Endometriosis, Prism Blog, Surgical Recovery

10 Essentials for Surviving Endometriosis

OK, ya’ll, I’ve put a LOT of time and research into curating this list for you and I’m super proud of it! What is it missing? What future posts would you like to see? Email me to suggest topics!

I’ve suffered from endometriosis for as long as I can remember. Like most of us with endo, I wasn’t diagnosed until YEARS after my symptoms began. It has therefore taken me a long time to figure out how to live with this condition; I’m sure many of you can relate! I wanted to share some of the things that have made my life so much easier. I hope they help you too :)

These tips are also great for those of you recovering from vaginoplasty, hysterectomy, and many laparoscopic abdominal surgeries too!

  1.  Pelvic cushion: seriously the best investment for endo, or anyone with pelvic or tailbone pain. Pudendal neuralgia, coccydynia, and hemorrhoids folks will benefit from this as well. Use it every time you drive, anytime you’re sitting at home or at the office, or in a restaurant, theater, friends’ house, etc. Just use it, it’s so worth it!
    1.  Comfi-Life is the cheapest option, and is super effective. I like the gel-enhanced version over the slightly cheaper foam option. It’s a bit obvious that it’s a butt cushion, so not as great for travel, but great for leaving in your car, wheelchair, or office chair.
    2. If that one doesn’t work for you, try this more expensive option with a larger cut out. They also have a travel version, which is easy to carry, folds up like a weird purse, and doesn’t scream, “I have butt pain.” You can also, in a pinch, use a travel neck pillow, though they don’t work as well because they’re small.
  2. Sugar-free coconut flakes: because I always need a good snack and it’s hard to find travel-friendly options that work with my modified autoimmune protocol diet.
    1. Get these AIP certified coconut chips online; or Trader Joe’s sugar-free coconut flakes, which are just as good and cheaper.
    2. Or make them yourself with this AIP friendly recipe.
    3. More AIP snack ideas here.
  3. Standing desk: because sitting all day is pretty much the worst thing you can do for endo pain.
    1. You can get fancy adjustable ones so you can sit and stand, especially helpful if you tend to get worn out from standing too much. Here are some high end, midrange, and cheaper options.
    2.  Ikea also has an even cheaper option that fits in tiny spaces, but it doesn’t adjust. I have this one and like all the storage space it has underneath; I don’t have to have a separate storage area for work stuff.
    3. More tips on choosing a standing desk here.
  4. Castor oil compress
    1. Heat alone is super helpful for most endo pain. Combining it with castor oil is even more relieving. Castor oil supports lymphatic drainage and boosts your immune system activity to actually help digest endometrial implants, scar tissue and fibroids, resulting in less pain and inflammation over time! Here’s how to do it.
    2. Don’t use castor oil compresses during menstruation or if you might be pregnant. It’s best to use them daily at first, starting after your period ends and ending when it begins again. As you improve, you can start backing off to once a week except the week before your period, when it’s still best to do it 2-3 times. Commit to doing them for at least 6 months to get their full effect. You can reuse the oil-soaked fabric and keep it in the freezer between uses. Just let it defrost before using again! Replace it after about 7 uses. More information on using castor oil packs.
    3. Use a cold-pressed, hexane-free, paraben-free option like this one or this one which is available in most pharmacies. You can get the whole shebang as a premade kit like this, or get a cute set on etsy with this oil and flannel and tie on cover. You can add essential oils to your castor oil, but DO NOT use lavender or sage which are estrogenic. Check out this lovely local Chinese herb and CBD infused option, which we well at Prism (email me to order!).
  5. Foam roller
    1. Endometriosis can cause fibromyalgia-like hypersensitization of the myofascial system, resulting in muscular pain not only around the pelvis, but all over the body’s trigger points (aka acupuncture points, yep, we had those first). There are a bunch of different foam roller options. I recommend starting with a softer roller and progressing to a midrange one. Don’t go for the super firm options as causing pain can actually increase your body’s tension response! You can even get a collapsible travel roller. Here’s how to foam roll, and a video of a foam roller sequence for endometriosis.
    2. More exercises for improving endo pain: stretches and more stretches, fascial release techniques, tennis ball technique, pinky ball, MELT Method, Clear Passage Approach, yoga for endo, pilates for endo.
  6. Microwaveable hot pack
    1. I can’t tell you how many endo patients I’ve seen with belly and low back burns and mottled skin from too hot heating pads. Microwaveable heat pads (like this ginger infused one or this leopard print one) and hot water bottles (like this fleece wrapped rubber one or )are so much better because they start out at their hottest. You know immediately if it’s going to burn you so you can adjust (putting a shirt in between to reduce the heat, etc). Heating pads get hotter over time so you’re like a lobster in a pot of boiling water. You can burn yourself without even realizing it because you’re adjusting slowly to the heat. Stay away from heating pads! Burning yourself does NOT help your endo symptoms. Plus, the EMF emitted by electronic items isn’t great for your reproductive organs (don’t put your laptop on your belly or carry your phone in your front pocket either for this reason!).
    2. Check out these stick-on disposable heat packs too!
  7. Nausea relief
    1. Extra strength ginger, like in Dramamine natural, I find even more effective than regular Dramamine, and without side effects. Ginger chews can also work well, but I recommend staying away from sugar which can cause endo belly flare ups and inflammation (aka more pain)! Sea bands stimulate PC6, an acupuncture point for nausea, and are a totally natural way to prevent nausea. You can wear them all day.
  8. Enzymes
    1. Taking enzymes with meals can reduce nausea, ‘endo belly’, bloating, gas, constipation, and diarrhea, and allow you to digest foods that you otherwise would react to. I carry Enteromend in my office for this purpose.
    2. You can also take enzymes between meals to help digest scar tissue and adhesions. I carry Serramend in my office for this purpose.
  9. Crystal wand
    1. If you have chronic pelvic pain, pain with penetrative sex, pain with urination, pain with bowel movements, and/or referred pain (to your belly button, inner thighs, etc), you likely have pelvic floor tension that can be improved with a crystal wand or pelvic wand, . When we feel pain, we tense up around it to protect the area. This is great if we have an acute injury that needs protecting. Unfortunately, with chronic pain, we just keep tensing up and tensing up over time without ever relaxing our muscles, which actually just creates more pain. A crystal wand helps release pelvic floor ‘knots’ via the vagina and/or anus. It can be painful at first, so I recommend starting slow, working on one spot at a time, rather than overwhelming yourself and creating more pain (and therefore more tension). Here’s how to do it. If you have too much pain to use a crystal wand, you can start with vaginal dilators, which are more gentle. Pelvic relaxation breathing exercises are also excellent for this.
    2. To learn how to do this properly, and get even more tips personalized to your body, visit a Pelvic PT.
  10. Leggings that look like pants, and other endo-friendly clothing
    1. I personally love paperbag pants for this. My other favs: travel stretch pants, dressy sweatpants, eco-friendly stretch pants, wrap dresses, and wrap sweater dresses. My Chronic Style makes clothing specifically for endometriosis and pelvic pain! Tips for choosing endo friendly clothing, and more endo-friendly options. How clothes can help you feel better about your endo body.

Schedule an appointment to learn more about managing your endometriosis and living pain-free! Call 510-394-2743 or schedule online.


This information is for educational purposes only, please consult a healthcare provider before exercising and always follow your surgeon’s advice.

Acupuncture, Prism Blog

Why I Love Acupuncture, and You Should Too

Prior to being an acupuncturist, my background was in health education. I had also worked as a personal care assistant and receptionist at a chiropractic clinic. All of these experiences taught me that I wanted to be able to work with patients, and I wanted to have the tools to help them right then and there. I didn’t like western medicine, which tends to see the doctor as all knowing and doesn’t take into account patients experiences of their bodies and needs. Also, though I do a lot of health education in my acupuncture work now, I didn’t like just educating people, without being able to actually do anything for them. I wanted it to be a two-way street. I wanted to be able to provide them with care that would help them right away AND involve them in their own healing process. This led me to explore various alternative medicine fields.

I came to acupuncture specifically through a love of herbal medicine, sparked by my botanist father who taught me a deep appreciation for plants, and the women in my family who taught me the value of caring for others.

I had only had acupuncture once, on a whim, before starting acupuncture school and I didn’t really know if I’d like it. I’m sure some of you can relate!

I decided that if I didn’t like it, I’d just study the herbs and skip the rest of the program. It turns out I LOVE acupuncture and being an acupuncturist and I’m so glad I started this journey.

My favorite part of my job is watching people regain ownership of their healing process, reconnect with their bodies, and make positive changes in their lives.

Acupuncture is a holistic system that brings you back into balance by fixing the root of a problem rather than just the symptoms.

Some acupoints trigger a release of calming hormones, some rewrite pain pathways, some awaken the immune system, have anti-inflammatory effects, or increase circulation. Together, they help our nervous systems switch from ‘fight or flight’ (stress) mode into ‘rest and digest’ (healing) mode. This helps us keep calm, sleep well, build our immune systems, and repair cellular damage.

Most importantly, acupuncture helps people reconnect with their bodies and take true ownership of their healing processes.

Acupuncture makes small adjustments in your body to set you on the right path for healing. It’s your choice to continue to follow that path in between your treatments. Your body wants to heal. It likes getting a little reset so it can get back to doing what it does best. Acupuncture allows you to set your healing intentions and send you in the right direction to actually accomplish them. What a wonderful gift.

The more scientifically identifiable effects of an acupuncture treatment (including changes in nerve and pain pathways, as well as endorphins and other brain chemicals that are released) last about four days after a session. Notice how you feel over the first 3-4 days after your treatment, jotting down any improvements or symptoms that you notice, like increased energy, better sleep, better digestion, and improvement in whatever symptoms you came in for. This allows you to keep in touch with your body and understand what it needs, and also helps us understand how you’re responding to treatment.

When you listen to your body, follow the healing path that acupuncture lays out for you, and come in often, this truly allows the healing momentum to build up. Rather than bouncing back and forth between better after acupuncture and worse again between each session, you begin to improve and improve and improve. Each time you come in, you’re expanding upon what you’ve already accomplished and you can actually start to see dramatic changes in your mental, physical, and spiritual health. Even once you’re feeling great it’s important to come in for your monthly or seasonal ‘tune-up’, just to keep your body on the right track of healing so that you can continue to enjoy good health.

It can be really challenging to create new habits and let go of old patterns that don’t serve us. It is so much easier just to come in and expect your healthcare provider to fix you. And sometimes we can do exactly that. But mostly those kind of fixes are temporary; the lasting changes come with work that you do outside of our sessions as well. Acupuncture can help you get there by resetting your nervous system and helping you reconnect to what your body has been telling you all along.

What do you do to get the most out of your acupuncture sessions? Why do you love acupuncture?


Schedule your first acupuncture session now, at www.prismacupuncture.com/appointments


This information is for educational purposes only, please consult a healthcare provider before exercising and always follow your surgeon’s advice.

a woman with beautiful curly hair
hair loss, Menopause and Beyond, PCOS, Prism Blog, Transgender Wellness

Stop Hair Loss in Its Tracks

I recently taught a workshop on healthy hair care and preventing hair loss and I just want to share a few tips from the class with you!

Hair loss can have several causes, from stress to genetics to autoimmune disorders. Some of these are easier to solve than others, but treating our hair (and bodies) well can help slow -and in some cases reverse- hair loss no matter what the cause.

Some amount of hair loss is a natural part of the hair cycle. It’s normal to lose between 50-100 hairs on days you don’t shower, and up to 200 hairs on days you do. Which should tell you right away that if you’re concerned about hair loss you should be showering less often!

At any given point, about 90% of your hair follicles should be in the active growing phase and 10% should be in the dormant or falling out stage. Hair loss can involve either an imbalance in the number of active vs inactive follicles, or a change in the growth of active follicles so that they no longer produce hair of the original color, length, or texture. If you’re concerned that you’re losing too much hair, take about 60 hairs between two fingers and gently pull. If you get more than 5-8 hairs you likely have an imbalance in the number of active vs inactive follicles.

The most common form of hair loss is also the most well-known. Commonly called ‘male-pattern baldness’ or androgenic alopecia, it actually occurs in all genders. While there is certainly a genetic component to this type of hair loss, it can also be mediated with herbs and hair care -if you catch it in time. Hair loss that has been present for 3-5 years or more becomes very difficult and sometimes impossible to resolve. This type of hair loss typically presents as a receding hair line or thinning of hair along the part or crown of the head. It is generally caused by DHT, a form of testosterone that is also responsible for many prostate issues, which essentially ‘attacks’ hair follicles. Luckily, DHT can only function in low-oxygen environments, so by increasing circulation to the scalp we can prevent this type of hair loss.

Androgenic Alopecia: Saw Palmetto as an herbal supplement blocks DHT, and topical rosemary oil (like Prism’s Hair Growth Serum) blocks DHT directly in the scalp. 7 Star Treatments, like Prism’s Hair Restoration Treatment, also increase circulation to the scalp, blocking DHT.

The second most common form of hair loss is called ‘telogenic effluvium’, which literally means your hair is falling out. There’s no change in your hair follicles, simply too many of them are in the dormant vs growth stage. This is usually caused by hormonal stress like starting or stopping birth control, HRT, or hormone blockers, after birth, menopause, or even just a stressful time in your life. Yes, you can actually stress yourself out so much that your hair falls out! Besides tackling whatever caused this problem in the first place (getting acupuncture and a custom herbal formula to balance hormones and reduce stress, practicing mindfulness meditation or other stress-reduction techniques), the best thing you can do is to be gentle with your scalp to prevent as much hair loss as possible.

This also applies to hair loss caused by chemicals, heat, or other types of physical damage to the hair and hair follicles. This is most likely the case if you suddenly notice your hair refusing to grow more than a few inches long and then breaking off.

Care for Your Hair Follicles:

Beauty Routines:

  • Prevent sun damage: wear a hat or scarf to cover hair and scalp
  • Switch plastic brushes for a pure boar bristle brush or a wide tooth comb, only use on dry hair
  • Air dry hair or use a hair wrap instead of blow drying. Heat protectant sprays do not help because wetting hair before drying actually increases damage!
  • Wash hair only 1-3 times per week

Avoid drying, damaging, and toxic product ingredients (organic products generally do not contain these ingredients and are a good choice):

  • Silicone
  • Ethanol, isopropane, propanol or isopropyl alcohols (fatty alcohols like lauryl alcohol, cetyl alcohol, myristyl alcohol, stearyl alcohol, cetearyl alcohol and behenyl alcohol are ok)
  • Aerosols (use pump sprays only)
  • Sulfates (organic coco-sulfates and sulfonates are gentler)
  • Parabens
  • Fragrances (essential oils are ok)
  • Zinc Pyrithione and Coal Tar (in dandruff shampoos, use an organic dandruff shampoo instead)
  • Sodium laurel/laureth sulfate (SLS), aka ammonium laurel sulfate, sodium dodecylsulfate, sulfuric acid, sodium salt sulfuric acid, A12-00356, Akyposal SDS, Aquarex ME, and Aquarex methyl
  • Proplyene glycol (PG), PEG, or Polyethylene
  • Salt Sprays (too drying)

Try these hair-safe products instead:

Avoid chemical and heat styling and harsh dyes. Check out salons that use organic products and ammonia and paraben-free dyes:

Hair breakage (and hair loss) can also be caused by malnutrition, either not getting enough nutrients your hair needs to grow, or something is preventing you from absorbing those nutrients. Most commonly this is due to anemia. Make sure to get checked out by a healthcare provider to determine the underlying cause!

Nutrition for Hair Health:

  • Hair and Skin from Nature’s Way
  • Hair, Skin, and Nail Support from Gaia Herbs
  • A prescription formula from Prism, tailored to your individual constitution
  • Omega Plus from Thorne, or:
    • Omega-3 from salmon, mackerel, tuna, white fish, sardines, walnuts, hemp seeds, flax seeds
  • Basic Nutrients (if you don’t need iron), Basic Nutrients IV (with iron), or Basic Prenatal from Thorne, or:
    • Vitamin C from oranges, kale, Brussels sprouts, broccoli, strawberries, grapefruit and kiwi.
    • vitamin D from halibut, mackerel, eel, salmon, whitefish, maitakes and portabellas.
    • Vitamin A from Sweet Potato, pumpkin, Carrots, Peaches, Kale
    • Vitamin E from Fish, Beans, Leafy Greens, Meat, Nuts and seeds, Whole grains
    • Biotin & B5 from chicken, avocado, legumes, nuts
    • Niacin from Fish, lean meats, Portabellas, Sunflower seeds, Avocado, Mushrooms, Tuna, Nuts
    • Iron from spinach, Swiss chard, collard greens, navy beans, black beans.
    • Zinc (especially with autoimmune alopecia) from oysters and other seafood, Whole grains, Legumes, Sunflower seeds, Pumpkin
    • Selenium from brazil nuts and other nuts and seeds, oysters, tuna, mushrooms
  • Collagen from bone broth; or boost your own collagen production with dark leafy greens and red fruits and veggies like cherries and beets
  • Lycopene from guava, papaya, grapefruit, asparagus, purple cabbage
  • Avoid Inflammatory foods like dairy, red meat, trans-fats (like margarine), gluten, alcohol, coffee, eggs, bananas, mango, pineapple, watermelon, nightshades (eggplant, paprika, peppers, potatoes, tomatillos, tomatoes), and soy.

If you’re not sure what kind of hair loss you’re experiencing, a dermatologist can examine your hair under a microscope and determine this for you. Beware the Rogaine they may prescribe, however, as it can often cause hair growth in unwanted places! Rosemary oil on the scalp (like Prism’s Hair Growth Serum) has been shown to be as effective as Rogaine and does not have this side effect.


All information in this blog is for educational uses only. Always consult your doctor before taking any herbs or supplements, or changing or discontinuing your medications.


Contact us to see if your insurance covers services at our office!

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a woman with a cold sore touching her lip
Prism Blog, Sex & Relationships

14 Foods to Soothe Herpes Outbreaks

Two amino acids have a significant impact on both herpes simplex (mouth or genital herpes) and herpes zoster (shingles).

Lysine reduces the strength of a herpes outbreak, while Arginine can actually increase the intensity and duration of the outbreak. You can take lysine as a supplement to prevent outbreak, or eat foods containing lysine and avoid foods containing arginine, before and during the outbreak to shorten the duration.

You can also take the formula Long Dan Xie Gan Tang for herpes outbreaks either externally or internally. It usually takes 2-3 days for the formula to work (edited based on Liana’s comment).

Foods with Lysine: add before/during outbreak (in order from most lysine to least)

  • Fish
  • Chicken
  • Beef
  • Goat milk
  • Cow milk
  • Lamb
  • Pork
  • Cheese
  • Beans (especially mung beans, lima beans, and soy beans)
  • Cottage cheese
  • Brewer’s yeast
  • Sprouts
  • Crustaceans
  • Eggs

Foods with Arginine: avoid! (in order from most arginine to least)

  • Hazel nuts
  • Brazil nuts
  • Peanuts & peanut butter
  • Walnuts
  • Almonds
  • Cocoa powder
  • Sesame
  • Cashews
  • Carob powder
  • Coconut
  • Pistachios
  • Buckwheat flour
  • Garbanzo beans or chickpeas
  • Brown rice
  • Pecans
  • Whole wheat bread
  • Oatmeal
  • Raisins
  • Sunflower seeds
  • Corn

All information in this blog is for educational uses only. Always consult your doctor before taking any herbs or supplements, or changing or discontinuing your medications.


Contact us to see if your insurance covers services at our office!

Join the Prism Family! Subscribe to our newsletter and get $30 off your first visit.