What's a Castor Oil Pack?

A castor oil pack is a piece of cloth soaked in castor oil that you heat up and place on your belly then cover it with a piece of plastic and then put a heating pad or hot water bottle on top of that. You usually do it for 15-20 minutes once a day, at night before bed most typically. It is supposed to improve blood circulation and increase the white blood cell count locally.

What it definately will do is get you to slow down and relax. Disadvantages are that you end up with an oily belly right before bed and heating it up if you don't have a microwave (which I don't) can be a pain.

My naturopath had me do castor oil packs for a while. I found them to be a pain and they didn't seem to change anything -- my fibroid didn't get smaller, my cycles didn't get more normal, my basel temps stayed where they were -- I'm skeptical.

The book Sex, Lies and the Truth About Uterine Fibroids mentions castor oil packs, and that there aren't any studies showing that they work. There are studies showing they increase white blood cells in the skin area that is treated but nothing more than that. Evidently it is a traditional treatment used in many cultures.

My acu asked me to do them this Spring and I wasn't into it -- I just would use my hot water bottle to apply heat directly to my lower abdomen to keep the blood flow active in the area and left it at that.

My Medical Care Providers Over the Past Three Years

Before having to deal with infertility I had the unfortunate luck to have been injured in a car accident back in 2000. Through that experience I realized that my healthcare providers didn't have my best interests at heart, they wouldn't let me know to come in for a follow-up appointment, sometimes I was referred to lame care providers. I came to understand that the only one fully vested in my recovery and well being was me. That helped set the stage for the adventure that started when we got into TTC.

September 2002 -- Internist diagnoses fibroid (dump internist due to issues with getting appointments and information from her in the couple of years in her care -- I had to wait a week for an appointment when my neck went out and I was in constant pain and couldn't turn my head).

October 2002-March 2003 -- worked with a naturopathic doc who helped me gain better balance in my diet and lifestyle but also wanted me on a ton of supplements. She asked me if I had considered adoption and how long I intended to cut back on alcohol and taking prenatal vits in a way that wasn't entirely supportive so I stopped going there.

February 2003-May 2003 -- Met with RE#1 who I liked and she did an okay job but she left the State and clinic after a few months. She told me I should have my fibroid out after my HSG but to find a new surgeon. Even though my basel temps charts showed that I had regular cycles and temp rises consistent with ovulation she dismissed them after saying "yes you ovulate" and then told us we should do the HSG and then move onto IUI with Clomid and that she could "make me ovulate" which I didn't like the sound of at all.

June 2003-Nov 2003 -- Met with RE#2 to try to figure out if I needed to have fibroid surgery or not. He decided to give me a fertility work-up (just blood work) and wasn't a good listener. He told us that my partner had anti-sperm antibodies almost certainly and we would need ICSI to conceive (you won't be able to conceive on your own he said). While he knew his stuff I really didn't like him and his arrogance so I left him after one last consult in Nov to review my pooled progesterone results and to see if he would provide care if I had a fibroid embolization instead of abdominal surgery for my fibroid. It ended with a strong conversation about fibroid embolization.

July 2003-Sept 2003 -- Gyn #1 who I was scheduled to have my fibroid surgery with but I got such a bad feeling from her that I cancelled the surgery 10 days before and decided to pursue other options.

November 2003 -- consulted with an interventional radiologist about having my fibroid embolized (they block the blood flow using small particles through the uterine arteries). He was nice but I wasn't sure and couldn't find a gyn to provide support to this procedure.

Dec 2003 -- met with Gyn #2 who was all right but a little young and I cried in her office and she just looked at me, offered no consolation or anything. Her office was hard to book appts with so I decided to bag them.

Jan 2004-May 2005 -- started working with acupuncturist #1 after prompting by a couple of friend in alternative medicine. He was very nice

April 2004-current -- fell down the stairs and reactivated my back injury from a car accident in 2000 prompted a visit to chiropractor #2 (chiro #1 took bad care of me after my car accident)

Jan 2004-July 2004 -- met with RE#3 who was very nice and a good listener. We were going to try clomid/IUI under his care in July but we got pg on our own in May. He did my first d&c but left the clinic the following week; he told the nurse that I didn't need to have my beta checked post procedure which was wrong. I had continued bleeding for weeks afterwards due to retained tissue and had to see RE #4.

August 2004-current -- RE#4 took care of me after my m/c showed to be incomplete. We decided to wait it out rather than try methotrexate to avoid doing a repeat d&c so soon after the first one. With my enlarged fibroid not decreasing and the retained tissue not resolving on its own she was the one who did my surgery on both in November.

June 2005-current -- acupuncturists #2/3 work together in a practice that specializes in fertility. I went to see them first the week of my miscarriage as I was in so much pain.

Sept 2005 -- gyn #3 was very sympathetic, but gave signs of being a little conservative such as 37 week c-section due to my myo though he did say that they would take good care of me on a subsequent pg.

I'm not really a problem person but I wasn't really to take standard b$ care from my docs, especially after seeing how lame they were 5 years ago after the car accident --- you have to look out for yourself.

Preparing for surgery with homeopathy/naturopathy

I was directed by my naturopath to take phosphorus c, a homeopathic remedy, prior to having the surgery to help my body with nausea from the anaesthesia.

Homeopathic arnica was advised to help deal with the swelling and bruising. I am supposed to start taking this several days beforehand and several friends swear by it.

She also recommended Rescue Remedy from Bach's Remedies, flower essences, to help deal with the stress prior to the surgery. And Gelsemium 30c, 2 pellets as needed for anticipatory anxiety.

These "meds" are at worst sugar pills and quackery, at best they work wonders. They should not interfere with the procedure or anaesthesia and if you believe they will work then placebo affect or not they will provide you with some relief. I think I'll give them a go since I've got nothing to lose.

I will also be taking Traumogen, a vitamin supplement that helps aid the body with nutrients that aid in healing tissue.

Here are some links about natural medicine and surgery to check out:

Homeopathy and Surgery
http://www.drfeder.com/general-health/healing-surgery.htm

Surgery Recovery Program
http://www.naturodoc.com/library/surgery/surg_recovery.htm

Laparoscopy - how to prepare for your surgery
http://www.endo-resolved.com/laparoscopy_advice.html

Is Arnica montana safe to take after plastic surgery?
http://www.eclecticphysician.com/archive.php?action=Nbr&Nbr=235

Nutrition and medicine

"The doctors of the future will give no medicine, but will interest his patient in the care of the human frame, in diet and in the cause and prevention of disease."

--Thomas Edison


In case you didn't know, most medical schools do not offer adequate training in nutrition to medical students -- even today. Ever notice that most doctors won't even ask you if you are getting enough rest or drinking enough water? We could be living on potato chips for all they know.

Naturopathic medicine in contrast focuses on the body's ability to heal itself and nutrition is a key part of this -- hence why some of us have had some improvement of health while under the care of naturopaths. In the ideal world of the future all doctors will look at us holistically and help identify imbalances before they become issues. I'm not saying naturopathy is better than allopathic (western) medicine, but I am saying that you will feel a bit better cared for since they try to get to the bottom of the causes of what ails you -- including psychological, spiritual, emotional, causes, etc. I got my anemia finally in check after other doctors telling me that it was normal for some people -- and I'm feeling much better now.

Since we know that western doctors aren't getting this training it is important that we seek out information about the role of nutrution in our health issues on our own. Doctors might even agree with you when you ask if you should be taking B-12 for instance, it just might not be something they offer you on their own.

Here are a couple links to learn more:

Nutrition Education in U.S. Medical Schools (1985)
Commission on Life Sciences (CLS)

Naturopathic Medicine - Philosophy

Oh, and if you are interested in controlling bad cramping pain then you might consider some of the suggestion for controlling prostaglandin production on these pages:

What causes Menstrual Cramps and Pain (Western and Oriental Medical
Perspective)

25 Ways To Handle PMS

Supplements I was on with my Naturopathic Doctor

The six month treatment was the change in diet, rest, reduce stress, start taking vitamins and supplements daily. The vitamins and supplements I was taking (and really you shouldn't take these on your own but only under the care of a naturopathic doctor) are:

* Simplex F (1 tablet 2x daily, all cycle long)
(http://www.standardprocess.com/)

* Spectra 305-P (2 capsules 2x daily post ovulation until start of next period)
(http://www.integrativeinc.com/)

* Lipotrepein (2 capsules 2x daily with meals, this is to help with liver detoxification)
(http://www.thorne.com/)

* Daily multi-vitamin (1 tablet daily, I buy mine at a health food store)

* Folic acid (1 drop in juice, liquid drops which was incidental you could also take tablets)

* Vit. B supplement (I wasn't good about taking this but it is supposed to help with stress, B vitimins tend to upset people's stomach's so be sure to take with meals and not on an empty stomach)

* 500 mg of vitamin C (2x daily, I did chewable tablets)

* Quercetin (this is a bioflavenoid that was discovered at the same time Vitamin C was discovered, it works and an anti-inflamatory and I was taking this for my respiratory allergies -- the activated form works as well as Allegra for me -- amazing)

For assistance finding a naturopath, this web site has links to naturopathic physicians organized by state:
http://www.advancednutrition.org/assist.htm