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Get a Better Sleep
Photo by Tracey Hocking on Unsplash
As you probably know by now if you're a regular reader of our site, we consider good pelvic health to be a major factor in overall health, and that includes the ability to get good sleep. Porch.com writer David De la Mora found me when researching one piece of the overall sleep puzzle, namely how to get a better sleep when dealing with the symptoms of endometriosis. Here are some excerpts from the article with my comments. A link to the original article which covers a number of non-endo related topics is included below.

Heather Jeffcoat, DPT

How to Minimize Endometriosis Symptoms and Get a Better Sleep

The article begins:

There’s no doubt that sleeping is good for you. Who doesn’t enjoy waking up after a good night of sleep? Your body goes through a number of changes as you sleep, allowing you to get the rest you need for general health. Sleeping helps the body and brain to calm down and participate in healing processes, improving physical and mental performance both over the long term and immediately thereafter.

As we mention in this article entitled "Endometriosis and Sleep Blog: Improving Melatonin Levels", with chronic pain conditions, such as endometriosis, sleep quality can be impaired. Sleep is essential for cognitive function, immune function, and overall health. The relationship between pain and sleep is a vicious cycle as pain can lead to poor sleep, but at the same time, poor sleep can increase sensitivity to pain and worsen depressive thoughts and thus experience a poorer quality of life. In fact, sleep disorders and changes in your melatonin level can have an effect on the reproductive system, not making it any easier to conceive. 

With this in mind, the article continues:

So what can yo do to get a great quality of sleep? Do you count sheep or meditate? May be you drink a chamomile or lavender tisane; or perhaps you’ve heard that taking a hot tub bath or stretching before going to bed might be helpful for sleeping deeply…

David breaks the subject down into a number of sleep related quesitons, including:

  • Can you share some tips to set a bedroom mood that promotes falling asleep faster?
  • Please briefly explain what Circadian Rhythms are, and provide some tips to improve them for better sleep.
  • Could you provide some tips to manage the symptoms and minimize the impact of narcolepsy at home?
  • Regardless of the location or weather, what would you advice for sleeping better while tent or RV camping?
  • What are the most common causes of nightmares or terrors and how can they be prevented?
  • Please provide some tips to help new parents and newborns get more and better sleep.
  • What should I look for in a mattress for children?
  • How can people who work too many hours in front of a screen get more and a better/deeper sleep?
  • Is CBD oil recommended to help achieve better sleep? Who can use this?
  • Can you mention a few ways to detox a bedroom for a better quality of sleep?

The answers to the above can be found in the full article (link below), but for now we will concentrate on one question asked of yours truly regarding endo and sleep:

What advice can you provide to manage the endometriosis symptoms and minimize their impact on sleep?

Here's what I had to say:

Endometriosis is a chronic pain condition that results in peripheral pain signals from the endometriosis lesions becoming amplified by the central nervous system (ultimately, by our brain). With poor sleep habits, there will be an effect on melatonin production, which will disrupt the circadian rhythm. Melatonin is essential for those that suffer from chronic pain, as it acts as an analgesic, sleep inducer, antioxidant, immunoregulatory and anti-inflammatory agent. Some research propose that improving melatonin can help reduce the symptoms of endometriosis, such as painful periods, bladder pain, painful bowel movements and other daily pains these patients often have such as low back pain.

Diet is another important discussion around improving sleep, too, but can be complex, as many patients with endometriosis have dietary restrictions. One study found that when women incorporate a diet rich in dairy products and fruits they had improved sleep quality compared to those that did not follow that diet. However, dairy is not a part of an anti-inflammatory diet, which has also been shown to help endometriosis patients. As everyone’s body is different, it’s best to work with a Gastroenterologist and a registered dietician to determine your best nutrition plan to minimize symptoms and improve sleep.

Exercise has also been shown to improve sleep through it’s effects on melatonin. Endometriosis is associated with insulin resistance, and regular exercise has been shown to increase cellular insulin sensitivity. This means that insulin resistance is decreased with exercise, however keep your exercise reasonable and moderate. I recommend activities such as hill walking, pilates, swimming or yoga to incorporate into your daily routine.

Pelvic health physical therapists are uniquely positioned to prescribe exercises specific to your tolerance levels. They also evaluate the need for additional interventions, such as hands-on therapies, corrective exercises, nervous system down regulation exercises and more.

Go here for the full article at Porch on how to get a better sleep.

Navigate here for a wealth of information we have published on issues related to pelvic health and sleep.

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Testimonial by T.C.

While pregnant with my twins, Heather took care with keeping me on my feet and pain free. She saved my back, my sanity and the holidays! I would recommend her to every “mom” looking to stay on her feet during pregnancy and post-partum.

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Testimonial by J.B.

My husband and I were having problems with painful intercourse. My therapist recommended that I go and get a pelvic floor evaluation from a physical therapist. Having never been treated by a physical therapist, I wondered how this really was going to help me. My husband who is a physician was very supportive and agreed that a PT evaluation would be a great idea. So i made the appointment and was blown away by what I learned. I had no idea that pelvic floor muscles could get tight and have trigger points just like any other muscle in the body. I'm a massage therapist and very familiar with tight muscles, and this new thought really amazed me. Heather's program to help relax and strengthen these muscles made such a difference. I can say that I am 100% pain free during intercourse now. Yippee! Going to the PT appointments and doing the at-home exercises was definitely a discipline, but it's 100% worth it! The rewards are amazing.

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Testimonial by A.B.

Before I was referred to Heather Jeffcoat I was living in a nightmare. I had been married to my husband for three years and I was suffering from Vaginismus. That all changed when I visited my OBGYN and she said she knew of someone with a great success rate. To be honest I was hesitant at first because my first doctor had already told me that all I needed to do was order dilators from the internet and I should overcome my problem. She was wrong because I had followed the book on how to use the dilators with absolutely no advancements in my condition. However, that all changed when I went in for my first visit and Heather took the time to explain my condition and how we were going to work together to overcome it.

I remember leaving her office with a glimmer of hope that I could live a normal life. As my sessions continued I began to see immediate results. With only four sessions and a strict dedication to my home programs I was cured of Vaginismus. In the beginning of this process I was made aware that my health insurance company might not cover the costs, which was disappointing but today I can say one hundred percent that it was the best money I ever spent. Now thanks to Heather I am finally enjoying my life to the fullest with my husband. Thank you Heather, I can’t begin to tell you how much I appreciate all that you have done for me. I will never forget it. Those who are suffering from these types of conditions don’t be afraid because she makes you feel so comfortable and the end result is worth it. Good luck to you all and I hope you experience the success I have.
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Testimonial by Ann V.

I wish i could give this place 10 stars!! 
I have been suffering from vaginismus for 5 years and never found the cure to it. I had seen an ob/gyn and he diagnosed me with vaginismus and told me i needed a surgery to cure my condition, which i refused to do. He also referred me to a PT that he works with, i had given them multiple calls and they never responded back to me, so i started searching yelp for another PT. I am SO HAPPY I found Heather's office! I was working with Laureen, and with her guidance and techniques i was able to be cured from vaginismus in only 2 1/2 short months!!! I couldn't believe how quickly their program worked for me! I am forever grateful and thankful from Heather, and Laureen! They are the absolute best at what they do!

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Testimonial by M.M.

My husband and I were married for 5 years and unable to have intercourse, but I never knew why. After numerous awful experiences at doctor’s offices (where many doctors told me I “just needed to relax”), a surgery that didn’t fix the problem, and a year of owning dilators that didn’t get me anywhere, someone finally referred me to Heather for Physical Therapy. I finally had answers and information from someone who knew exactly what I was dealing with!

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Testimonial by T.C.

While pregnant with my twins, Heather took care with keeping me on my feet and pain free. She saved my back, my sanity and the holidays! I would recommend her to every “mom” looking to stay on her feet during pregnancy and post-partum.

-- T.C.

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