Action Form: Pelvic Inflammatory Disease Section-5 Details Action Form: A New View Of Endometriosis
Go To Text Page: Endometriosis - A Disease Of The 90's

Action Form: Endometriosis - A Disease Of The 90's

If you had a medical diagnosis, how difficult was it to get a correct one?
Don't Know Easy Difficult Impossible

What kind of experience have you had with the medical profession?
Don't Know Bad Good Excellent

If you used a alternative practitioner, what kind of experience did you have?
Don't Know Bad Good Excellent

What did you find worked for you?
Stress Reduction Vitamins Herbs Diet Change
Prescription Drugs Exercise Time-Off Body Work

Who would you like to be informed about this subject?
Medical Associations Government Regulatory Agencies Elected Representatives Drug and Supplement Manufacturing Companies


What following conditions do you think apply to you. (Check anything that might apply)

abdominal pain abdominal scars abdominal surgery
acne appendicitis benign tumour
black spots blisters blueberry spots
breakthrough bleeding brown blisters burning
burns chemical irritation chronic pelvic pain
decreased sex drive deep seated aching depressed immune function
development of facial hair difficulty in reproduction dioxin exposure
dryness endometrial implants endometriosis pain
endometriosis excessive menstrual bleeding formation of cysts
headache hot flashes increased levels of prostaglandins
infertility internal bleeding investigation for infertility
irregular menstrual cycles itching laparoscopic surgery
large endometrial cysts large chocolate cysts lupus
major abdominal surgery mood swings muscle pain
oily skin organochlorine exposure osteoporosis
ovarian cysts pain during sex painful bowel movements
painful urination painful periods painful sex
pelvic growths pelvic pain pesticides
pollutants postpartum depression powder burns
pregnancy impossible prostate cancer routine pelvic examination
scarring scars severe abdominal pain
small intestine small lumps spotting between periods
surgery for infertility swelling unnecessary radiation
unusual appearances of endo vaginal dryness weight gain
X-ray exposure


Check off any of the following items that you ingest.

chlorine chocolate dairy products
danazol fish from the Great Lakes fish
fruit GNRH gonadotropin
Lupron LUPRON: milk
nasal spray organic foods PCB
Provera synarel tylenol
vegetable whole grains ZOLADEX:


Make your imput count. The information you submit will be compliled with all other submissions and used to activate for positive change in women's health.

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