The Complexity, Interplay and Sophistication of the Drivers of Endometriosis and Adenomyosis

Leah Hechtman, MSciMed, BHSc, ND, FNHAA
Lecture Type: 
Breakout Session
Lecture Day: 
Day 2
Labatt Hall


Endometriosis is a complicated chronic inflammatory condition. When patients are successful at conceiving, some are able to improve their endometriosis whilst others find it worsens and can develop into adenomyosis.  Both conditions require a few key etiological considerations for treatment that reflect the sophistication and complexity of the conditions. Endometriosis and adenomyosis are both multifactorial and comprehensive by nature and are often simplified by clinicians which produce poor outcomes and reduced treatment success.

The interplay between many aspects including the immune system, infective triggers, peritoneal fluid and the endocannabinoid system can have profound impact to the microbiome, methylation, epigenetics, inflammatory processes and endocrinological variables important in the progression and escalation of these conditions.


Learning objectives

•                Participants will understand the role of the immune system and infective drivers in both the development and prevention of adenomyosis and endometriosis

•                Participants will understand the interrelationship of the immune system and infective drivers and their roles in inter-generational health outcomes

•                Participants will understand the inflammatory nature of the conditions and the subsequent impact to the peritoneal fluid, epigenetic drivers and methylation corruption

•                Participants will acquire strategic and sophisticated treatment strategies to effectively manage their patients’ health and prevent recurrence or progression of these diseases

Leah Hechtman, MSciMed, BHSc, ND, FNHAA

Leah is an experienced and respected clinician and has been in private practice for over 20 years. She specialises in fertility, pregnancy and reproductive medicine and holds fellowships and memberships with many International organisations.

She has completed extensive advanced training and is currently completing her PhD through the School of Women’s and Children’s Health (Faculty of Medicine [UNSW]). Her research is exploring ovarian biomarkers in women with Polycystic Ovarian Syndrome (PCOS) and Premature Ovarian Failure (POF).

Leah is the Director of The Natural Health and Fertility Centre, in Sydney Australia. Over the years she has helped thousands of couples conceive healthy, vibrant children often in situations where they were told there was no hope left.

She is a keynote speaker at conferences locally and internationally to both the functional and complementary medicine communities as well as the wider fertility and gynaecological areas of medicine. She is the author of multiple seminal naturopathic textbooks and is a contributor to journals and other texts within the Naturopathic and Functional Medicine areas as well as general gynaecology, fertility and infertility.

Most importantly, she is a mother to two gorgeous boys who keep her grounded, humbled and consciously aware.

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Symposium Location

Simon Fraser University at Harbour Centre
515 West Hastings Street
Vancouver, BC