It has officially been two months since my surgery! The swelling and intense pain are almost entirely gone – I still have cramps and the occasional bad day if I push my body too hard. My surgeon says the procedure went flawlessly. He removed all the lesions, but, like cancer, endometriosis cannot be cured. Without treatment I’m succeptible to a relapse at any time. Because hormone therapy is the only medical option to stop the disease from coming back I just went through some tough decisions that I’m going to discuss on the blog today.
My surgeon recommended another hormonal IUD. This option involves the least amount of hormones because it is centralized right where the disease occurs. As I briefly discussed in my last endometriosis post – having the previous IUD inserted was the most painful experience of my life, arguably worse than the surgery itself. I was not keen on going through that again. But it was better than the other options. Hormone replacement pills (not birth control pills) would mean three times as many hormones and would almost definitely make me gain weight (way to play my vanity card, Doctor!). Hormone shots or a progesterone implant were too permanent – I couldn’t remove either if my body didn’t react well to the dosage. My surgeon was super gung-ho about the Mirena IUD and explained that my last one was situated low in my uterus and was rubbing against all the endometrial scar tissue that just happened to be clustered in the same place. This was why not only the insertion process but the entire month with the IUD were so incredibly painful. He guaranteed an easier sonogram-assisted insertion this time so he could actually see that it was in the right part of my uterus. I still wasn’t convinced.
The boyfriend grew up in a homeopathic home – no vaccines, no over-the-counter medicines- and he is one of the healthiest and strongest people I know. When deciding what my next steps should be in this healing process I turned to his parents, specifically his father, Theo, for advice. Theo is a massage therapist, juice enthusiast, reike master, and a genuinely awesome, extremely healthy man. When I was first diagnosed with endometriosis Theo found this homeopathic website forum for women with the disease. There were a handful of cases where women had completely cured themselves of the disease by going on a diet similar to the cancer diet (no meat, no legumes, no sugar, no alcohol, no fun), alongside a juicing, supplement and yoga regiment. While these stories were incredible and inspiring, to be honest, I didn’t know if I could give up one of my greatest loves – FOOD – to cure this disease. Many of the stories were from women with stage-four endometriosis, whose only option after numerous surgeries was a hysterectomy. I’m still in my 20s, I love meat, cheese, pastries and BOOZE. I knew I couldn’t follow a strict enough diet to actually cure my disease.
Then I spoke to a family friend, Halina, who is a gynecological-endocrinologist, i.e. a fertility doctor. I mentioned my interest in a homeopathic remedy. I told her I wanted to find the cause of my disease – stress, diet, lack of sleep, and she chortled. Endometriosis doesn’t have a root cause, she told me, I couldn’t cure it with diet and exercise alone. If I didn’t intervene soon with hormone therapy I ran a high risk of reoccurrence that would lead to more surgery and, even more frightening, a very real possibility of future infertility. My chat with Halina ultimately led to my decision to get another IUD, along with a new diet and lifestyle. My surgeon kept his promise about the second insertion; it wasn’t anywhere near as painful as the first. All I needed was one day off and a couple days in stretchy pants to recover. It’s been five weeks now and I’ve had some pain, (nothing compared to pre surgery cramps) and am hopeful for my future. Now I can focus on my new “diet” and general lifestyle changes!
When I was first trying to decide which healthy lifestyle path to take I looked at two popular diets – Paleo and the Whole 30. My bar manager, Megan, had been Paleo for a month, was feeling amazing and lost 13 lbs (which I didn’t even think she needed to loose). Another girlfriend of mine and one of my blogger crushes, Elsie from A Beautiful Mess, had similar experiences with the Whole 30 diet. Both intrigued me but neither would work for me as a sustainable eating plan. No condiments, dairy, whole grains, or alcohol ever?! I could do that for 30 days but what about the rest of my life? I wasn’t doing this to lose weight, I was doing this to get heathy. I had to find a way to eat well without depriving myself. And so I created my own diet plan pretty much based off Michael Pollan‘s book In Defense of Food whose motto is “Eat Food. Mostly Greens. Not Too Much. I’ve cut almost all processed foods from my diet – no flour, nothing from a box, only whole grains, little to no dairy (and mostly goats’ milk products)) and whenever possible organic/antibiotic free/free range. I allow myself organic condiments such as tamari/soy sauce, sesame oil, miso paste, vinegar, raw honey and maple syrup. Over the past two weeks I cut all carbs (just to see if I could) and it went extremely well – though I found myself missing quinoa and my Ezekial bread avocado toasts. I’ve still been drinking alcohol (almost always in moderation, minus a couple fun nights). I’ve cheated a couple time – at a friend’s engagement party I had a tiny little pig in a blanket or a bite of the boyfriend’s Philly cheese steak – but always small amounts and I have never felt guilty.
What I like about my non-diet diet plan, or if you will, The Party Girl Plan, is that it’s easy, sustainable, and allows me to continue eating foods I love. I don’t feel deprived, hungry and have almost entirely lost my cravings for rich foods and sugar! This coming from a girl who would eat a bowl of pasta and day and at least one package of sour candy in bed every night (with the boyfriend…) I feel healthier, stronger, and so far I’ve lost 10 LBS, plus my bowel movements are incredible! If you’re looking to change your diet, this is a great place to start.
In addition to eating well, I’ve started to move my body more. After lying in bed three months straight it feels so good to take walks and be on my feet. I’m not allowed to lift anything heavy or run yet so I’ve started practicing yoga, which I always thought I hated. BIG THANKS to my girlfriend Karla, who, along with our friend Ashley, runs Sync Studios, a Yoga and Cycling Studio in Williamsburg. Ashley has taken time out of her own busy schedule to do privates with me until I get my strength up. Hopefully in a few weeks I’ll be confident enough to take classes. And when I’m feeling super strong the boyfriend and I want to do Insanity (we’ll see if that actually happens!).
From now on I’m going to try and share recipes that are Party Girl Plan friendly! Below I’m sharing a recipe for a super filling chopped baby kale salad that has been a staple of mine these past two months. Feel free to switch out the butternut squash for any other type of squash or sweet potatoes – also if pistachios are a little too expensive (I steal them from my parents’ house)(Sorry parents!) pepitas work well too. And one last shout-out before I share; the chicken in the salad is inspired by a fellow Fieldston Alum/food blogger/healthy eater Pheobe Lapine, from Feed Me Pheobe. My good friend Lily turned me on to her blog and it has so many yummy healthy recipes (my favorite is her Carrot-Ginger dressing!) you should definitely check it out.
ALSO special thanks to the boyfriend for taking these fun photos of me and Misses Loretta the dog on his new camera I got him for his birthday. Clearly it was a present for both of us!
Chopped Baby Kale Salad with Chili-Cumin Chicken, Roasted Butternut Squash, Pistachios, Chia and Hemp seeds in a Miso-Maple-Balsamic Vinaigrette (What?!)
For the Chicken:
1 chicken breast, chopped into bite size pieces
1 tsp chili powder
1 tsp cumin
1/2 tsp salt
tbs coconut oil
1/4 butter nut squash, roasted with olive oil, salt and pepper at 375° for 30 minutes