we’re working to change the #misconception that period pain is normal. Have pain evaluated. #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
“#endometriosis has been found in young girls prior to menstruation” I did not know this!
— thefibroidforum (@fibroidforum) October 10, 2018
It’s not as common but it has been noted. Here’s a link to an article about a study on it https://t.co/JyYwkHx9eh#endometriosis #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
That’s interesting that it happens in pre Menstrual girls. #Endometriosis can also happen in men, but it’s rare #FibroidsChat @JuliaMandeville @lakehealthwell @Drshiloh @fibroidforum @OHServices2018 https://t.co/M8Lze2bsFl pic.twitter.com/CJkno8ctd9
— Fibroid Network UK (@fibroidsupport) October 10, 2018
Yes! I’ve read two studies on this so far. The one you have listed and another. #endometriosis #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
😱 😱 Now I’m floored!
— thefibroidforum (@fibroidforum) October 10, 2018
Does UFE (Uterine Fibroids Embolisation) also help #Endometriosis? @Drshiloh @JuliaMandeville @lakehealthwell #FibroidsChat
— Fibroid Network UK (@fibroidsupport) October 10, 2018
Unfortunately no but it does help for adenomyosis
— Aaron Shiloh MD FSIR (@Drshiloh) October 10, 2018
Thanks @fibroidsupport . The risks of #UFE for #adenomyosis are definitely low.
The concern was about outcomes, and although even now they are not as good as #UFE for #fibroids, but they are pretty high up there.— Keith Pereira MD, #Vascular_Irad @SaintLouisUniv (@keithppereira) October 10, 2018
Yes Outcomes of Embolization & Risk Factors for the development of #Adenomyosis. There was older research suggesting it was more common after childbirth or after use of iud’s but this may have been updated. But those with very heavy periods often need help @keithppereira
— Fibroid Network UK (@fibroidsupport) October 10, 2018
Thanks for explaining it all. I was wondering as the symptoms are similar’ish to PMS and Fibroid when would be the best time to get or ask for a diagnosis?
— OH Services (@OHServices2018) October 10, 2018
It’s difficult to give a specific time. It depends on the individual knowing their body tbh. #endometriosis has been found in young girls prior to menstruation. This is why we’re working to change the #misconception that period pain is normal. Have pain evaluated. #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
“#endometriosis has been found in young girls prior to menstruation” I did not know this!
— thefibroidforum (@fibroidforum) October 10, 2018
It’s not as common but it has been noted. Here’s a link to an article about a study on it https://t.co/JyYwkHx9eh#endometriosis #FibroidsChat
— Julia. Mandeville ♀️ (@JuliaMandeville) October 10, 2018
That’s interesting that it happens in pre Menstrual girls. #Endometriosis can also happen in men, but it’s rare #FibroidsChat @JuliaMandeville @lakehealthwell @Drshiloh @fibroidforum @OHServices2018 https://t.co/M8Lze2bsFl pic.twitter.com/CJkno8ctd9
— Fibroid Network UK (@fibroidsupport) October 10, 2018
Does UFE (Uterine Fibroids Embolisation) also help #Endometriosis? @Drshiloh @JuliaMandeville @lakehealthwell #FibroidsChat
— Fibroid Network UK (@fibroidsupport) October 10, 2018
Unfortunately no but it does help for adenomyosis
— Aaron Shiloh MD FSIR (@Drshiloh) October 10, 2018
Yes there’s been interesting research on treating #Adenomyosis by Uterine #Embolisation, which is great as there weren’t many options in the past @Drshiloh We’ll look out for more research outcomes & Risk Factors for it @keithppereira
— Fibroid Network UK (@fibroidsupport) October 10, 2018
Thanks @fibroidsupport . The risks of #UFE for #adenomyosis are definitely low.
The concern was about outcomes, and although even now they are not as good as #UFE for #fibroids, but they are pretty high up there.— Keith Pereira MD, #Vascular_Irad @SaintLouisUniv (@keithppereira) October 10, 2018
More Information and Resources
In the meantime, you can read through previous #fibroidschats here: https://t.co/N0nHIerZz3
Our past guests include: @KandiceBryan, @CAREAbtFibroids, @OHServices2018, @FibromeInfoFr, @LaterriaPatton_ and more. (2/6) pic.twitter.com/KO8gBj1kAP
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
You may also be interested in our upcoming webinar on #Fibroids, #Diet and #Hormones with guest speaker Le’Nise Brothers
You can find out more here: https://t.co/RbFq0UXFtV (4/6)#fibroidschat pic.twitter.com/0dgSZjnLAC
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
Our friends, @OHServices2018, are launching their Emotional Impact of Fibroids online course on 7 Nov
If you register for our #Fibroids, Diet & Hormones webinar on 27th Oct you can claim a £5 discount on their course.
Find out more: https://t.co/YQJAcuGiQ4 (5/6) #fibroidschat pic.twitter.com/fQV4imIn0e
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
Our friends at @NoireWellness are hosting their second annual #FibroidsSeries wellness hub on 25th November.
You can find out more on their website here: https://t.co/mBtMLDiOhL (6/6)#fibroidschat pic.twitter.com/Xg5pWcP8xh
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
And finally, a big thank you to @noirewellness for featuring our #fibroidschat on their new, lovely website.
You can read an interview with us where we discuss why we started our fibroids Twitter chats.
You can read this article here: https://t.co/T8lsyk5Vnp#fibroidschat pic.twitter.com/M8YLMIVFb9
— Lake Health and Wellbeing (@lakehealthwell) October 10, 2018
