The Vulvalution

#8 Understanding Endometriosis


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Endometriosis affects 1 in 10 people with a uterus—yet it can take years to be diagnosed. Why?

In this episode of The Vulvalution, we’re joined by Dr. Paul Yong, a leading expert in pelvic pain and endometriosis, to break down what endometriosis actually is, why diagnosis is often delayed, and what treatment options look like today. We cover symptoms, sexual pain, fertility, the overlap with IBS, and bust common myths.

🎧 If you’ve ever wondered whether your pain is “normal,” this episode is for you

📚 Episode resources:
    •    Period Pain Questionnaire: https://periodpain.ca
    •    Pelvic Pain & Endometriosis: https://pelvicpainendo.ca
    •    Society of Obstetricians and Gynaecologists of Canada: https://yourperiod.ca
    •    Canadian Society for the Advancement of Gynecologic Excellence (CanSAGE): https://cansage.org
    •    The Endometriosis Network Canada: https://endometriosisnetwork.com
    •    World Endometriosis Society (WES): https://endosociety.org
Follow Paul Young’s Lab
    •    Website: https://pelvicpainendo.ca
    •    Instagram: @pelvicpainendo
Endometriosis Film Festival - Join the Endometriosis Film Festival on Saturday, October 10, 2026, at 2:00 PM PST at UBC Robson Square, Vancouver, BC. Tickets: $20
    •  Register: https://site.pheedloop.com/event/endometriosisfilmfestival/register#category
    •    Learn more: https://pelvicpainendo.ca/endometriosis-film-festival-2026/

Timestamps:
00:00 Intro 
02:48 Paul Introduction
03:38 What Is Endometriosis? 
05:02 Causes 
06:46 Risk Factors 
07:39 How Common Is It?
07:57 Symptoms
10:51 How Is It Diagnosed?
14:56 Pelvic Pain Explained
16:25 Treatment Options
23:00 Why Lesions Cause Pain
26:01 How to Manage  Pain
27:37 Sexual Pain
30:00 Managing Painful Sex (Dyspareunia)
32:00 Fertility 
34:55 Pregnancy Outcomes 
37:00 Infant Outcomes
37:40 IBS, Painful Bladder Syndrome & Endo
40:12 True or False: Endo Myths 
42:16 Your Questions
44:58 Resources & Support
46:56 Conclusion

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The VulvalutionBy Sabrina Lloyd-Ellis & Mathilde Wilhelmy