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	<title>Comments for Clear Passage Blog</title>
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	<link>http://www.clearpassage.com/blog</link>
	<description>Blog on Adhesions, Infertility, Sexual Dysfunction, and Pain</description>
	<lastBuildDate>Tue, 01 Sep 2009 14:50:32 -0500</lastBuildDate>
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		<title>Comment on Ask the Experts by Larry Wurn</title>
		<link>http://www.clearpassage.com/blog/archives/802/comment-page-1#comment-264</link>
		<dc:creator>Larry Wurn</dc:creator>
		<pubDate>Tue, 01 Sep 2009 14:50:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.clearpassage.com/blog/?p=802#comment-264</guid>
		<description>Dear Lisa,

I am so sorry to hear about the PID, subsequent adhesions, and laparoscopy. Based on the information you provided, you seem to be a very appropriate candidate for this therapy. According to our published results (Medscape General Medicine, 2004) the chances for a natural pregnancy in women averaging 5 years&#039; infertility was 71%. The great majority of these women went on to have full-term births. The women in this study included challenging cases, such as women with tubal adhesions due to PID, and those with totally blocked fallopian tubes.
 
The fact that your tubes are presently open, and that the duration of your infertility is &#039;only&#039; two years should give you an advantage over many of these patients. To get a more definitive answer as to whether or not we might be able to help you, it would be helpful for us to review the specifics of your medical and surgical history, including traumas (e.g. falls onto your bottom,) accidents, other surgeries, etc. For that reason, I suggest you download and complete a medical history questionnaire at http://clearpassage.com/forms/questionnaire.php Once out Director reviews it, she will be glad to speak with you personally about whether or not she feels you may benefit from this therapy. There is no charge for this service.
 
I hope this helps.
 
Best wishes,
Larry Wurn
Director of Clinical Studies
Clear Passage Therapies, Inc.</description>
		<content:encoded><![CDATA[<p>Dear Lisa,</p>
<p>I am so sorry to hear about the PID, subsequent adhesions, and laparoscopy. Based on the information you provided, you seem to be a very appropriate candidate for this therapy. According to our published results (Medscape General Medicine, 2004) the chances for a natural pregnancy in women averaging 5 years&#8217; infertility was 71%. The great majority of these women went on to have full-term births. The women in this study included challenging cases, such as women with tubal adhesions due to PID, and those with totally blocked fallopian tubes.</p>
<p>The fact that your tubes are presently open, and that the duration of your infertility is &#8216;only&#8217; two years should give you an advantage over many of these patients. To get a more definitive answer as to whether or not we might be able to help you, it would be helpful for us to review the specifics of your medical and surgical history, including traumas (e.g. falls onto your bottom,) accidents, other surgeries, etc. For that reason, I suggest you download and complete a medical history questionnaire at <a href="http://clearpassage.com/forms/questionnaire.php" rel="nofollow">http://clearpassage.com/forms/questionnaire.php</a> Once out Director reviews it, she will be glad to speak with you personally about whether or not she feels you may benefit from this therapy. There is no charge for this service.</p>
<p>I hope this helps.</p>
<p>Best wishes,<br />
Larry Wurn<br />
Director of Clinical Studies<br />
Clear Passage Therapies, Inc.</p>
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	<item>
		<title>Comment on Ask the Experts by Larry Wurn</title>
		<link>http://www.clearpassage.com/blog/archives/802/comment-page-1#comment-263</link>
		<dc:creator>Larry Wurn</dc:creator>
		<pubDate>Mon, 31 Aug 2009 16:30:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.clearpassage.com/blog/?p=802#comment-263</guid>
		<description>Dear Kay

We have had limited success treating Peyronie&#039;s Disease. I place our success rates at about 50%.

This condition is not treated in all of our clinics. If you have the gentleman complete a questionnaire, we will follow-up appropriately with him. If we feel we can help him, we will say so. If we don&#039;t, or if we feel we will have only limited success, we will tell him that, as well.

In some cases, the female partner of a man with Peyronie&#039;s will present with internal vaginal scarring from intercourse with her partner. We can usually help that condition significantly. However, if the male is not treated and corrected, that scarred vaginal condition will likely return.

Best wishes,
Larry Wurn
Director of Clinical Services
Clear Passage Therapies</description>
		<content:encoded><![CDATA[<p>Dear Kay</p>
<p>We have had limited success treating Peyronie&#8217;s Disease. I place our success rates at about 50%.</p>
<p>This condition is not treated in all of our clinics. If you have the gentleman complete a questionnaire, we will follow-up appropriately with him. If we feel we can help him, we will say so. If we don&#8217;t, or if we feel we will have only limited success, we will tell him that, as well.</p>
<p>In some cases, the female partner of a man with Peyronie&#8217;s will present with internal vaginal scarring from intercourse with her partner. We can usually help that condition significantly. However, if the male is not treated and corrected, that scarred vaginal condition will likely return.</p>
<p>Best wishes,<br />
Larry Wurn<br />
Director of Clinical Services<br />
Clear Passage Therapies</p>
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		<title>Comment on Ask the Experts by Lisa</title>
		<link>http://www.clearpassage.com/blog/archives/802/comment-page-1#comment-261</link>
		<dc:creator>Lisa</dc:creator>
		<pubDate>Sun, 30 Aug 2009 07:18:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.clearpassage.com/blog/?p=802#comment-261</guid>
		<description>I&#039;m 37 and my infertility was undiagnosed for 2 /2 years.  New RE found that I have moderately damaged tubes and minimally damaged ovaries b/c of PID (10-15 years ago).  Just had laparoscopy to remove adhesions and am looking for a method to heal from the surgery w/o gaining new adhesions b/c of the surgery.  (Castor Oil pack in the meantime?)

My questions are can your massage therapy help with that issue and can this massage therapy help me get pregnant.  (I was told that my chances of a viable pregnancy are @20-25%.)</description>
		<content:encoded><![CDATA[<p>I&#8217;m 37 and my infertility was undiagnosed for 2 /2 years.  New RE found that I have moderately damaged tubes and minimally damaged ovaries b/c of PID (10-15 years ago).  Just had laparoscopy to remove adhesions and am looking for a method to heal from the surgery w/o gaining new adhesions b/c of the surgery.  (Castor Oil pack in the meantime?)</p>
<p>My questions are can your massage therapy help with that issue and can this massage therapy help me get pregnant.  (I was told that my chances of a viable pregnancy are @20-25%.)</p>
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		<title>Comment on Ask the Experts by Larry Wurn</title>
		<link>http://www.clearpassage.com/blog/archives/802/comment-page-1#comment-260</link>
		<dc:creator>Larry Wurn</dc:creator>
		<pubDate>Wed, 26 Aug 2009 22:08:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.clearpassage.com/blog/?p=802#comment-260</guid>
		<description>Dear MK,

Judging from your response to the birth control pills, it does appear to us that you had endometriosis. In our experience, this condition is generally accompanied or followed by adhesions. The adhesions act like tiny nylon ropes, attaching the endometrial tissue to underlying, pain-sensitive structures. Then when the endometrial tissue swells each menstrual cycle, it appears to us that the pull on those adhesive strands is what causes the pain.
 
Unfortunately, the body does not have a way to dissolve adhesions. Surgery can cut or burn them, but the trauma of surgery creates more adhesions, more often than not. Thus, many women with endometriosis pain and surgery enter a cycle of pain-surgery-pain-surgery.
 
You have chosen not to enter that cycle which, to our way of thinking, is a good thing. However, the adhesions and their cross-links (the individual strands that comprise adhesions) remain in your body after the endometriosis - or any inflammation - has passed. These tiny but powerful strands do not show up on x-rays, CT scans, or other diagnostic tests. Nevertheless, they can glue down the delicate tissues of the reproductive tract, decreasing mobility and function, causing infertility and/or pain.
 
In short, the answer to your question of &quot;is it likely that adhesions (old scar tissue, in your case) are affecting my fertility?&quot; is &quot;yes.&quot;
 
I hope this long-winded reply was OK; I just wanted you to have a full explanation.
 
Best wishes,
Larry Wurn
Director of Clinical Studies
Clear Passage Therapies</description>
		<content:encoded><![CDATA[<p>Dear MK,</p>
<p>Judging from your response to the birth control pills, it does appear to us that you had endometriosis. In our experience, this condition is generally accompanied or followed by adhesions. The adhesions act like tiny nylon ropes, attaching the endometrial tissue to underlying, pain-sensitive structures. Then when the endometrial tissue swells each menstrual cycle, it appears to us that the pull on those adhesive strands is what causes the pain.</p>
<p>Unfortunately, the body does not have a way to dissolve adhesions. Surgery can cut or burn them, but the trauma of surgery creates more adhesions, more often than not. Thus, many women with endometriosis pain and surgery enter a cycle of pain-surgery-pain-surgery.</p>
<p>You have chosen not to enter that cycle which, to our way of thinking, is a good thing. However, the adhesions and their cross-links (the individual strands that comprise adhesions) remain in your body after the endometriosis &#8211; or any inflammation &#8211; has passed. These tiny but powerful strands do not show up on x-rays, CT scans, or other diagnostic tests. Nevertheless, they can glue down the delicate tissues of the reproductive tract, decreasing mobility and function, causing infertility and/or pain.</p>
<p>In short, the answer to your question of &#8220;is it likely that adhesions (old scar tissue, in your case) are affecting my fertility?&#8221; is &#8220;yes.&#8221;</p>
<p>I hope this long-winded reply was OK; I just wanted you to have a full explanation.</p>
<p>Best wishes,<br />
Larry Wurn<br />
Director of Clinical Studies<br />
Clear Passage Therapies</p>
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	<item>
		<title>Comment on Ask the Experts by Larry Wurn</title>
		<link>http://www.clearpassage.com/blog/archives/802/comment-page-1#comment-259</link>
		<dc:creator>Larry Wurn</dc:creator>
		<pubDate>Wed, 26 Aug 2009 21:39:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.clearpassage.com/blog/?p=802#comment-259</guid>
		<description>Hello SK,
 
Thank you for your kind words about this resource.
 
Blockage from PID is generally caused by scarring that forms in response to the infection and subsequent inflammation. According to medical journal studies, there are two ways to clear that blockage.
 
Minimally invasive surgery has been shown to clear a proximal blockage (near the uterus, where most PID related blockages occur.) Unfortunately, the re-occurrence of blockage in these cases was measured at 81%, six months after surgery. Blockage at the mid-tube or distal areas (closer to the ovaries) are more problematic for surgeons, requiring laparoscopy or open surgery (laparotomy).
 
The manual physical therapy we developed has been shown in a study published in January, 2008 to open tubes in 61% of women with total tubal blockage. Most of these women went on to have natural full-term pregnancies. There was no measurement of re-occlusion, but we assume that does not occur since several of our successes went on to have two or more full-term natural pregnancies after the first.
 
Since the occlusion one of your tubes was due to PID (an infection/inflammation that occurs at the top of your uterus) it is reasonable to expect that some scarring occurred in that area, likely affecting the other tube, as well. Therapy to address adhesions would address that area; the surgeon may or may not be able to do so.
 
There is not much we can do for your husband&#039;s sperm quality. We would defer to your husband&#039;s physician for that information.
 
I hope this helps.
 
Best wishes,
Larry Wurn
Director of Clinical Studies</description>
		<content:encoded><![CDATA[<p>Hello SK,</p>
<p>Thank you for your kind words about this resource.</p>
<p>Blockage from PID is generally caused by scarring that forms in response to the infection and subsequent inflammation. According to medical journal studies, there are two ways to clear that blockage.</p>
<p>Minimally invasive surgery has been shown to clear a proximal blockage (near the uterus, where most PID related blockages occur.) Unfortunately, the re-occurrence of blockage in these cases was measured at 81%, six months after surgery. Blockage at the mid-tube or distal areas (closer to the ovaries) are more problematic for surgeons, requiring laparoscopy or open surgery (laparotomy).</p>
<p>The manual physical therapy we developed has been shown in a study published in January, 2008 to open tubes in 61% of women with total tubal blockage. Most of these women went on to have natural full-term pregnancies. There was no measurement of re-occlusion, but we assume that does not occur since several of our successes went on to have two or more full-term natural pregnancies after the first.</p>
<p>Since the occlusion one of your tubes was due to PID (an infection/inflammation that occurs at the top of your uterus) it is reasonable to expect that some scarring occurred in that area, likely affecting the other tube, as well. Therapy to address adhesions would address that area; the surgeon may or may not be able to do so.</p>
<p>There is not much we can do for your husband&#8217;s sperm quality. We would defer to your husband&#8217;s physician for that information.</p>
<p>I hope this helps.</p>
<p>Best wishes,<br />
Larry Wurn<br />
Director of Clinical Studies</p>
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		<title>Comment on Ask the Experts by MK</title>
		<link>http://www.clearpassage.com/blog/archives/802/comment-page-1#comment-258</link>
		<dc:creator>MK</dc:creator>
		<pubDate>Sun, 23 Aug 2009 22:38:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.clearpassage.com/blog/?p=802#comment-258</guid>
		<description>Hi Dr. Wurn

Before I went on birth control as an adult, I had really bad cramping and pelvic pain during my periods as a kid.  Once off the birth control, my pain isn&#039;t so bad anymore, but I&#039;m worried that I had endometriosis back then and possibly scar tissue now.  I was finally able to get pregnant using Clomid 1.5 years after we started trying for a baby (which ended in miscarriage) but now, even with Clomid, diet, and exercise, we aren&#039;t having any luck conceiving.  Hubby&#039;s sperm is fine.  So again, I&#039;m worried that what&#039;s stopping us could be old scar tissue.  Does this sound likely?  
I am SO happy I found out about your technique!  The thought of surgery always makes me want to vomit. :)

Thanks!</description>
		<content:encoded><![CDATA[<p>Hi Dr. Wurn</p>
<p>Before I went on birth control as an adult, I had really bad cramping and pelvic pain during my periods as a kid.  Once off the birth control, my pain isn&#8217;t so bad anymore, but I&#8217;m worried that I had endometriosis back then and possibly scar tissue now.  I was finally able to get pregnant using Clomid 1.5 years after we started trying for a baby (which ended in miscarriage) but now, even with Clomid, diet, and exercise, we aren&#8217;t having any luck conceiving.  Hubby&#8217;s sperm is fine.  So again, I&#8217;m worried that what&#8217;s stopping us could be old scar tissue.  Does this sound likely?<br />
I am SO happy I found out about your technique!  The thought of surgery always makes me want to vomit. <img src='http://www.clearpassage.com/blog/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
<p>Thanks!</p>
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		<title>Comment on Ask the Experts by Kay</title>
		<link>http://www.clearpassage.com/blog/archives/802/comment-page-1#comment-256</link>
		<dc:creator>Kay</dc:creator>
		<pubDate>Sat, 22 Aug 2009 05:34:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.clearpassage.com/blog/?p=802#comment-256</guid>
		<description>Has the Wurn Technique ever been used on a male - suffering with Peyronie&#039;s - in order to break up penile scar tissue?  If so, what information can you provide?
Thanks,
Kay</description>
		<content:encoded><![CDATA[<p>Has the Wurn Technique ever been used on a male &#8211; suffering with Peyronie&#8217;s &#8211; in order to break up penile scar tissue?  If so, what information can you provide?<br />
Thanks,<br />
Kay</p>
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		<title>Comment on Ask the Experts by sk</title>
		<link>http://www.clearpassage.com/blog/archives/802/comment-page-1#comment-255</link>
		<dc:creator>sk</dc:creator>
		<pubDate>Fri, 21 Aug 2009 19:26:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.clearpassage.com/blog/?p=802#comment-255</guid>
		<description>hi - thank you for creating a wonderful resource.  

my husband (36) and i (34)  are interested in conceiving.  we&#039;ve never used protection and were surprised that we never got pregnant. after 2 -3 years, we went to a nurse practitioner to figure out what was wrong.  an ultrasound and other tests revealed my ovaries are good but i have 1 blocked tube. i think it is due to scarring from untreated pid but i am not sure.  he also had his sperm checked and it revealed low sperm count and lack of quality, however a urologist said that that shouldnt be a problem - probably my blocked tube.  

fyi - my cycle is regular; 7 days long and takes place every 30-31 days.  

the nurse said that she could get me pregnant with ivf and a sperm donor.  1) i really want to know if i can conceive naturally and 2) my preference is with his sperm.  would clear passage be an option?  what are your thoughts?  

any insight/direction would be helpful.</description>
		<content:encoded><![CDATA[<p>hi &#8211; thank you for creating a wonderful resource.  </p>
<p>my husband (36) and i (34)  are interested in conceiving.  we&#8217;ve never used protection and were surprised that we never got pregnant. after 2 -3 years, we went to a nurse practitioner to figure out what was wrong.  an ultrasound and other tests revealed my ovaries are good but i have 1 blocked tube. i think it is due to scarring from untreated pid but i am not sure.  he also had his sperm checked and it revealed low sperm count and lack of quality, however a urologist said that that shouldnt be a problem &#8211; probably my blocked tube.  </p>
<p>fyi &#8211; my cycle is regular; 7 days long and takes place every 30-31 days.  </p>
<p>the nurse said that she could get me pregnant with ivf and a sperm donor.  1) i really want to know if i can conceive naturally and 2) my preference is with his sperm.  would clear passage be an option?  what are your thoughts?  </p>
<p>any insight/direction would be helpful.</p>
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		<title>Comment on Are Adhesions to Blame for Your Bowel Obstruction? by Joe</title>
		<link>http://www.clearpassage.com/blog/archives/691/comment-page-1#comment-254</link>
		<dc:creator>Joe</dc:creator>
		<pubDate>Wed, 19 Aug 2009 04:14:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.clearpassage.com/blog/?p=691#comment-254</guid>
		<description>Seems worth while to me</description>
		<content:encoded><![CDATA[<p>Seems worth while to me</p>
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		<title>Comment on Ask the Experts by Selina</title>
		<link>http://www.clearpassage.com/blog/archives/802/comment-page-1#comment-253</link>
		<dc:creator>Selina</dc:creator>
		<pubDate>Tue, 18 Aug 2009 12:53:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.clearpassage.com/blog/?p=802#comment-253</guid>
		<description>hello again thanks for the information its sounds promising!it turns out they are not recommending the surgery here as you have said it can do more damage they said the same.is there any way i could get a quotation for the price of the treatment?i would be greatful if you could send on a rough estimate.its an excuse anyway for a holiday to the states as i have never been.
thank you again.
Selina</description>
		<content:encoded><![CDATA[<p>hello again thanks for the information its sounds promising!it turns out they are not recommending the surgery here as you have said it can do more damage they said the same.is there any way i could get a quotation for the price of the treatment?i would be greatful if you could send on a rough estimate.its an excuse anyway for a holiday to the states as i have never been.<br />
thank you again.<br />
Selina</p>
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