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Namas Te Thanks for the mail It is usually advised to avoid the inverted poses and those poses that pressure the abdomen during the actual bleeding phase In Indian culture the period when a woman had her periods was a time where she was given rest and had leave from all the regular activities For

many (and I see this in my medical practice), this is a difficult time and so the rest does a world of good for them as it helps them to recuperate in general There is a remote possibility of some menstrual blood back flowing into the peritoneum in the inverted and abdominal pressure poses -this may later be the cause of endometriosis in rare cases No one really knows the cause of endometriosis yet and so it is also

speculation at present! http://en.wikipedia.org/wiki/Endometriosis Another aspect is that the inverted poses do influence the gonads as in the Oli Mudras. This is why it is advised not to teach inverted poses to the young children as it may stimulate their glandular system prematurely. As endometriosis is related to estrogen this may have some truth someplace indirectly. Prevention is better than cure and so it is better to avoid the pain that can be avoided (heyam dukkham anagatham according to Patanjali) We however advise the ladies to continue their general yoga practice and especially work on the pelvic circulation enhancing poses such as Baddhakona, Aswini Mudra and Moola Bandha In this day and age when yoga teachers are getting sued right left and centre, i feel that it is better to be careful than sorry later! All the best Dr Ananda What causes endometriosis? Several different hypotheses have been put forward as to what causes endometriosis. Unfortunately, none of these theories have ever been entirely proven, nor do they fully explain all the mechanisms associated with the development of the disease. Thus, the cause of endometriosis remains unknown. Most researchers, however, agree that endometriosis is exacerbated by estrogen. Subsequently, most of the current treatments for endometriosis attempt to temper estrogen production in a woman's body in order to relieve her of symptoms. At the moment there are no treatments, which fully cure endometriosis. Several theories have become more accepted, and reality is that it may be a combination of factors, which make some women develop endometriosis. Metaplasia Metaplasia means to change from one normal type of tissue to another normal type of tissue. It has been proposed by some that endometrial tissue has the ability in some cases to replace other types of tissues outside the uterus. Some researchers believe this happens in the embryo, when the uterus is first forming. Others believe that some adult cells retain the ability they had in the embryonic stage to transform into reproductive tissue.

Retrograde menstruation This theory was promoted by Dr. John Sampson in the 1920s. He surmised that menstrual tissue flows backwards through the fallopian tubes (called “retrograde flow”) and deposits on the pelvic organs where it seeds and grows. However, there is little evidence that endometrial cells can actually attach to women’s pelvic organs and grow. Years later, researchers found that 90% of

women have retrograde flow. But since most women don’t develop endometriosis, some doctors have concluded that something else (perhaps an immune system problem or hormonal dysfunction) may be the trigger for endometriosis. The Retrograde Menstruation Theory also doesn’t explain how endometriosis develops in women who’ve had a hysterectomy or a tubal ligation nor why, in rare cases, men have developed endometriosis when they’ve been treated with oestrogen after prostate surgery. Genetic predisposition Studies have shown that first-degree relatives of women with this disease are more likely to develop endometriosis. And when there is a hereditary link, the disease tends to be worse in the next generation. An ongoing worldwide study called the OXEGENE study is conducting research based on the blood samples from sisters with endometriosis in hopes of isolating an endometriosis gene. AUG 2005 Lymphatic or vascular distribution Endometrial fragments may travel through blood vessels or the lymphatic system to other parts of the body. This may explain how endometriosis ends up in distant sites, such as the lung, brain, skin, or eye. Immune system dysfunctions Many women with endometriosis appear to display certain immunologic defects or dysfunctions. Whether this is a cause or effect of the disease remains unknown. Environmental influences Some studies have pointed to environmental factors as contributors to the development of endometriosis, specifically related to the way toxins in the environment have an effect on the reproductive hormones and

immune system response, though Yogacharya Dr.Ananda Balayogi Bhavanani Chairman : Yoganjali Natyalayam and ICYER Hon General Secretary, Pondicherry Yogasana Association 25, 2nd Cross,Iyyanar Nagar, Pondicherry, South India-605 013 Tel: +91-413 - 2622902 / +91-413 -3203314/+91-413 -2241561 Website: www.icyer.com www.geocities.com/yognat2001/ananda

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