How do you support someone you love through the chaos of addiction without losing yourself in the process? Why have women been expected to give birth lying flat on their backs for centuries, and is there a better way? And, is a hysterectomy a “magic fix” for endometriosis? 

In this episode, we speak to Addiction Psychiatrist Dr Xavier Mulenga, to navigate the heartbreaking reality of supporting a loved one with an addiction. We discuss the thin line between helping and enabling, how to handle the inevitable cycle of relapse, and why setting firm boundaries isn’t the same as abandonment. 

Plus, in Med School, Claire and Dr Mariam look at the history of birthing positions; they discuss “vertical birthing rooms” and explore why gravity might be your best friend in the delivery room. 

And, in our Quick Consult, Dr Mariam answers Kara’s question about whether a hysterectomy is a potential avenue to end her debilitating 26-day periods. We break down the pros and cons of this major surgery, the reality of “surgical menopause” and explain why removing the uterus isn’t always a guaranteed cure for endometriosis. 

EPISODE RESOURCES

If this episode has raised concerns for you, or if you are considering your own substance use, the following resources are available for confidential support:

• Counselling Online: The recommended first port of call for those questioning their drug use or looking for help. It features a Self-Assessment Quiz, a national directory and 24/7 access to online chat or telephone-based support. 

• Family Drug Support (FDS): Provides a 24/7 support line for families affected by drug and alcohol use. Call 1300 368 186

• National Alcohol and Other Drug (AOD) Hotline: For free and confidential advice, call 1800 250 015.

• SMART Recovery Australia: A network of evidence-based support meetings for people seeking recovery. 

• Al-Anon Family Groups: Support and resources specifically for the friends and families of alcoholics.
• Quit: Whether you're quitting smoking or vaping, Quit offers tailored support and expert tips.  

• And if this episode triggered anything for you and you need someone to talk to, please call Lifeline on 13 11 14. 

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CREDITS

Hosts: Claire Murphy and Dr Mariam

Guest: Dr Xavier Mulenga 

Senior Producers: Claire Murphy and Sally Best

Audio Producer: Scott Stronach

Video Producer: Julian Rosario

Social Producer: Elly Moore

Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on, the Gadigal people of the Eora Nation. We pay our respects to their Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander cultures.

Information discussed in Well. is for education purposes only and is not intended to provide professional medical advice. Listeners should seek their own medical advice, specific to their circumstances, from their treating doctor or health care professional.

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