Endo Battery Fast Charged: EP 4

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Endo Battery Fast Charged: EP 4
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This episode is full of links that correlate endo, menopause, and “medical management” and possible links to oral health. 

Periodontal disease and endometriosis: analysis of the National Health and Nutrition Examination Survey
https://www.sciencedirect.com/science/article/pii/S0015028207043841

Towards a Common Pathogenesis Periodontal Disease and Endometriosis
https://journals.lww.com/jhrs/fulltext/2018/11030/Towards_a_Common_Etiopathogenesis__Periodontal.10.aspx

Periodontal disease and women’s health
https://www.tandfonline.com/doi/abs/10.1080/03007995.2017.1297928

Association between periodontitis and endometriosis: a bidirectional Mendelian randomization study
https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2024.1271351/full

Validity of the association between periodontitis and female infertility conditions: a concise review
https://rep.bioscientifica.com/view/journals/rep/160/3/REP-20-0176.xml

Tooth loss and skeletal bone density in healthy postmenopausal women
https://link.springer.com/article/10.1007/BF01623233

Increased risk of tooth loss is related to bone loss at the whole body, hip, and spine
https://link.springer.com/article/10.1007/BF00369206

Spinal Bone Density and Tooth Loss in a Cohort of Postmenopausal Women.
https://openurl.ebsco.com/EPDB%3Agcd%3A5%3A12768405/detailv2?sid=ebsco%3Aplink%3Ascholar&id=ebsco%3Agcd%3A37703514&crl=c

Relationship between Early Menopause and Periodontal Disease in Korean Postmenopausal Women
https://koreascience.kr/article/JAKO201836256830466.page

Oral Health and Menopause: A Comprehensive Review on Current Knowledge and Associated Dental Management
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3793432/

Oral manifestations of menopause
https://www.um.edu.mt/library/oar/handle/123456789/105216

The physiology, medical management and oral implications of menopause
https://www.sciencedirect.com/science/article/abs/pii/S000281771464719X

The Effect of Androgen Deprivation Therapy on Periodontal Disease in Men With Prostate Cancer
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1934505/

Women fear drug they used to halt puberty led to health problems
https://www.pbs.org/newshour/health/women-fear-drug-they-used-to-halt-puberty-led-to-health-problems

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Dental and Endo Health Research Trends

Speaker 1
0:01

Welcome to Endobattery Fast Charged , a series dedicated to keeping you informed and empowered in the realm of endometriosis . Teaming up with board-certified patient advocates , we bring you the latest articles , research and insights to equip you with accurate information and a deeper understanding . Whether you're expanding your knowledge , staying updated or seeking clarity , you're in the right place . I'm your host , alana , and this is Endobattery Fast Charged charging and empowering your life with knowledge . Welcome back to Endobattery Fast Charged . This episode is taking a slight detour from our usual flow as we dive into the intriguing correlation between endometriosis , menopause in all forms and medical management as it pertains to our periodontal struggles . Now why the sudden shift ? Well , let's just say , recent personal dental woes sparked a curious connection in my mind , and when you're pondering correlations , there's no better person to turn to than Heather Goudon , a never-ending fountain of information and research . In my quest for understanding , heather not only provided a treasure trove of knowledge , but inadvertently became a mutual support system and brought to light the fact that there are many of us on the dental struggle bus . So consider this episode a heartfelt dedication to Heather and all my comrades navigating the dental woes . Now let's make one thing clear these articles aren't about pointing fingers at causation , but rather maybe , pointing out some correlations . That's our magic word for today , folks . So without further ado , let's roll up our sleeves and dive into the fascinating world of our mouths . All right , buckle up for some dental and endo health talk . In our first highlighted piece , titled Paradontal Disease and Endometriosis Analysis of the National Health and Nutrition Examination Survey , some scientists who were thinking outside the petri dish yay , decided to do some digging into whether your gums and your special body bits might be connected . They looked at a bunch of data from the National Health and Nutrition Examination Survey , basically a treasure trove of health info from all around the US . So here's the lowdown on what they found . It seems like there might be a secret handshake between gum disease that's the fancy term for periodontal disease and endometriosis . Now , before you start thinking , your mouth and your peritoneum are best buds . It's not quite that cozy , but hey , it's intriguing . The researchers noticed that women who had gum disease were more likely to also have endometriosis . It's like they're in cahoots or something . So what's the deal with this odd pairing ? Well , nobody's throwing a party just yet , because this doesn't mean your dentist will start asking about your period , but it does raise some interesting questions . Maybe there's something funky going on with inflammation that's causing trouble in both your gums and your body bits . Who knew your mouth and your ovaries could have such a chat behind your back , huh ? But hey , it's all in the name of science , right ? Similar to the last article , this article , titled Towards a Common Pathogenesis Paradontal Disease and Endometriosis , further points out the paradontal disease and endometriosis are in a friendly conversation in their AOL chat room called Unusual Friends . But don't go chasing waterfalls just yet , because this study still points to it still being in the dial-up mode .

Speaker 1
3:17

Although this sounds like a promising link , the researchers are needing more chatty Cathy's in the mix so they can get more data to really suss it out . Think of it like this They've planted a seed of curiosity . Now they just need to water it with more research , bigger groups of people with endometriosis and see if the seed sprouts into a full-blown theory . So there you have it a little tidbit of scientific intrigue that might just make you look at your internal chat room a little differently . Another study looking at something a little differently is titled Paradontal Disease and Women's Health . So picture this You're lounging on your couch scrolling through articles and suddenly stumble upon this gem about paradontal disease and women's health .

Speaker 1
4:00

Now you might think how can gums and gender possibly be related ? Well , hold on to your toothbrush , because it turns out they might just be closer than we think . First off , let's talk about the nitty-gritty of the research . This article dives deep into the literature , dissecting the molecular and microbial factors driving periodontal disease , or PD , and certain systematic diseases that seem to have a soft spot for the ladies . Yep , you've heard that right . Women are apparently more prone to some systematic issues and seem like our oral health might have something to do with it .

Speaker 1
4:31

Now here's where it gets interesting . The article suggests that maintaining good oral hygiene could be a secret weapon against the systematic diseases that tend to cozy up to women . As a disclaimer , this is not saying fluoride will cure endo , but this study points to it being a warrior in general systematic disease . Imagine that your toothpaste and floss becoming superheroes in the battle against health issues . It's like having a tiny army of plaque-fighting warriors defending your body . But wait , there's more . This isn't just about flashing a killer smile , although that's a nice bonus . It's about understanding how something as seemingly simple as oral health can play a role in overall well-being . So next time you're tempted to skip the brushing before bed . Remember you're not just fighting cavities , you're defending against an army of systematic diseases that have a thing for the ladies .

Speaker 1
5:21

Another study that echoes much of what the first three say is titled the Association Between Paradontitis and Endometriosis a Bidirectional Mendelian Randomization Study . This is the same thought process and discovery as the first two articles , just a different study approach . The next publication , titled Validity of Association Between Paradontitis and Female Infertility Conditions a Concise Review , is a study that explores the potential link betweenidontitis and Female Infertility Conditions . A Concise Review is a study that explores the potential link between peridontitis , which is a severe gum infection , and female infertility . It begins by acknowledging that both peridontitis and infertility are complex conditions with multifactual causes . Then it delves into several studies that have investigated this association . Firstly , it highlights a study suggesting that the presence of periodontitis could increase the risk of certain conditions that contribute to infertility , such as polycystic ovary syndrome or PCOS , and endometriosis . The article explains that periodontitis may lead to systematic inflammation , which could negatively affect reproductive health . Moreover , it discusses how periodontitis may lead to systematic inflammation , which could negatively affect reproductive health . Moreover , it discusses how periodontitis-associated bacteria might enter the bloodstream and trigger immune response that could interfere with the reproductive system . However , the article also acknowledges that more research is needed to establish a casual relationship between periodontitis and female fertility conclusively . Overall , while there is some evidence suggesting a potential association between periodontitis and female infertility , further research is necessary to confirm this link and understand the underlying mechanisms fully . The article encourages interdisciplinary collaboration between periodontists and infertility specialists to explore this relationship further and develop a targeted intervention if needed .

Speaker 1
7:10

All right , folks , brace yourself . These upcoming publications might be as endospecific as a pineapple at a pizza party , with no mention of surgical menopause in sight . But hey , whether you're cruising through perimenopause , back in the middle of menopause or got there with the surgeon's helping hand , we can all nod in solidarity at the hot flashes , mood swings and night sweats , am I right ? Still , wouldn't it be interesting to see if these studies would sing a different tune if they included surgical menopause veterans ? Let's just throw a wrench into the research gears and see what happens . I don't know . Nonetheless , these articles help point to why those of us in menopause jail struggle to chew taffy .

Speaker 1
7:50

So imagine a bunch of post-menopausal ladies chilling out , sipping some tea , while suddenly someone brings up the topic of tooth loss and bone density . And no , it's not because they're swapping horror stories about dentures or anything . No , they're going to dive into some research , of course . In the article titled Tooth Loss and Skeletal Bone Density in Healthy Postmenopausal Women , scientists decided to take a peek into the connection between losing your pearly whites and the strength of your bones . They rounded up a group of lovely postmenopausal women .

Speaker 1
8:22

Now here's where it gets interesting . They found that these ladies who bid farewell to their teeth had a bit of bone density dip in their spine and hips . It's like your teeth are secretly whispering to your bones saying , hey , let's all take a vacation together to the land of osteoporosis . Not exactly a dream vacation spot , but hold up . Before you start stockpiling toothpaste like it's the apocalypse , remember this . Correlation does not always mean causation . There's our key words for the day . So sure , maybe losing your teeth is linked to weaker bones , but it's not like your molars are secretly plotting against you . Maybe they're just telling you to lay off the jaw-breaking candy . So , ladies , keep those teeth brushed and bones strong , and maybe invest in some extra strength calcium toothpaste while you're at it .

Speaker 1
9:10

This wasn't the only study to have thought-provoking findings when it comes to bone loss , hormonal changes and gum disease . The article titled Spinal Bone Density and Tooth Loss in a Cohort , postmenopausal Women had a different take In this study . They found that losing all your teeth doesn't necessarily mean your bones are going to follow suit . Total tooth loss wasn't directly linked to a lower bone density elsewhere in the body , like in the spine . So those who have said losing teeth make your bones weaker might need to chew on that idea a little bit more .

Speaker 1
9:44

But what's thought-provoking is , while your pearly whites might not be the main concern , your gums might have something to say about your bone health . Yep , periodontal disease , that sneaky troublemaker causing havoc in your mouth , was actually associated with lower bone density in the spine . It's like your gums are sending a secret message to your bones , and they're not always good ones . So what's the takeaway here ? Well , it might seem your teeth and your bones might be playing by different rules . Losing teeth doesn't automatically mean weaker bones , but keeping your gums healthy might just be the sneaky way to keep your spine strong . It's like a dental drama unfolding in the bone density department with a twist and turn you never saw coming . Who knew your mouth could have such a bone chilling impact on the rest of your body ? In a similar approach , this study out of Korea , titled Relationship Between Early Menopause and Paradontal Disease in Korean Postmenopausal Women , while focused on Korean women , further validates previous findings . It underscores the correlation between dental health and bone health , reinforcing our understanding of these issues , but in due diligence .

Speaker 1
10:52

I want to highlight the article titled Oral Health Implications of Menopause and the second titled Oral Health and Menopause a Comprehensive Review on Current Knowledge in Associated Dental Management . Both have similar outcomes and essentially reiterate that menopause and oral health are like a wild roller coaster ride for your mouth . Estrogen levels drop , causing dry mouth , gum disease and bone loss . But with regular dental checkups and a good oral hygiene , you can navigate this dental maze . Plus , there are dental treatments available to tackle these issues head-on , ensuring your smile stays healthy and vibrant . However , I'm not done yet . Did you people think I was done with teeth ? No , we have so much research here . However , this next publication , titled Physiology , medical Management and Oral Implications of Menopause , takes it a step further and gives me so much personal validation . Let's unpack this fascinating article on menopause , takes it a step further and gives me so much personal validation .

Speaker 1
11:47

Let's unpack this fascinating article on menopause and its dental implications . Imagine a dentist's office where they're not just checking teeth , but also considering the unique challenges faced by women entering menopause . It's like adding a whole new layer of dental care . As women navigating this phase of life , their bodies go through changes that can affect their oral health . Imagine if your mouth suddenly felt drier than the Sahara Desert . That's because menopause can lead to a decrease in saliva , making it harder to fight off dental issues like cavities . And speaking of cavities , they might become more common in menopause thanks to hormonal shifts .

Speaker 1
12:25

But wait , there's more . Have you ever heard of dyschathia ? Yeah , that's a word I'm likely not going to be saying again , but it's a funky sensation in your mouth that can happen during menopause . Taste alterations are on the menu too , making that favorite dish suddenly taste like cardboard , yikes . And let's not forget about the gums . They can become inflamed and sensitive , a condition known as atrophic gingivitis . It's like your gums throwing a tantrum during menopause , and then we throw the tantrum as well . Now here's where things get really interesting .

Speaker 1
12:59

Dental exams can reveal clues about women's oral health during menopause . Have you ever heard of panoramic dental radiographs ? They're like a secret window into your body's health . In some cases they might even show calcified , corroded artery arrhythmias basically signs of potential heart issues . It's like your teeth are trying to spill the beans about what's going on inside your body . So next time you're at the dentist's office , remember they're not just looking at your money-making smile , they're also keeping an eye out for signs of menopause-related dental woes . It's all about staying on top of your oral health even during life's trickiest transitions . Who knew that menopause could have such an impact on your smile ? It's like a dental adventure with every hot flash .

Speaker 1
13:43

So we've been delving deep into the dental dilemmas of folks battling endometriosis or marching towards menopause . Right , but hold on tight , because there's more crucial aspects that we can overlook the impact of medical management aka GnRH , agnus , drugs like Lupron or similar to that on our oral health . Now many of us have taken the plunge into the world of medical management for endo , perhaps without fully grasping the long-term effects it might have on our teeth and gums . Here's the thing While these last two studies don't necessarily focus on endometriosis patients , the underlying outcomes ring true for anyone encountering this medical management . And I use the word management because that's what it's considered , not because there's actual conclusive evidence that it manages anything . What it's considered , not because there's actual conclusive evidence that it manages anything . So , as we dive into this conversation , let's shine a light on how our treatment choices might be shaping our smiles for the

Effects of Lupron on Oral Health

Speaker 1
14:37

long haul .

Speaker 1
14:37

In this first study , titled the Effect of Androgen Deprivation Therapy on Paradontal Disease in Men with Prostate Cancer , doesn't consider women , but the outcome is likely not gender-specific . However , researchers took a look at men with prostate cancer who are undergoing this treatment called androgen deprivation therapy , or ADT , and they're getting hit with a higher risk of periodontal disease . Now you might think wait , isn't ADT supposed to be helping these guys out ? Well , sure , it's aimed to slow down the cancer by reducing the levels of male hormones , but it seems like it's also messing with their oral health on the side . Talk about a package deal you don't want to sign up for at the cancer clinic . And here's the thing .

Speaker 1
15:18

While all this is going on , it seems like the dental world is just turning a blind eye , like they're all too busy worrying about men's issues with this Lupron thing to even notice that there's a whole dental crisis brewing in the background . It's like they're saying sorry , we're all booked up dealing with men's hormonal problems . Come back later when your gums are literally falling out . But seriously , imagine being a guy dealing with prostate cancer , trying to navigate the world of cancer treatments and then , bam , your dentist hits you with this . Oh , by the way , your dentist hits you with this . Oh , by the way , your gums are not doing so hot . Talk about an added insult to injury . It's like fighting a battle on two fronts , except one front is on your body and the other is on your mouth . Does this sound familiar with endo patients ? So here's the deal . While everyone's busy focusing on men's issues with Lupron , maybe it's time to start paying a bit more attention to the whole picture , because last time I checked , gum disease doesn't discriminate based on which gender you identify with , and these guys dealing with prostate cancer deserve all the support they can get , both from their oncologist and their dentist . Let's not leave people hanging with a toothbrush and a prayer .

Speaker 1
16:26

This last story I want to highlight takes a more personal approach , and this publication titled Woman Fear Drug they Used to Halt Puberty Led to Health Problems . It takes a look into the life of 30-year-old Charissa Derricott , whom for many years , had no idea why her body seemed to be failing . At 21 , a surgeon replaced her deteriorated jaw joint . She's been diagnosed with degenerative disc disease and fibromyalgia , a chronic pain condition , her teeth are shedding enamel and cracking . This article not only highlights Charissa's story , but dives into the concerns surrounding the use of a drug called Lupron , particularly among women who were prescribed it during their adolescence to halt puberty .

Speaker 1
17:09

Lupron , originally developed to treat prostate cancer , has been utilized off-label to pause puberty in children in conditions like gender dysphoria or pre-cocosis puberty , as well as being used for medical management for those with endometriosis . However , its long-term effects have sparked worry and debate among patients and medical professionals alike . One of the aspects that has raised eyebrows is the potential impact on oral health . Some individuals who underwent puberty suppression with Lupron have reported experiencing significant dental issues later on in life , such as tooth decay and loss , as well as jaw problems . This connection between Lupron and oral health problems has left many questioning the safety of the drug , seeking answers about its lasting consequences .

Speaker 1
17:58

Amidst these concerns , personal stories add a poignant layer to the debate . One woman shares her experience of being prescribed Lupron as a teenager to manage her endometriosis . While it provided temporary relief from her symptoms , she later faced a cascade of health issues , including severe dental problems . Her story underscores the complexity of medical decisions made in adolescence and the need for more research into the long-term effects of drugs like Lupron . Despite the lack of conclusive evidence linking Lupron to specific health problems , the uncertainty surrounding its use has led to anxiety amongst patients

Controversy Over Use of Lupron

Speaker 1
18:33

.

Speaker 1
18:33

Many women who were administered Lupron during their formative years now grapple with the worries about their future health and decisions made on their behalf . This uncertainty has prompted calls for more transparency from health healthcare providers about risks associated with puberty suppression and the re-evaluation of its widespread use . In response to these concerns , some medical professionals advocate for a cautious approach to prescribing Lupron , emphasizing the importance of informed consent through discussions about potential risks . Additionally , there is a growing demand for further research into the long-term effects of puberty suppression , including its impact on bone density , fertility and overall health . In conclusion , the use of Lupron to halt puberty in adolescents remains a contentious issue , with questions lingering about its safety and long-term consequences .

Speaker 1
19:24

While providing temporary relief for some individuals with endometriosis , others worry about the potential risk it may pose , particularly concerning oral health and overall well-being . As discussions around puberty suppression continue , there is a pressing need for more comprehensive research and open dialect to ensure the best possible outcome for patients . So next time you think you're alone in all your dental woes , just remember that there is research that brings some correlations to the forefront , and that you're not alone in this journey . And remember , all the links to all these articles are on the description for this podcast , because the more you know , the better you can advocate . So until next time , continue advocating for you and for those that you love .

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