As clarity begins to take hold in my mind, I feel compelled to share my story with you.
Eight years ago, I was diagnosed with uterine fibroids (myomas). Despite consulting numerous doctors, I received no definitive diagnosis and was often told that my pain was normal and would disappear after childbirth. This dismissive attitude, which often felt misogynistic even from female gynecologists, left me skeptical and distrustful.
Eventually, I found a competent doctor who identified small, fibroid-like shapes in my uterine wall. Under their care, I underwent regular six-month check-ups to monitor the fibroids’ size, with the plan to remove them via laparoscopic surgery if necessary.
I managed moderately well, despite significant pain during each period, until February 2017, when my gynecologist suggested scheduling surgery within six months. By June, the pain intensified. While in Amsterdam for an internship, I consulted a private gynecologist who suggested an experimental pill to shrink the fibroids and avoid surgery that could impair natural childbirth. Despite my disinterest in having children, the doctor’s assumption that natural childbirth was my priority was frustrating. Crucially, the doctor failed to mention the experimental nature of the pill and its potential adverse effects.
Returning home for a check-up in September, I faced a nightmare. I had been misdiagnosed and received an incorrect prognosis. The correct diagnosis was advanced endometriosis cancer, which nearly cost me my life and led to a total hysterectomy. Although the operation was successful, complications arose, including an internal blood clot and post-operative pneumonia. It was an incredibly difficult experience, but I survived.
Years passed, and I moved to Berlin, where I developed gut issues. Over the past two years, and especially since last summer, I experienced fatigue, dizziness, and tinnitus. My general practitioner referred me to an otolaryngologist who dismissed my symptoms as those of an anxious elderly woman and suggested rest and therapy.
Following this advice and consulting other doctors yielded no results. I then sought a comprehensive check-up with an endocrinologist, enduring a three-month wait while my symptoms, including severe gastrointestinal issues and insomnia, worsened. The tests revealed I had Hashimoto’s thyroiditis, a vitamin B12 deficiency, and low diamine oxidase levels, indicating histamine intolerance. Despite this diagnosis, my GP was unaware of such conditions.
I tried a low-histamine diet and Daosin pills, which initially improved my symptoms, lifting the mental fog and giving me clarity. However, the symptoms returned despite the diet. A gastroenterologist suggested visiting histamine intolerance clinics in Berlin, where further tests revealed I was also lactose intolerant—information that did not help as I was already on a lactose-free diet.
Frustrated by the lack of effective medical support, I decided to take matters into my own hands. Despite the challenges posed by my symptoms, I researched extensively and discovered a possible link between histamine intolerance and the MTHFR gene mutation.
The MTHFR gene, inherited from each parent, provides instructions for making a protein that helps the body use folate (a B vitamin) to break down homocysteine. High homocysteine levels, due to faulty MTHFR proteins, may correlate with high histamine levels, leading to histamine intolerance.
I scheduled a test for the MTHFR gene mutation with my GP and started taking methyl folate supplements in the interim, thinking it couldn’t hurt. I was wrong. During a gynecological check-up, it was discovered I had a large endometriosis cyst—a recurrence of what I had seven years ago. My gynecologist urged me to have it removed as soon as possible. Being alone, I needed time to gather information and plan for post-operative care.
Despite my history, my gynecologist had advised against frequent check-ups, leading to the shocking discovery of a significant endometriosis cyst in my left ovary after two years. This led me to further investigate the relationship between the MTHFR gene mutation and endometriosis.
My symptoms—vitamin B12 deficiency, low diamine oxidase, Hashimoto’s thyroiditis, headaches, dizziness, tinnitus, and insomnia—could be linked to inflammation and oxidative stress. Excess estrogen, a driver of endometriosis, can impede detoxification, stimulate mast cells to release histamine, and downregulate the DAO enzyme, creating a vicious cycle of increased estrogen and histamine.
It remains unclear whether endometriosis or high histamine levels were the initial cause. Further tests are needed to determine if histamine intolerance persists after addressing endometriosis. It is possible that endometriosis caused histamine intolerance or that the MTHFR mutation played a role.
Two weeks after the diagnosis, I began experiencing pain reminiscent of years ago. My gynecologist urged me to get operated on as soon as possible, fearing the cyst could grow larger and spread. I went to the hospital she recommended for an urgent appointment. At the Charité University endometriosis clinic in Berlin, I was turned away twice and told to send an email to make an appointment. Despite explaining my emergency, they were unresponsive, eventually informing me of an eight-month waiting time. Frustrated and desperate, I returned to my doctor, who sent me to another hospital, Vivantes in Neukölln. There, I finally secured an appointment within a week.
The last week before the surgery was agonizing and emotional, especially being alone. I tried various painkillers, but none worked. When I asked for painkillers specifically for women, pharmacists looked at me as if I were crazy. Eventually, I was given naproxen, which offered minimal relief.
Reading about endometriosis cysts, I realized that even without menstruation, my ovaries’ hormone cycles caused internal bleeding from the endometriosis cells. This realization was distressing.
I contacted my friends, informing them of my situation. My best friend came from Cracow to stay with me since our attempts to get my sister a visa to Germany were unsuccessful.
On the day of the operation, I felt a mix of fear and relief, knowing I would soon be free from pain, dead or alive. Post-operation, the pain was unbearable, and I spent five hours in the recovery room as no painkillers eased my suffering. Eventually, I was moved to the ward with the pain still present.
Despite the pain, a glimpse of a bright star through the window brought me a moment of joy and hope. I reminded myself to hang on for one more day, believing the pain would lessen.
The next day, the surgeon informed me that the operation was more complicated than expected due to adhesions from my previous surgery. They had to cut through a lot to reach the ovaries and remove the cyst, which also involved stitching my bladder. The procedure took over three hours instead of the usual one to two.
Reflecting on the experience, I was surprised by the limitations of current imaging techniques and the lack of effective pain medication. I realized that despite technological advancements, there are still significant gaps in women’s healthcare.
In the end, I survived. This experience has taught me resilience and the importance of advocating for oneself in the face of inadequate medical care. I hope my story can bring awareness to these issues and inspire others to seek the care they deserve.