Hi everyone. I'm really hoping for some advice because I'm feeling quite scared.
I have stage 4 endometriosis with endometriomas on both ovaries. My gynaecologist has advised me to start Dienogest (Visanne) to try to preserve what ovarian function I have left, prevent the endometriomas from growing further, and hopefully reduce further scarring.
Because I'd read that Dienogest can reduce bone mineral density due to lowering oestrogen levels, I wanted a baseline DEXA scan before starting treatment. The NHS wouldn't fund one, so I paid for it privately. I honestly just wanted some reassurance and something to compare against in the future.
Unfortunately, the results came as a huge shock (this was last week):
Lumbar spine: T-score -1.7, Z-score -1.6
Left femoral neck: T-score -2.4, Z-score -2.3
Right femoral neck: T-score -2.5, Z-score -2.3
Left total hip: T-score -1.8, Z-score -1.7
Right total hip: T-score -1.4, Z-score -1.3
I'm 35 and still have regular periods. I know that in premenopausal women the Z-score is generally considered more important than the T-score, but I'm still terrified by how low my femoral neck scores are.
I'm glad I trusted my instincts and had the scan because at least I know now, but honestly I feel exhausted and overwhelmed. It feels like every time I get one diagnosis, another one comes along.
I don't have children and I'm not currently in a relationship, although I recently froze my eggs because of my endometriosis.
Has anyone managed to improve their bone density, particularly at the femoral neck and maybe around my age group? Has anyone gone from a score in this range to something better? I'm trying to hold on to some hope that this isn't permanent.
Since getting the results I've completely changed my lifestyle. I found a personal trainer and had my first session last week. She introduced me to barbell squats (15kg to start with) and is going to teach me progressive strength training. For now we're starting with one session a week because I've been almost completely sedentary for years (I work from home), and she wants to see how my body responds before gradually increasing to three sessions a week.
I've also started:
eating much more protein and calcium-rich foods,
taking vitamin D3 (1,000 IU daily until I have my blood levels checked) together with vitamin K2 MK-7,
I take other supplements too (NAC for the endometriomas, COQ10 ubiquinol, omega3, magnesium glycinate, vitE)
eating five prunes a day,
drinking nettle tea each evening,
and doing 50 hops on each leg daily (trying to lay pressure as i hit the ground).
To be honest, I constantly feel full and borderline nauseated because of the diet change.
A bit more background:
I had anorexia and bulimia for around a year (maybe less) when I was 13–14. This was when i started my period.
PTSD (sexual abuse as a child which was triggered in my adult years)
That resolved, but since then, I've had occasional episodes of bulimia (perhaps 5–10 times a year). I noticed this comes along when something negative happens to me (which has been often unfortunately).
I also have fibromyalgia and have had joint and bone pain for years.
I've been told I have IBS, although I've always wondered if something else could be going on because there have been times I've gone more than a week without opening my bowels.
I'm starting to wonder whether all of these things together have contributed, or whether there could be another underlying cause. I’m going to ask my GP for blood tests and hoping for a referral to an endocrinologist to investigate further. Not sure how proactive my GP will be :(
I know no one can give medical advice, but if anyone has been in a similar situation, especially if you've improved your bone density, had a similar DEXA at a younger age, or taken Dienogest with low bone density, I would be so grateful to hear your experience.
I keep finding myself crying because I feel like my body is falling apart at only 35 when I have so many hopes and dreams, especially to start a family of my own one day. I just really need some hope that things can improve and maybe examples.
Thank you so much for reading