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Dr. Yaniv Larish, a board-certified urologist, joins us to explore the complicated relationship between endometriosis and bladder symptoms. We uncover how urinary issues like urgency, frequency, and nocturia can be important indicators of endometriosis involvement in the urinary tract.

• Common bladder symptoms include urgency, frequency, nocturia, and feelings of incomplete emptying
• Patients often deny urinary or fecal incontinence but admit to wearing pads daily or difficulty cleaning after bowel movements
• No definitive test exists for endometriosis other than surgery, making proper questioning essential
• Many patients have been dismissed by doctors, making it harder to get accurate symptom reporting
• Surgical interventions may involve trade-offs between pain relief and preserving bladder function
• Post-surgical issues can occur if nerves governing bladder function are affected during treatment
• Cases requiring second or third opinions often involve complex reconstruction after previous surgeries

Do you have more questions? Send them in by using the link in the top of the description of this podcast episode or by emailing [email protected] or visiting the endobattery.com contact page.

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Dr. Megan Wasson from Mayo Clinic explains how pediatric gynecological exams can be performed without causing trauma to young patients. She shares expertise on using external examinations and imaging techniques as alternatives to traditional speculum exams for diagnosing pelvic pain in adolescents.

• Speculum exams generally aren't appropriate for pediatric and adolescent patients, especially those who aren't yet sexually active
• External inspection of the vulva and introitus can identify conditions like imperforate hymen without invasive procedures
• Abdominal ultrasounds can effectively check uterine and ovary structure without internal examination
• Healthcare providers should avoid CT scans for young patients due to radiation exposure concerns
• MRIs should be used selectively as the lengthy, noisy procedure may cause trauma for children
• Physicians must balance diagnostic benefits against potential physical and emotional harm

Send your questions to [email protected] or visit endobattery.com/contact to get expert answers on future episodes.

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Dr. Zachary Spiritsos shares expert insights on the connections between digestive issues and conditions like POTS, MCAS, and EDS. He explains how these overlapping conditions present with distinct symptom patterns that can help patients better understand their complex health challenges.

• Neurogastroenterologists are "electricians, not plumbers" - focusing on nervous system connections to digestive issues
• POTS typically presents with racing heart upon standing, brain fog, blood pooling, and various GI symptoms
• MCAS features "twitchy" mast cells that react to everything from temperature changes to emotions
• Primary MCAS symptoms include skin manifestations (itching, rashes), ENT issues, and GI symptoms like unexplained heartburn
• EDS often shows up through joint hypermobility, subluxations, and can be assessed using the Beighton score
• These conditions frequently overlap, requiring thorough questioning to properly identify and treat

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Is endometriosis really just a reproductive disease? Dr. Megan Wasson, Chair of Medical and Surgical Gynecology at the Mayo Clinic, joins us to break down how endometriosis impacts people at every age — from teens with "normal" cramps to postmenopausal individuals still battling symptoms.

We unpack the red flags, the myths, and what true care should look like at each stage of life.

In this episode, you’ll learn:

• Why period pain that affects school, work, or life is never normal
• How early symptoms in teens are often mislabeled as anxiety
• What trauma-informed pelvic exams should look like for adolescents
• Why “birth control is a bandaid” and not a cure for endo
• When excision surgery can support fertility — and when it may not
• What to know about perimenopause and endo symptom flares
• Why menopause doesn’t always “cure” endometriosis
• How hormone replacement therapy (HRT) can still be safe and helpful
• Why surgery can still help after menopause
• The critical role of support people in navigating care

👉 If your period is more than an inconvenience, something is wrong. It’s time to speak up, be heard, and get the care you deserve.

🎧 Tune in now on your favorite podcast app or watch the full conversation on YouTube.

#Endometriosis #ChronicPain #MayoClinic #TeenPeriodPain #PelvicPain #Menopause #HRT #ExcisionSurgery #InvisibleIllness #EndoEducation #WomensHealth

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Confused about PCOS and endometriosis? You’re not alone—and you might’ve been misdiagnosed. In this essential episode, Dr. Sadikah Behbehani, a double-fellowship trained reproductive endocrinologist and minimally invasive surgeon, sets the record straight.

She breaks down the real differences between Polycystic Ovary Syndrome (PCOS) and endometriosis, explains how they can coexist without causing each other, and outlines the actual diagnostic criteria for PCOS. This conversation is critical for teens, adults, and parents trying to make sense of irregular periods, hormonal changes, or conflicting diagnoses.

What you’ll learn:
 • Why PCOS and endometriosis are often confused but are very different
 • How misdiagnosis happens—and how to avoid it
 • What the Rotterdam criteria are, and why they matter
• Why polycystic-appearing ovaries alone are not enough for a PCOS diagnosis
• The truth about irregular cycles in teens and when to be concerned
• When PCOS should be diagnosed—and when it shouldn’t
• How endometriosis and PCOS can impact fertility and treatment

Whether you're newly diagnosed or searching for answers after years of symptoms, this episode will give you science-backed clarity and validation.

Listen now to get empowered with accurate information and practical next steps.

Have a question for a future episode? Submit it through the link in the description, email [email protected], or visit www.endobattery.com/contact.

#PCOS #Endometriosis #HormonalHealth #PCOSAwareness #EndometriosisAwareness #Misdiagnosis #RotterdamCriteria #WomenHealthPodcast #ChronicIllness #PelvicPain #PCOSInTeens #DrBehbehani #EndoBatteryPodcast

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Struggling with emotional ups and downs while living with chronic illness like endometriosis? You’re not alone—and your anger makes sense. In this powerful episode, Dr. Natasha Trujillo, licensed psychologist and author of "And She Was Never the Same Again," explores how to recognize and process the emotional weight that often comes with invisible illnesses.

Discover how the "anger iceberg" reveals the deeper emotions that fuel frustration—such as grief, loss, sadness, fear, and even guilt—when your body feels like it’s fighting against you.

🔍 In this episode:
 • Why anger is a valid and adaptive response to chronic illness
• How to use the anger iceberg to uncover what’s really going on emotionally
• The impact of suppressed emotions on your well-being
• How self-awareness and reflection can help you heal
• Tools for processing emotions in healthy, personalized ways

Whether you're navigating endometriosis, autoimmune disease, or another chronic condition, this conversation sheds light on what you're really feeling—and how to care for yourself through it.

💬 Have a question about endo or chronic illness?
 Submit it via the link in the episode description, email us at [email protected], or visit www.endobattery.com.

🔗 Be sure to subscribe, rate, and share if you found this episode helpful—it helps more people find trustworthy content about chronic illness, endometriosis, and women's health.

#Endometriosis #ChronicIllness #WomensHealth #EmotionalHealth #AngerIceberg #MentalHealthAndChronicIllness #InvisibleIllness #DrNatashaTrujillo #EndoBatteryPodcast

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🎧 Endometriosis Facts vs Fiction: Expert Insights with Heather Guidone of the Center for Endometriosis Care

Are you overwhelmed by conflicting endometriosis information online? In this must-hear episode, Heather Guidone, Program Director at the Center for Endometriosis Care (CEC), joins us to break down how to navigate the flood of misinformation—and why it matters more than ever.

✅ Learn how to identify credible endometriosis resources
 ✅ Discover the difference between influencer noise and medically accurate education
 ✅ Get clarity on what endometriosis actually is—hint: it’s NOT just a menstrual disease
✅ Hear why EndoGirls Blog is a game-changer for translating research into accessible info
✅ Understand why no one has all the answers—and what that means for your care
✅ Tailor your approach whether you're a patient, caregiver, or healthcare professional

🧠 “It’s not awareness if it’s bad information.”
 This quote from Heather says it all—education must be accurate to be empowering.

💛 Whether you're newly diagnosed, advocating for someone you love, or deep into your healing journey, this episode equips you to ask better questions and find real support.

🔗 Got questions for future episodes?
 Send them via the episode link, email us at [email protected], or visit www.endobattery.com.

#EndometriosisAwareness #EndometriosisPodcast #HeatherGuidone #CenterForEndometriosisCare #EndoEducation #Misinformation #ReproductiveHealth #PelvicPain #EndometriosisSupport #PatientAdvocacy #EndoBatteryPodcast

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Registered dietitian Sarah Rae shares practical strategies for managing endometriosis symptoms while traveling and eating at restaurants. She provides evidence-based nutrition advice specifically addressing how to reduce bloating and discomfort when eating outside your controlled home environment.

• Avoid skipping meals when traveling - aim to eat every 4-5 hours to prevent increased bloating
• Pack portable snacks like protein bars or hard-boiled eggs to maintain regular eating patterns
• Don't hesitate to ask restaurants about food preparation or request modifications to avoid trigger ingredients
• Consider carrying digestive enzymes like FODZYME to help break down trigger foods when unavoidable
• Stay well-hydrated and consider limiting caffeine and alcohol when traveling if these trigger symptoms
• Remember that supplements like FODZYME should be discussed with healthcare providers

Send your questions about endometriosis management by using the link in the episode description, emailing [email protected], or visiting the EndobBattery.com contact page.

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Dr. Naomi Whittaker explains the two types of adenomyosis and their differing impacts on fertility, revealing that the condition is often over-diagnosed on ultrasound. She emphasizes that surgeon selection is crucial for women with reproductive concerns, sharing concerning examples of unauthorized fallopian tube removals during surgeries.

• Diffuse adenomyosis is common in women who have had children and typically does not cause infertility
• Adenomyosis is often "over-called" on ultrasound as technology becomes more advanced
• Focal adenomyosis (adenomyomas) can cause infertility but are usually resectable with proper surgical techniques
• Choosing a fertility-friendly surgeon who respects reproductive goals is critical
• Proper surgical technique and tissue handling significantly impact fertility outcomes
• Patient autonomy and informed consent should always be respected during reproductive surgeries

Send your questions to us using the link in the description, by emailing [email protected], or by visiting the endobattery.com contact page.

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Vanessa Weiland, a certified menopause practitioner, explains when hormone replacement therapy (HRT) is warranted after hysterectomy while still having ovaries. She breaks down the progression of perimenopause symptoms and emphasizes that treatment is appropriate whenever these symptoms impact quality of life.

• Without periods as markers, focus on recognizing other menopausal symptoms
• Early perimenopause often presents with anxiety and sleep issues due to declining progesterone
• Middle perimenopause brings classic symptoms like hot flashes, night sweats, and vaginal dryness
• Less recognized symptoms include heart palpitations, itchy skin, joint pain, and brain fog
• Symptoms usually peak around what would have been the final period, then gradually improve
• HRT is reasonable to pursue whenever symptoms affect quality of life
• Treatment is generally safe and can serve as both therapy and diagnostic tool

Send your questions by using the link in the podcast description, emailing [email protected], or visiting the endobattery.com contact page.

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