Endometriosis is a condition that plagues nearly 10% of women but is often misdiagnosed or not diagnosed at all.
Like postpartum depression, endometriosis is something that isn’t talked about enough. It causes a considerable amount of pain but so many women learn to live with it and don’t seek the proper treatment. And those who do seek help, are often told it’s nothing, because endometriosis doesn’t show up on ultrasounds or x-rays or ct scans.
While there is no link between endometriosis and postpartum depression, they do have a lot in common:
- They are affected by hormones
- They affect women in their childbearing years
- They are under-diagnosed conditions
- They are invisible diseases
- They are stigmatized and need more awareness
Every women’s struggle with endometriosis is different, just like postpartum depression. Here is MY story…
It was a mere coincidence that both my endometriosis and postpartum depression were diagnosed at the same time, because the two conditions are not exactly linked to each other. But ever since that diagnosis, they have been intertwined throughout my journey of highs and lows.
It all began when my daughter was 5 months old. Actually, the postpartum depression symptoms had been going on for a few months already but I was still in denial.
We took a family trip to Disney World (both kids were still free to get in, so we thought we’d take advantage)! Despite exclusively breastfeeding, I got my first postpartum period – right there in the Magic Kingdom.
I was disappointed and annoyed but what else could I do, on this trip of a lifetime, but suck it up and waddle around in blood-soaked pants for the rest of the day?
The next day, we planned to go to Cocoa Beach. When you’re from the Canadian Prairies, trips to the ocean are few and far between, so I was definitely NOT missing out on it. I bought the biggest box of tampons I could find and tried my best to enjoy the day.
But the cramping was worse than labor pains and the bleeding was relentless.
I made it through that vacation but the following month was even worse. I probably wouldn’t have said anything to my doctor, except that it happened to fall on the same day as my daughter’s 6 month checkup.
I was lucky enough to have a great doctor with whom I already had a close relationship, and it was in that appointment that I broke down crying – overcome by the pain of the menstrual cramps and the dark place my mind had been in for the last 6 months.
Based solely on my symptoms, he figured it was endometriosis that was causing the pain and heavy bleeding. It was the first time I had ever heard the word. When he told me that it can cause infertility, I actually felt relieved because I had zero desire to have another baby. He gave me some samples of birth control pills and advised me to take them continuously in an effort to “skip” my periods.
Then we discussed the postpartum depression and came up with a treatment plan.
I was supposed to follow up with him in a few months to see how things were going. But by then, we had relocated for my husband’s job – a 9 hour drive away.
For a while, things were alright…
My mind was distracted by the move and I remembered to take my birth control pills everyday, avoiding the painful cramping that accompanied my periods.
Until I ran out of samples.
Trying to find a good doctor in a new town where I didn’t know anyone was tougher than I thought. So I chose to suffer instead. I loaded up on painkillers and wore adult diapers to soak up the extreme amounts of blood and just dealt with it.
With each month that passed, the pain got worse and worse. The cramping started earlier and lasted longer until I was only pain-free for one week each month. I turned to essential oils for help with the pain, but even their magic wasn’t strong enough.
The chronic pelvic pain exacerbated my postpartum depression symptoms.
I felt defeated by the pain. I didn’t feel like being strong or fighting through the pain – I hoped and prayed it would just kill me. I thought about how my daughter might someday experience this kind of pain, and I felt responsible for that. I felt like all I did was inflict pain on those around me, because I was also in pain. And I was certain that everyone would be happier, myself included, if I was just gone.
When my year of maternity leave was over, things got better.
I found a job that I loved and began to make friends. The daycare we chose for the kids was wonderful and they settled into it without any problems. I appreciated my children more because I cherished the short amount of time we had together each day instead of dreading the long hours of nothingness.
Finally, I was happy! I pushed through the endometriosis pain every month because I didn’t want anything to destroy my happiness.
But after a year of being happy and ignoring the pain – the pain pushed back.
I couldn’t ignore it anymore and eventually wound up in the emergency room. Much to everyone’s surprise – I was pregnant! I guess endometriosis doesn’t always cause infertility…
The anxiety began almost immediately. I didn’t want to go through another HG pregnancy and I definitely worried about dealing with the postpartum depression all over again. Plus we had just moved again, and hadn’t even bought a house yet.
Despite the exciting news, the pain was still there… worse even.
The doctors suspected a possible ectopic pregnancy and rushed me into emergency surgery.
When I woke up, I had mixed feelings about losing the baby. Part of me was relieved to avoid another tough pregnancy, but another part of me felt disappointed that I didn’t get another chance to make things right.
The next day, I found out I was still pregnant. The pregnancy was a healthy one, and there was nothing they could tell me about the endometriosis because they didn’t want to do anything to disturb the pregnancy.
And so I had my third child. I suffered from the worst case of hyperemesis gravidarum of all three pregnancies, but for a while, I didn’t have to worry about the menstrual pain. This time I did everything in my power to prepare myself for postpartum depression again but thankfully was spared from it. I was given a second chance! I immediately felt a bond with this baby and she made our family complete.
I had a good, solid 8 months of bliss with my happy baby before my first postpartum period arrived.
And, in true dream-crushing fashion, it came back on Christmas Eve so I spent most of that night hopped up on painkillers and hovering around the bathroom door in order to change my tampon every 30 minutes.
After another steady 8 months of pill popping, I missed another period. Oh no, not another pregnancy. It can’t be. I can’t do it again. But the tests were all negative…
My menstrual cycle finally had a nervous breakdown.
It would skip months for no reason and then come every other week. The pelvic pain got worse and it was no longer limited to my menstrual cycle – it was there 24/7. I ended up in the emergency room regularly looking for something to help with the pain. Nothing ever showed up on any of the tests, and I’m certain everyone thought I was a hypochondriac. Even though I was in an intense amount of pain, I started to wonder if they were right.
The pain triggered the postpartum depression again.
It didn’t help that I was now a stay-at-home-mom, living in a city with no friends or relatives to help me out. Between the darkness of postpartum depression and the pain of endometriosis, life was very bleak for nearly a full year.
I finally met with a specialist.
He instantly validated everything I was feeling and scheduled me for a diagnostic laparoscopy to find out what was going on inside of me. Since he wasn’t sure what he would find, he asked me to sign a form that stated he could perform a hysterectomy if he deemed it medically necessary. This way, I wouldn’t have to undergo two separate surgeries if I did need one.
We discussed the fact that a hysterectomy would be the worst-case scenario, and I signed the form without hesitation.
In the 6 weeks leading up to my surgery date, I bled continuously. I should have known then, that more was wrong under the surface than I wanted to admit. If I had, perhaps I would have been more prepared for what was ahead.
The surgery was supposed to be a laparoscopic day surgery on a Friday. My husband, kids and I made the 2 hour drive into the city, expecting to stay with family for the weekend and be back home by Monday.
But when I woke up from the surgery, I was told I would not be going home that day.
My doctor came in to see me, head hung, disappointment in his eyes. He rested his hand on mine and told me that this was the first time he’s ever had to convert from a laparoscopic surgery to an abdominal incision (minimally invasive surgery was his specialty).
And then he filled me in on what happened in surgery.
He had to remove my uterus, cervix, fallopian tubes, and left ovary. He left the right ovary so that I would not go into menopause but everything else was stuck together with adhesions and needed to go. My reproductive organs were attached to the pelvic wall, bladder and bowels which he successfully separated, but there would be scar tissue remaining. The adhesions had re-routed my blood vessels and so he cut into one while attempting to perform the hysterectomy, causing me to lose nearly 4 units of blood and require a transfusion.
It was the “worst case scenario,” and I felt completely blindsided by what had just happened.
I ended up staying in the hospital for 5 days. Losing so much blood left me feeling weak and dizzy and moving around was almost impossible. Once I did get home to my own bed, I couldn’t leave. Walking up and down stairs was difficult and living in a 4 level split meant I was practically bedridden. Long after the scar healed, the pain inside my pelvis was excruciating. I was told to expect to be out of commission for a full 6 weeks but it took more like 8.
Dealing with the sudden loss of my uterus was difficult. Although I knew I didn’t want to have more children, I liked knowing that it was an option. I spent a lot of time thinking about my pregnancies and how the place where I grew my children and felt them move and kick was no longer there.
But once I recovered from the surgery, the constant pelvic pain that plagued me for years was finally gone. It was hard to believe that it was no longer there, I kept poking at it to see if it hurt but no – no more pain! And I never had to wear another giant tampon or adult diaper ever again.
Most days I forget that I no longer have a uterus. I still get some symptoms of PMS when my lonely ovary ovulates but it’s nearly impossible to track it without a menstrual cycle. The fluctuating hormones do still affect my postpartum depression symptoms and I have to take extra care of myself on those days, but otherwise, it’s no longer triggered by constant pain.
I’ve been told that a hysterectomy is not a cure for endometriosis and there is still a chance that the endometrial tissue could grow back.
So while my battle with endometriosis, as well as my battle with postpartum depression, is over for now – they have changed who I am as a person.
They have both taken things away from me that I can never get back. They have killed a part of me inside and remain there, dormant, waiting for another opportunity to strike. I will do my best to take care of myself, to help others who are suffering, and to raise awareness about these two important issues, so that if and when they ever do decide to rear their ugly heads again – I will be ready to fight back.
Postpartum depression, as common as it might be, is widely misunderstood.
No one knows for certain exactly why mothers get postpartum depression and many aren’t even aware of the symptoms. If there was less stigma and more mothers felt comfortable enough to speak up about their postpartum depression, perhaps the rest of the world would know about it and find ways to help.
Here’s a list of 10 things that mothers with postpartum depression want you to know.
1. We Are Not Bad Mothers
Mothers with postpartum depression are not prone to hurting their babies. While there have been cases that ended in tragedy – many of those mothers were suffering from postpartum psychosis, which is a much more serious condition.
We might be seen as “bad” mothers because we didn’t bond with our babies right away, or we seem withdrawn from them or avoid holding them. These are common symptoms of postpartum depression but it does not mean that we want to harm our child or that we don’t love them as much.
If anything, postpartum depression makes us stronger mothers because we have to fight harder to build a mother-child relationship.
You don’t need to take our babies away from us or be concerned about leaving us alone with them. If we come to you for help and admit what we are feeling – that makes us a better mother, not a bad one.
2. It’s Not In Our Head
Postpartum depression is not just a psychological issue – it’s physical pain, it’s chemical imbalances, it’s uncontrollable hormones. It’s a total body experience and not just something we imagine.
Positive thinking alone will not get rid of postpartum depression. It’s important to stay positive to help reduce stress which is a big trigger for symptoms, but there is so much more to it than that. Many women suffer from disruptions in sleep and appetite, headaches and back pains from stress and tension, nausea and debilitating fatigue.
It might be called a mental illness, but the pain is never just “in our head.”
3. Nothing We Did Caused This
Postpartum depression is NOT our fault. A traumatic labor , breastfeeding problems or lack of support are out of our control and not something that we did wrong or could have avoided. It’s natural to want to find an explanation for what we’re going through and it’s easy to look back on our pregnancies and deliveries and find something to blame for the mess.
While there are several different risk factors that can increase your chances of having postpartum depression, the truth is – even a women with the happiest of pregnancies, easiest of deliveries and biggest support system could still be diagnosed with postpartum depression. It does not discriminate.
There are studies being conducted to try to determine the cause of postpartum depression but for now – it’s still a mystery as to why some women get it and others do not.
4. There Is No Cure
There are plenty of treatment options and ways to control the symptoms but we will never be the same person we were before postpartum depression.
Anti-depressants, therapy, self-care, yoga and meditation, etc., are all important for helping with the symptoms but they will not make postpartum depression go away permanently. Some women can control their symptoms better than others, but no matter what, we will all have to live with the darkness inside of us for the rest of our lives.
If we’re not careful about following our treatment plans, we could suffer a relapse.
5. It Can Be Invisible
Just because we don’t seem depressed doesn’t mean we’re not suffering inside. Postpartum depression can be an invisible disease, which means we don’t have a giant scar or walk with a limp but we are in just as much pain. Mothers with postpartum depression have gotten very good at putting on a smile to hide the pain and avoid the awkward questions.
Thanks to the stigma around postpartum depression, many mothers won’t even admit to having it for fear of what the world will think of them.
Organizations like 2020Mom and The Blue Dot Project are helping to break down the stigma through campaigns like Maternal Mental Health Awareness Week but they will only be successful if mothers with postpartum depression are willing to let the world know that they exist.
6. It’s Not The Same As Postpartum Psychosis
Anytime I hear a story about a new mother taking her life and/or her child’s life, the question arises as to whether or not it’s postpartum psychosis. While postpartum depression can cause mothers to feel suicidal, postpartum psychosis can cause hallucinations during which a mother isn’t even herself. They are two different diseases and psychosis is a severe medical emergency.
Postpartum psychosis leads a mother to have hallucinations and hear voices in their heads. They are often a danger to themselves and those around them, including their children, because of their unpredictable behavior. They are not aware of what they are doing, and if left untreated – can end in tragedy.
It’s important to be aware of the symptoms of postpartum psychosis and know the difference. This article from Postpartum Progress does the best job at explaining it.
7. Don’t Take Things Personally
Postpartum depression can manifest itself in different ways. Fits of uncontrollable rage is a lesser known symptom and can cause a lot of strain on relationships.
When we are riding the emotional roller coaster that is postpartum depression, it’s easy to lose control and lash out. But until our symptoms are under control with a proper treatment plan, it’s best not to take the things we say and do personally.
The urge to push people away and withdraw into ourselves is strong with postpartum depression, but that doesn’t mean it’s what we actually want.
8. It’s easier to talk to strangers
Please don’t feel offended if we don’t want to talk to you about what we’re going through. It’s much easier to talk to strangers who have been through it before, such as a therapist or online support group.
They understand what we mean and won’t judge us. We know you don’t mean to judge us, but unless you know what it feels like to be inside the head of a crazy person, you couldn’t possibly understand.
Find a list of numbers you can call to get help for postpartum depression here.
9. We Need Your Help
Even if we don’t want to talk to you, we still need your help to get through this. Postpartum depression is a tough fight and it’s even harder to fight alone. There are so many ways that you can help us, but it’s very hard for us to tell you what they are. The biggest way that you can help us is by trying to understand what we’re going through.
And even if you don’t understand, stand by us and support us no matter what.
10. Please Don’t Abandon Us
Mothers with postpartum depression make for some of the worst company. We’re weepy and emotional. We rarely smile or laugh. We’re tired all the time, or angry and annoyed. We dodge your phone calls and cancel dinner plans. We don’t blame you for not wanting to hang out with us…
Withdrawing from society is a major symptom of postpartum depression and it’s out of our control.
But we hope that, when we do finally feel better, you will still be there waiting for us on the other side of the darkness.
Many women are afraid of suffering from postpartum depression after the birth of a child, but none more than a mother who has already experienced it before.
It goes without saying that any mother who has suffered from postpartum depression would never willingly want to put themselves through that kind of torture again. But while the idea of having another baby after postpartum depression feels like a suicide mission, a significant amount of women go on to have more children after being diagnosed.
This means that, while it might seem preposterous at the time, there is hope for a full and bright future filled with all the children we dreamed of having.
Here is my best advice for how to prepare for another baby after you’ve suffered from postpartum depression.
If you don’t already have a treatment plan for your postpartum depression, then establishing one is the first step. Once your treatment plan is in place, don’t deviate from it – even if you start to feel better.
If you never initially sought treatment for your postpartum depression but feel like it is under control – it is still worth seeing a doctor, therapist, counselor or other health professional to discuss your options should you experience a relapse of symptoms.
Better Help can help you find a therapist near you. Visit: https://www.betterhelp.com/advice/therapy/how-do-i-find-a-therapist-near-me/
Is your treatment plan safe for pregnancy and/or breastfeeding?
Many women avoid pharmaceutical treatments because they want to continue breastfeeding (myself included) and most women avoid pharmaceuticals during pregnancy due to the lack of testing.
So if your normal treatment plan includes anti-depressants then you may need to create a back-up plan.
There are many other safe and natural treatment options available can help to reduce some of the guilt that so often affects mothers who give up breastfeeding in order to take anti-depressants. Online therapy is a great option to consider if you’re unable to use medication to treat your postpartum depression.
Make sure to talk to your doctor about your current medications if you are planning to have another baby.
In the post How to Avoid a Postpartum Depression Relapse I list off some common triggers and how they cause symptoms to reappear long after treatment has begun.
Before adding a new baby to the family, it’s worth considering what triggers your postpartum depression symptoms and trying your best to eliminate them ahead of time. Tracking your mood fluctuations can help you identify specific patterns and triggers.
Financial or marital problems should be worked out in order to avoid added stress. Illnesses, chronic pain, nutrient deficiencies and the overall state of your health should be addressed. Practicing yoga and meditation can be a great way to get in better physical and mental health prior to having another baby.
While many triggers will be unavoidable, if you can be in good physical shape and proper mental health prior to getting pregnant again, then you will be more prepared should postpartum depression strike again.
Document Your Feelings
Writing down everything you’ve gone through can help you to remember what your experience was like at a later date. Sometimes the things we feel in the heat in the moment can easily be sorted out when our mind is clearer.
If you wrote down any of your thoughts or feelings in a journal of some sort during your first round of postpartum depression, then you should take some time to re-read those entries prior to have another baby and see if they give you some insight.
If you do end up struggling with postpartum depression again after another baby, then document your feelings again so that you can compare both experiences and see if there is a common factor or trigger that you can work on.
download A free printable PDF to help you document your journey
I know, I know, I’m always talking about how women need to speak up about postpartum depression… but it really makes all the difference!
There are so many reasons why we keep silent about postpartum depression but if we stand any chance of defeating it and avoiding it again, then people need to KNOW about it.
The more we talk about it, the less taboo it becomes. We need to stop living in the shadow of postpartum depression – it’s the only way we can eliminate it’s power over us.
If you’re thinking about having another baby after postpartum depression, then everyone in your life should already know about your previous battle with postpartum depression. It shouldn’t be a shameful secret, but rather a badge of honor.
In addition to your loved ones, your doctor or midwife should know that you suffered from postpartum depression with a previous baby if they don’t already.
Knowing that you have a support system already in place in the event that you suffer the same unfortunate fate again, will help you to prepare for having another baby after postpartum depression.
Make Sure You’re Ready
Why do you want another baby? Is it because you’ve always dreamed of having more? Do you feel like you need to provide a sibling for your child to grow up with? Does your spouse or partner want another baby? Do you feel your biological clock ticking?
I’m not saying that any of these reasons are wrong reasons to have a child, as long as it’s what you really want.
If you feel pressured in any way to have another baby, it might be time to do a little soul searching and think carefully if the time is right.
I can give you thousands of tips on how to prepare for another baby after postpartum depression, but unless you are ready – none of them will help.
Become a Warrior
Speaking up is only the first step to battling postpartum depression. If it has affected your life – don’t let it get away so easily. The best way to fight against postpartum depression is to take a stand and help destroy the stigma that surrounds it.
- Research postpartum depression and other maternal mental health conditions
- Donate to Postpartum Support International
- Participate in this free Postpartum Depression Research Study to help determine the genetic link.
- Join postpartum depression support groups on Facebook or an online forum
- Tell your postpartum depression story
- Start your own mental health blog
- Sign up for the Postpartum Depression Survival Guide
The more you know about, and are involved with the postpartum depression community, the better you will be at defeating at.
The truth is, if you’ve suffered from postpartum depression before, the chances of suffering from it again are high. While you may not be able to avoid postpartum depression the second time around, being prepared and educated will help you handle the symptoms and know when and where to turn for help.