If you have had a hysterectomy and a history of endometriosis, your body does not respond to hormones the same way as someone who had surgery for other reasons. Endometriosis is not just a “uterus problem.” It is a whole-body inflammatory and hormone-sensitive condition. Because of this, hormone therapy needs to be approached carefully and thoughtfully. Many patients assume that higher doses of hormones will automatically lead to better results. In reality, this is often not

At integrative centers like ELYSARA & WPR Medical, care often focuses on supporting the whole body — not just symptoms. Helpful Testing (When Clinically Appropriate) Providers may evaluate: Inflammation markers (CRP, ESR) Homocysteine levels Vitamin levels (B12, folate, B6) Lipid panel (cholesterol) Genetic markers related to methylation (when indicated) Nutritional & Lifestyle Support Supporting methylation and heart health may include: Methylated B vitamins (such as methylf

WHY THIS TOPIC MATTERS Endometriosis is more than a gynecological condition — it is a whole-body inflammatory disease that affects about 1 in 10 women of reproductive age. While many people know it for causing pelvic pain, heavy periods, and fertility challenges, research now shows it may also impact heart health. Another piece of the puzzle is something called  methylation , a natural process in the body that helps with detoxification, hormone balance, and cellular repair. W

Living with endometriosis often means living in a body that feels constantly “on edge.” Even after surgery, hormone therapy, or years of trying to manage symptoms, many women describe the same thing: deep fatigue, brain fog, flares that seem to come out of nowhere, and a nervous system that never quite settles.   This is where conversations around low-dose NAD are beginning to matter — not as a cure, and not as a replacement for excision or medical care — but as a supportive

If you live with an autoimmune or chronic inflammatory condition, chances are you’ve already experienced what “standard treatment” feels like. Short appointments. Broad medication recommendations. Low-dose naltrexone, commonly known as LDN, is often described as a breakthrough option in autoimmune care. But what many patients don’t realize is that the medication itself isn’t what makes the difference. It’s how it’s prescribed. LDN was never meant to be a one-size-fits-all the

Endometriosis affects muscles, joints, nerves, posture, digestion, sleep, and how your body moves through the world. That’s why managing endometriosis often requires more than medication or surgery alone—it requires a whole-body strategy . One supportive piece of that strategy for many patients is chiropractic care , thoughtfully integrated into an overall medical plan. Why endometriosis affects the musculoskeletal system Endometriosis is an inflammatory condition. Over time,

At ELYSARA, we believe that health advocacy should begin early—especially when it comes to conditions that are historically misunderstood or dismissed. Endometriosis is one of those conditions. While it is often diagnosed in adulthood, mounting evidence and lived experience show that endometriosis frequently begins in childhood or adolescence. Pediatrics, therefore, is not peripheral to endometriosis care—it is essential. Endometriosis Can Start Young Endometriosis is a chron

The Quiet Beginning Endometriosis rarely announces itself loudly at the start. For many, it enters quietly during adolescence, wrapped in the language of “bad periods” and brushed aside as a normal rite of passage. Pain becomes part of growing up. Missed school days, nausea, faintness, and exhaustion are absorbed into daily life without explanation. Early Inflammation Before Diagnosis Yet even at this early stage, inflammation is already present. Estrogen-sensitive immune cel

Prepared by:  Nicoletta Rasizzi, BSN, RN   Introduction Endometriosis is a  chronic, systemic inflammatory disease  that affects approximately  1 in 10 women of reproductive age . Beyond its hallmark symptoms of pelvic pain and infertility, growing evidence indicates that endometriosis increases the risk of  cardiovascular disease (CVD)  due to  systemic inflammation, oxidative stress, and hormonal imbalances . Methylation dysfunction , often associated with genetic polymorph

Endometriosis is not just a pelvic condition—it is a systemic, inflammatory, oxidative stress–driven disease  that affects the immune system, nervous system, gut, liver detox pathways, and cellular energy production. This is why many patients continue to feel unwell even after surgery or hormone therapy. At ELYSARA, we often look upstream  at what is happening at a cellular and biochemical level . One therapy that plays a powerful supportive role is N-acetylcysteine (NAC) del

For many endometriosis patients, the story goes something like this: your abdomen suddenly swells to the point where clothes don’t fit, your bowels stop moving for days or swing unpredictably, and when they do, the stool looks thin, strained, or incomplete. You finally say something out loud — and you’re told it’s IBS (Irritable Bowel Syndrome) Sometimes that diagnosis brings relief. At least it has a name. But often, it doesn’t explain why the symptoms feel so intense, so cy

No one really talks about what happens after endometriosis excision surgery. There’s so much emphasis on getting there—the years of being dismissed, the gaslighting, the appointments that go nowhere, the quiet self-doubt that creeps in when you’re told “your scans are normal.”  By the time surgery finally happens, it feels like a finish line. Like relief is supposed to arrive all at once. B ut for many of us, it doesn’t. After excision surgery, the pain may change—but it doe

This is from the lifesaving heroes of the FLCCC (now the Independent Medical Alliance). You can download the 3 page summary by clicking below:

Endometriosis affects an estimated 1 in 10 women, yet many live for years — sometimes decades — without a diagnosis. At Elysara, we have a dedicated Endometriosis Management Specialty Group because too many women are suffering in silence, being told their symptoms are “normal,” or managing pieces of the condition without addressing the whole picture. Endometriosis is not just a gynecologic condition. It is a systemic, inflammatory disease that can affect the pelvis, bowel, bl

DOES IT CURE ENDOMETRIOSIS? IS IT RIGHT FOR YOU? LAST WEEK WE SAW AN ALARMING TIK-TOK! IT WAS A WOMAN WHO WAS WAITING FOR AN APPOINTMENT WITH AN ENDOMETRIOSIS SURGEON. THEY SAID THE SURGEON IS BACKED UP...IT WILL BE 6 MONTHS BEFORE YOU CAN SEE HIM. SIX MONTHS GO BY AND SHE CHECKS IN WITH HER GYN, WHO TOLD HER THE REFERRAL APPOINTMENT WAS NEVER MADE! WHAT IS THAT ALL ABOUT???? Why Excision Surgery Is Only the First Step in Treatment   Excision surgery remains the gold st

For too long, chronic illness has been approached through a narrow, physical lens. Patients are evaluated, tested, scanned, and often placed into categories that fail to reflect the complexity of what they are truly experiencing. What continues to be overlooked is the emotional weight that comes with chronic illness — a weight that can be just as debilitating as the physical symptoms themselves. THE HIDDEN TRAUMA BEHIND CHRONIC ILLNESS Many patients with long-standing conditi

At ELYSARA Medical & Wellness, we often see patients who have undergone surgery, lived with chronic pain, inflammation, or nerve injury, and have been stuck in a cycle of nervous system over-activation: sleepless nights, heightened pain, pelvic or back nerve irritation, fatigue, and a body that simply won’t shift out of 'on.' You may have heard of nutrition, hormones, IV vitamins, and neuromuscular therapies — but today we want to introduce an often-under-recognized tool in o

Despite growing awareness of endometriosis, one of the greatest challenges patients continue to face is fragmented care. Too often, women are bounced between their OB/GYN and excision surgeon, with no unified system in place to address the immune, inflammatory, and emotional complexities of this disease. The Problem: A System That Treats the Anatomy, Not the Person Most traditional gynecological models focus on the anatomical presence of endometriosis — removing lesions, supp

What is Endometriosis? Endometriosis is a chronic, systemic disease where tissue similar to the lining of the uterus (endometrium) grows...

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