Hekate’s Journal

Explore our library of articles on women’s health, menstruation, nutrition, fertility and pregnancy.

We want you to feel informed.

Find trusted resources, products and information for reproductive and hormone health.

Endometriosis and
Adenomyosis

  • Endometriosis is characterised by the presence of endometrial-like tissue outside the uterine cavity, causing mainly cyclical symptoms and, often, reduced fertility.

    A clinical diagnosis can be made based on the patient’s symptoms and evaluation of risk factors, although laparoscopy is required for definitive diagnosis.

    Reference: Best Practice Journal, 2021

  • Adenomyosis occurs when endometrial-like tissue is present within the muscle layer of the uterus (as opposed to endometriosis which occurs outside the uterine cavity).

    Adenomyosis is a heterogeneous disease that may present in the myometrium as diffuse, focal or, rarely, cystic. It is usually found in women in an older age group and often after childbirth. Adenomyosis can be symptomatically identical to endometriosis, but is often diagnosed by transvaginal ultrasound or MRI.

    Adenomyosis also commonly co-exists with endometriosis. Endometriosis-like symptoms that continue after a normal laparoscopy may be indicative of undiagnosed adenomyosis.

    Reference: Best Practice Journal, 2021

 

Support

  • Endometriosis is a condition that affects up to 1 in 10 women and girls. The most common symptom of endometriosis is pelvic pain, which can be severe. Other symptoms include bowel problems, painful intercourse, sub-fertility or infertility, and abnormal menstrual bleeding.

    Delayed diagnosis is a significant problem for those with endometriosis and leads to delays in appropriate management.

    This publication aims to improve the diagnosis and management of endometriosis in New Zealand in primary and secondary health care through:

    • early recognition of symptoms suspicious of endometriosis

    • empowering primary health care practitioners to make a suspected diagnosis and commence management

    • an appropriately trained, multidisciplinary workforce in secondary and tertiary care

    • improved equity of access and health outcomes for patients.

    While not a formal clinical guideline, it provides a consensus view of best-practice principles.

    It was developed by a taskforce of representatives from the Ministry of Health, the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG), the Royal New Zealand College of General Practitioners (RNZCGP), the Faculty of Pain Medicine of the Australian and New Zealand College of Anaesthetists (FPMANZCA), Endometriosis New Zealand and those who live with endometriosis.

    www.health.govt.nz

  • Endometriosis New Zealand represents the tens of thousands of people with endometriosis and persistent pelvic pain in New Zealand, their whānau and they work with those who treat the condition.

    nzendo.org.nz

  • Insight Endometriosis is a charity that supports people in New Zealand to make their own decisions about the treatment and management of their endometriosis. They offer free education appointments and organise meet-ups for people to be supported and feel connected through their endometriosis journey. Free evidence-based information is available on our website and through our downloadable information sheets and factsheets. 

    insightendometriosis.org.nz

  • Endometriosis.org is the global platform which links all stake holders in endometriosis - one of the most common causes of pelvic pain and infertility in women. They provide evidence based information and news about endometriosis.

    endometriosis.org

  • WES advances evidence-based standards and innovations for education, advocacy, clinical care, and research in endometriosis and adenomyosis, in collaboration with its stakeholders and global partners to improve the lives of those affected and their families.

    endometriosis.ca

  • bpacnz advocates for best practice in healthcare treatments and investigations across a wide range of health service delivery areas, and we are recognised nationally and internationally for our expertise and innovation.

    bpac.org.nz

  • Established in 1988, QENDO advocates for those affected by endometriosis and other pelvic health related conditions. Their work assists in advising and advocating for improved services and quality of life for our members. They support anyone affected by endometriosis, adenomyosis, PCOS, infertility or pelvic pain, by offering them the tools, services and programs to understand and take control of their health.

    qendo.org.au

  • Charting a better path to better Endometriosis care. Supporting you to understand the disease, advocate for your health, and get the best possible treatment. Find information about specific topics by searching their online library of endometriosis education resources.

    nancysnookendo.com

  • EndoActive’s mission is Awareness, Information and Advocacy for women and girls living with Endometriosis (Endo). They aim to promote early intervention and more informed treatment of Endo, a disease affecting 1 in 10 women. They’re an independent, Not For Profit Health Promotion Charity, founded in September 2014 by mother and daughter Lesley & Syl Freedman.

    endoactive.org.au

Fertility

 
  • Fertility NZ a Charity providing information, support and advocacy for people facing fertility challenges. The charity was founded in 1990 and is a national organisation with regional branches around New Zealand and is a registered charity. Much of FertilityNZ’s work is done by dedicated volunteers.

    What does FertilityNZ do?

    FertilityNZ provides support and information for people affected by fertility problems through:

    • Our website www.fertilitynz.org.nz

    • Regional support groups

    • Our email contact and 0800 number providing ready access for all those seeking information and support

    • Publishing Dandelion magazine packed with helpful information – sent out to members

    • Providing informative Fact Sheet brochures available for members and through fertility clinics

    • Email updates

    • Holding seminars and workshops

    • Hosting a regular conference

    How much does it cost to join FertilityNZ?

    Membership is currently free. General information is also provided free of charge. Membership forms can be found on our website home page. By joining FertilityNZ you support the valuable work FertilityNZ does for all New Zealanders experiencing fertility problems.

    fertilitynz.org.nz

  • Founded in 1987 by Dr Freddie Graham and Dr Richard Fisher, the doctors who introduced IVF to New Zealand, Fertility Associates is New Zealand's leading provider of fertility diagnosis, support and treatment.

    fertilityassociates.co.nz

  • Repromed is one of New Zealand’s leading fertility clinics providing highly personalised care for all.

    repromed.co.nz

Menstruation

 

Support

  • While periods are talked about more than ever, there hasn’t been a transformative change in the way society accepts menstruation or supports and empowers people who get periods.

    The Period Place is here to change that.

    At The Period Place, they encourage stigma-crushing conversations, facilitate safe and inclusive period education and distribute thousands of disposable and reusable period products around Aotearoa (New Zealand) to those who need them.

    www.theperiodplace.co.nz

  • Periods aren't just an annoyance for New Zealand menstruaters, it's also affecting their education. Students have been missing school and make-shifting items out of telephone books, toilet paper and rags because the cost of period products is just too high. Even when families do prioritise these items the outcome can still detrimental. When you're living on $10 a day, a $6 packet of pads can reduce the ability to purchase healthy and fresh food that is conducive to concentration and learning.

    Dignity provides free period products through our two impact initiatives. ‘Buy-one, Give-one’ partnerships for business and Gifting initiatives for the benefit of kiwi workplaces, youth and community groups.

    They want to share, advocate and lobby agencies to become:

    • Aware of period poverty and the impact upon people

    • Pledge to fund period products in all schools to all without access providing them dignity and support for their education.

    www.dignitynz.com

 

Period Products

  • Nature is no place for chemicals or single-use disposables and neither is your nether region.

    A menstrual cup is a great choice for you, and a great choice for the planet. But to make it ever better, we really thought inside the box, like, got riiiight up in there, to ensure we created something that would no longer leave our fannies feeling fatigued.

    Designed & engineered by vagina owners, for vagina owners.

    www.coralcone.com

  • Indigenous owned by founders Michele and Kylie.

    For many of us, how we talk about our own period and what we learned when that day came, is so very different to how it was spoken about by our Tipuna (ancestors). As mothers to daughters, we wanted to advocate for, break down the barriers, and unpack the stigma around periods that we have all faced. To create a more empowering, more sustainable, and a more beautiful future.

    AWWA is derived from the Māori word 'awa' meaning river or flow. Māori referred to their period as te awa atua - the divine river, and this is the foundation our our brand. AWWA offers a world where every person can feel divine and empowered during their period.

    awwaperiodcare.com