Endometriosis – Causes, Symptoms And Treatment

Endometriosis is the growth of cells similar to those that form the inside of the uterus (endometrial cells), but in a location outside of the uterus. Endometrial cells are the same cells that are shed each month during menstruation. Endometriosis is a common health problem in women. In women with this problem, tissue that looks and acts like the lining of the uterus grows outside of the uterus in other areas. These areas can be called growths, tumors, implants, lesions, or nodulesIt facilitates collaboration and information sharing between women with endometriosis. Endometriosis is estimated to affect over one million women (estimates range from 3% to 18% of women) in the United States.

It is one of the leading causes of pelvic pain and reasons for laparoscopic surgery and hysterectomy in this country. While the mean age at diagnosis is around 25-30 years, endometriosis has been reported in girls as young as 11 years of age. Endometriosis is rare in postmenopausal women. Endometrial cells (loosened during menstruation) may “back up” through the fallopian tubes into the pelvis, where they implant and grow in the pelvic or abdominal cavities. This is called retrograde-menstruation. When endometrial tissue is located elsewhere in your body, it continues to act in its normal way: It thickens, breaks down and bleeds each month as your hormone levels rise and fall. Because there’s nowhere for the blood from this displaced tissue to exit your body.

It becomes trapped.Trapped blood may lead to the growth of cysts. Cysts, in turn, may form scar tissue and adhesions abnormal tissue that binds organs together. This process can cause pain in the area of misplaced tissue, often the pelvis, especially during your period. Scars and adhesions related to endometriosis also can cause fertility problems. Pain is one of the most common symptoms of endometriosis. Usually the pain is in the abdomen, lower back, and pelvis. Some women have no pain, even though their disease affects large areas. Other women with endometriosis have severe pain even though they have only a few small growths. Women with endometriosis may also have gastrointestinal problems such as diarrhea, constipation, or bloating, especially during their periods.

Causes of Endometriosis

1.Estrogen harmones

2.Retrograde menstruation.

3.Immune system

4.Allergic reactions.

5.Impact of toxins.

Symptoms of Endometriosis

1.Pain with sex.

2.Infertility.

3.Fatigue.

4.Painful urination during periods.

5.Infertility.

Treatment of Endometriosis

Progesterone counteracts estrogen and inhibits the growth of the endometrium. Such therapy can reduce or eliminate menstruation in a controlled and reversible fashion. Progestins are chemical variants of natural progesterone. Gonadotropin releasing hormone agonists (GnRH agonists) induce a profound hypoestrogenism by decreasing FSH and LH levels. While quite effective, they induce unpleasant menopausal symptoms, and over time may lead to osteoporosis. Laparotomy can be used for more extensive surgery either in attempt to restore normal anatomy, or at least preserve reproductive potential. Danazol (Danocrine) and gestrinone are suppressive steroids with some androgenic activity. Both agents inhibit the growth of endometriosis but their use remains limited as they may cause hirsutism. There has been some research done at Case Western Reserve University on a topical Danocrine, applied locally, which has not produced the hirsutism characteristics. Pseudopregnancy can be created using oral contraceptives containing estrogen and progesterone. Women take the medicine consistently for 6 to 9 months. This type of therapy relieves most of the symptoms, but does not prevent scarring from the disease.

Avoid coffee and alcohol. Conservative surgery removes endometrial growths, scar tissue and adhesions without removing your reproductive organs. In laparoscopic surgery, a slender viewing instrument (laparoscope) is inserted through a small incision near your navel. The laparoscope is equipped with a laser, a cautery an instrument that destroys tissue with heat or small surgical instruments. Melatonin and serotonin are increased by meditation, and the stress hormone cortisol is decreased. Oral contraceptive pills (estrogen and progesterone in combination) are also sometimes used to treat endometriosis. The most common combination used is in the form of the oral contraceptive pill (OCP). Treatment of endometriosis has involved the administration of drugs known as aromatase inhibitors (anastrozole [Arimidex] and letrozole [Femara] are examples). These drugs act by interrupting local estrogen formation within the endometriosis implants themselves. They also inhibit estrogen production in the ovary, brain, and other sources, such as adipose tissue.

Black Jack In The Casino

Whether you’re new to casino gaming or a casino veteran, blackjack is one of the simplest and most fun card games casinos have to offer. The objective in blackjack is to beat the dealer by getting a hand as close to 21 as possible without going over. To play casino blackjack, you need only a basic understanding of the rules and a desire to have fun.

So how do you reach 21? In blackjack, the cards have values. Number cards two through ten are counted at face value, while all face cards (King, Queen and Jack) are worth ten points. The ace is a special card in blackjack: you decide whether it’s worth one or eleven points. Since casino players are dealt two cards to start, if you get an ace and a face card or ten, you have 21, an instant win, as long as the dealer doesn’t get 21 as well. This two-card winning hand is called a blackjack hence the name of the game!

Casino rules for blackjack are basically the same at all casinos. After you get your first two cards, your options are to hit, stand, double down, split, or sometimes surrender. Hit means to take another card; stand means to keep what you have. A double down means you will double your bet in exchange for taking only one more card (you can draw up to five cards in blackjack). If your first two cards are the same value, you can split, or separate them and play each card as a different hand. Not all casinos offer the option to surrender, which means you would withdraw from the hand and receive half your bet back.

When you play blackjack at a casino, be sure to know which table to choose. Most casinos have color coded blackjack tables according to the minimum bet the table accepts, usually $3, $5, $25 or $100. In any casino, it’s a given the $3 and $5 tables will be crowded, but they’re great for beginners at casino games because all of the cards are dealt face-up, as opposed to the one-up, one-down method at higher tables. So the next time or the first time you visit a casino, make a stop at the blackjack tables and aim for 21!

However you have to realise that you can loose alot of money in a casino if you are not careful, always warm up on a low betting table befor joining a big game. you have to see if lady luck is on your side. also give your self an ammount limit and do not exceed that limit, buy your chips once there gone leave! gambaling can be addictive and cause you many problems.

A Winning Roll For Board Games

With so many physical games, sports activities, computer games and interactive toys, it might be considered something of a surprise that traditional board games have remained so popular, and yet there is a greater variety of board games available today than ever before, and these cater for a much wider age group as well.

The definition of board games is quite difficult, since there are the traditional examples that really are played upon a board, such as Ludo, Chess, Monopoly and Scrabble, and then there are games which build upon a board, such as Mouse Trap, and then have parts of the game built within the board, such as Operation. There are even examples of games where the board becomes so big that the people become the playing pieces, such as Twister.

There are even some traditional board games that have been expanded to become playground games, such as Chess or Draughts, and the board is painted on the ground, sometimes as much as ten feet square, with the laying pieces a foot high, and then players can walk around the board, and play with friends watching, almost in teams. This helps to bring a quiet solo activity out into the fresh air and involving more people.

Involving people as a group is really what board games are all about, and it is a very good thing that today there are many families that are happy to all gather around a board game and use it as a focal point for the family chat and gossip, rather than all facing away from each other and focussing on the television, or disappearing off to their own rooms and places. Board games bring people together, quite apart from any other benefits they may have.

There are certainly challenging board games that rely on brainpower, deduction and good thinking, such as Monopoly and the various detective games available, or those that require careful dexterity, calm nerves and patience. Some games of course rely purely on luck, but actually fairly few.

There are many board games available today which traditionally have been adult games, or at least suitable only for older children, yet have been redesigned and produced as scaled down, or otherwise adjusted in some way to suit younger children. One example is junior versions of scrabble, with a smaller board, more score squares, a better range of letters and the ability to score well using a vocabulary more suited to a child.

Some of the most successful games are those which allow children and adults to play together, and that look colourful and interesting, with simple rules, and a combination of both luck and skill. The adults might be more skilful and play tactically, but are subject to bad luck in just the same way as children are able to benefit from good luck. This kind of game can develop with the child as they grow older, and give them worthwhile opportunities to be with adults in a relaxed but competitive environment. It is often over a board games that incidental chat can take place which reveals more about members of the family than would otherwise be revealed, and encourages easier communication. It also, to some extent, helps to teach the child about tactics, logic, planning and teamwork – all very worthwhile skills in themselves.

Understanding Your Current Personal Finance Situation

It is important: understanding your current personal finance situation is something that every person needs to do. By understanding what is going on with your personal finances you will be able to better control them. This can be one of the best ways to avoid money problems and debt.

Getting started is the hardest part. It can seem almost impossible to figure out where to begin when tackling finance issues. The best place to start is to simply look at expenses and income.

As the staples of a good budget, something every person should have, expenses and income are the main financial issues a person needs to understand. To begin you should gather all the relevant information. You may want to get bills, pay stubs and anything else that could help you list out your expenses and income.

The first thing to do is to track your daily expenses. This includes eating out, shopping and gasoline. You want to include these on your expenses list. You may need to gather receipts or actually keep a log for a week to be able to come up with an accurate account of your daily expenses.

Write out a list of expenses and then write out your list of income. At this point you should concern yourself with ensuring everything is listed. If your expenses or income vary then try to get a good average. You should have expenses separated into daily expenses and monthly expenses so you can see where your money is really going. Plus this will help when you go to budget your money.

Now you can begin to look at your debt. You should make out a list of your creditors. Your list should include the creditors contact information, the balance of your debt and the interest rate.

Now you should look at your personal finance accounts. This includes things like checking, savings and stocks. You want to list them all, including their current value or balance.

After going through your expenses, income, debt and personal finance accounts you should have a fairly good idea of where your personal finance matters stand. This should be a great platform for you to build upon to get your personal finances in good order. From this information you should be able to create a budget, get debt under control and best manage your personal finance accounts. You should be able to get the big picture about your personal finance situation and to understand it completely.

Chicago’s Magnificent Miracle Mile The Hottest Commercial Real Estate In The Midwest

Can you afford commercial real estate on the Chicago Magnificent Mile? If you can, your business will be in good company, and you can make a lot of money!

A festival of restaurant dining, theater and jazz experiences, shopping, hotels and entertainment, Chicago’s Magnificent Mile is abuzz with activity from Spring through Fall, and those merchants and commercial vendors who are lucky and wealthy enough to rent space in Chicago’s most productive real estate market, are the fortunate recipients of some pretty hefty income.

The Magnificent Mile stretches from Randolph Street to North Avenue and from Lake Michigan to the North Branch Canal, and it is Chicago’s most expensive commercial real estate.

The landscape is flush with fancy hotels including the Inter-Continental, the Ritz-Carlton, Hilton, Omni, Le Meridian, Hyatt, Wyndham, the Westin, the famous Whitehall and many other world-renowned hotels share this prestigious real estate, and the Greater North Michigan Avenue Association manages the business district.

Within this precious Chicago real estate, street festivals, garden shows, food festivals and other events are planned, all to bring local residents and tourists to spend their entertainment dollars.

Along this stretch of expensive real estate you can also find posh, formal restaurants like Les Nomades, and NoMi intriguing international restaurants where you can find Brazilian, East Indian, French, Italian and cuisines from many countries around the world.

The Chicago Shakespeare Company is also in residence in the Magnificent Mile of Chicago Real Estate, as are a number of jazz clubs and galleries like Kenneth Probst, Peter Bartlow and R.S. Johnson, selling fine art, antiquities and much more.

Water Tower Place, the Shops at North Bridge, Chicago Place and the North Michigan Shops also offer commercial real estate opportunities in well-advertised storefronts, malls and real estate centers.

If you are looking for commercial real estate in this area of Chicago, be sure you employ a reputable broker. Rents are high and real estate is precious. Options to extend commercial leases and expansion options to take on more space will come at a premium in this real estate market.

Upscale brokers like Gordon McAdam, Property Management companies like Zeller, and Executive Suite brokers like AMATA deal in finding and leasing commercial real estate and space to businesses in this area.

If you are looking for Chicago real estate on the Magnificent Mile, be sure you find a company that will work with you to assess your square footage requirements, and do an office or building search that will take into consideration the ideal location for your type of business.

These companies can also help you analyze the commercial lease you will be asked to sign and negotiate more favorable terms. Some have partners that offer architectural and build-out services for your real estate needs, and even move-in and utility hook-up services.

If you DO rent commercial real estate along the prestigious Magnificent Mile in Chicago, make the most of your network by joining the Greater North Michigan Avenue Association. Membership in this business and real estate district association provides you the opportunity to participate in business-to-business marketing activities and to have your logo and business identify advertised and promoted in the Magnificent Mile events and activities.

The Board of Director’s for this Chicago real estate business district and association always includes prestigious hotel managers and business managers for large commercial vendors like Neiman-Marcus, as well as business district and service vendors who provide the local transportation. These are good people to know if you want to promote your business.

Get to know the individuals who share this small square of real estate with you and leverage their connections to help you make more money and pay that steep rent bill every month.

Per square mile, this patch of Chicago real estate will produce more income for your business, but it will cost you a pretty penny to house your business here.

If you want to consider Chicago real estate with a slightly less onerous price tag, you can consider real estate in the Riverfront area, which is very near the Magnificent Mile and attracts lots of tourists. There are lots of events there and the overflow of shoppers and tourists from the Magnificent Mile is a definite advantage to renting commercial real estate in the area.

Online Games Is Coming In Like A Tidal Wave!

Online games are growing in popularity at an alarming rate. Many online games imitate real life with virtual scenarios. Online games are now accessable to most of the world’s population. As many as hundreds of online games players can often be found exploring and interacting in virtual environments.

Many free online games are becoming hugely popular due to the ease of access. Furthermore, online games are growing on a global scale and attracting a broader range of demographics than the traditional video game industry. In fact, online games are being perceived as the future of the interactive entertainment industry.

Many free online games are flash or java games that require plugins and other downloads in order to play. On the upside, all these free online games are available for your immediate game-play, 24 hours a day, 7 days a week. Although many online games are free some sites require that you pay to play better quality games.

For many people these free online games are addictive. What makes these online games so addictive? There are 2 top reasons why free online games are addictive: 1) they are fun 2) the thrill of winning. Most free online games allow instant play access to any player who is online. Instant play adds to the addictiveness of playing online games because of it’s instant gratification.

Some people may not understand why online games are so addictive. For those of you that don’t know, online games are not like your old school Nintendo or Play Station games. Profits to big games companies are soaring from online games that are very popular and addictive. The most profitable online games are the pay for play games which have also been steadily growing in popularity. What makes online games most addictive besides the fun of winning is their interactive nature. People are drawn towards fun and entertaining ways of connecting with other people.

2 main categories of online games which are available to the public are: 1) Interactive games where people play with and communicate to other people; 2) Single player games such as solitaire. A growing trend in online games is skill based games for money where players are able to win prizes and cash. A chess tournament is one online game where every entrant buys their chance to win whatever the cash prize happens to be.

Which online games are attracting the largest gathering of people these days? There are online games resources on the Internet which offer the largest selection of online games. Some online games are “massively multiplayer” games, which means that a large number of players participate simultaneously. These online games are high-quality and challenging. As many as 100,000 people can be found at any given time in some of the more popular ‘virtual worlds’ type of games.

Also known as browser games, online games are often social, with online chat rooms or forums to help connect players. On our site online games are divided into different categories, online racing games, online shooting games, online sports games and other games. Our free online games are in the most popular categories: online action games, online arcade games, online card games, online puzzle games and online sports games.

Food For Thought When Travelling

That’s what most people try to tell themselves when they go travelling. The stress of remembering the lights you left on in the house, the rubbish you forgot to throw out or the toothcrush that didn’t make it into your suitcase will make your trip agonizing.

If you’re one of the people above then you know that life’s little lessons are tried and true – buy a travel checklist. This will help you to ensure that your essential travelling documents like passport, flight tickets and itinerary are with you as well as your tanning cream and bathing suit.

Finding the right packing style for your trip is actually kind of fun. Even if you don’t know where you’re going yet or about how much you want to pack with you, take the time to shopg and compare. You can compare the measurements and weight of suitcases, flight bags, carry on luggage, garment bags, and hand bags online or in the retailers near you. Try to look for accessories that are light but of durable quality. Lots of sales assistants try to sell you the colors you’re looking for and don’t think about what you need to put in the case. The more appealing cases and bags, usually high quality, tend to be the heaviest of them all. When you find something you like, literally weigh it out in your mind before buy it.

Travel diaries and disposable cameras are a very important of your trip. Without these accessories you have no real way of recalling the most craziest and most fascinating experiences you’re about to have. You know what it’s like when you ask someone how their holiday was and they tell you they saw the beach and a couple tourist areas and took in a show in the evening for fun. You want to see it too! Take a look online or in the shops to find the product you like and will actually use.

Most people don’t think they’ll last long on a journey before they get comfortable and fall asleep. For some that is true but for others, like me, we need something to keep us entertained. A good book to lose yourself in will take your attention off the clock and allow the chance to escape the journey into a whole different time and/or place. Best sellers can be purchased at the airport at a slightly higher cost to the average retailer or bookstore but usually carry a wide selection.

Pronunciation: Get Better In Another Language

Pronunciation can affect how we communicate. Many people, who have had a go at learning a foreign language, have experienced that sinking feeling when they try a well-constructed sentence in another language only to be met with a blank face.

Why is this?

Languages are built on sounds. If I speak English and live in an English-speaking country I expect a speaker to say sounds in a particular way. In French or Spanish I would expect to hear different sounds. When we can’t recognise the sound we try and adjust how we are listening, a bit like tuning a radio, but if we can’t guess the sound, the chances are we won’t understand what is being said.

The Blocks of Pronunciation

Pronunciation has two main aspects to it, physically producing it and the sound that is produced from it, the hearing of the sound. As we get older the ability to do both of these, i.e. physically work out how to make the sound and recognise it, can diminish. This doesn’t mean we can’t continue to learn new languages but we need some extra tricks to help us.

Let’s look at some ideas on what we can do when we learn a new language.

How am I saying it?

Try saying the letters. Notice how your mouth is working. If you don’t know how a sound is physically made you may find it harder to say it.

What sounds are the same?

English has many more sounds than other languages but it also has a lot of sounds in common with other languages. Good dictionaries in a new language will usually offer an English sound or word to compare with. Use it to check what sounds are similar.

Which sounds are hard to say?

Go through the alphabet of the new language and mark out the ones you find hard to say. Give them some attention. Try and physically make the sound and see how your mouth works. Say the alphabet. Look at how children use the alphabet song in English to help them remember the alphabet, doing the same in a new language will also help memorise the letters and sounds.

Read out loud.

Find some reading form your course book or any other book. There are two advantages here. One you get to say the letters and words. Secondly you get to practise sounds that you expect to hear and you become accustomed to the sounds of the language.

How good do I need to be?

There is much discussion on this. For many of us the ability to get by in other languages is good enough. If we can say what we want, simply, slowly and the person we are speaking to, can understand us, then our pronunciation is probably good enough. After that it is a matter of choice. Some people become very good at other languages and get to very good levels of pronunciation. Not many of us are such gifted linguists but there’s no reason why we can’t make the words so that people can understand us.

Gambling Industry Expanding And Players Who Use Gambling Strategies

What does the word Gamble” mean to you?

For the average player the word gambling” means much more than a risky bet. It can stand for just about anything from vacationing, Las Vegas, and even fun. Devised earlier than 3000 years ago, gambling was well documented to have existed in many civilizations. The games we know today are the incarnations of former ones, with adjusted rules. For the length of time gambling was invented, players have always seemed obsessed with trying to use various gambling strategies for games. However, Casinos have always had the mathematical advantage along with an adamant need for stopping the smart player. It has forever become a vicious cycle of exploitive players vs. casinos catching up.

Today, gambling doesn’t even need to be played at Las Vegas or any other casino chains.

Now for those of you who live under rocks or live in a time warp may say, Wait….outside of Casinos?”

Well you see…

1.In-flight Gambling: Eflyte has been developing in-flight gaming and continues to spread its influence on many airlines. Currently they have the world’s first Multiplayer Poker Tournament along with over 60 games for airplanes. Ceo of Ryanair will also attempt use in-flight gaming by next year. Now casino gambling may be common on cruises, but it’s a breakthrough for airlines.

2.Mobile phones can also be used to buy lotteries and sports betting nowadays. If certain restrictions are lifted, it could even mean much more growth in its use.

3.Internet Casinos are also another medium in which gambling doesn’t seem to stop growing; despite being forced to open offshore from the US. This isn’t necessarily bad of course.

The gambling industry is on a growing trend and it doesn’t seem to stop anywhere in sight. Of course, this naturally means that more and more people will be hooked and continue losing to the casinos.

Even the strategic players are screwed over at times with certain technologies being developed. Some casinos even started to implement tracking devices in chips to catch card counters. Those days of Ken Uston and counting machines are getting harder to come by since casinos already know about the gambling strategies used. New mediums such as electronic gambling can stop card counting dead in it’s track.

Winning through strategy can still be done, just as internet marketing can still make some rich. Yet being particular savvy to news and gambling strategy alike can immensely help the professional gambler. That is, unless gambling is only treated as a simple recreation. Otherwise, the best a player can do is to read up on forums and reference news sources for any changes in their gambling strategy.

Home Improvement Tips To Help Sell Your Home

If you are a total layperson as far as home improvement is concerned, then you should hire help or enlist friends if you’re tackling areas where it does make a difference how you get the job done. Simple home improvement projects like painting can be attempted by everyone as the worst you can do is a patchy job that can be painted over.

Have Realistic Time, Money and Expertise Expectations – If you want to replicate a room that you have seen on Trading Spaces or Design on a Dime, get the inspiration but keep your expectations in check.

The people behind the work in such shows are experts; professionals in their field with years of experience. They can do things faster and better than an average person and if things go wrong, they also know how to make them right. When planning home improvement projects, keep your expectations real as far as budget and time considerations go as well.

The designers on the show often get great discounts from others in the business as they need the promotion on popular television shows. Plus, they often accessorize rooms with flea market finds and things picked up at garage sales. You could strike gold too, but it doesn’t happen very often.

Home improvement shows boast of the latest faux paint techniques and the hottest colors for the season. However, the green you like for your master bedroom may not appeal to prospective homeowners. If you do have hot pink bedroom walls for your daughter, tone them down or make them neutral as well. This is because new owners may not have a daughter who will use that room and they may want to move in to something that requires minimum effort.

The designers on the show are experts themselves plus they have a lot of help from back up crew and the like so they can delegate tasks and get more done in less time.

What You Can Do On Your Own – There are things shown on home improvement shows that you can easily replicate like rearranging your furniture, de-cluttering and even painting so don’t give up a home improvement project just because you can’t compete with the pros. However, assess your strengths and keep a plan B in mind. For instance, while you are redoing your kitchen, factor in the cost of eating out for all the days that the floor is ripped out and the appliances unusable.

Go through the entire home and toss, donate or store anything you do not need immediately. This will free up walking space, wall space, counter space and the like and prospective owners will feel they are getting more footage for their dollar. If there are pieces you can not part with, hold them in a separate storage area not your garage or basement. Then if you still feel they are important, bring them back in your new home.