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Endometriosis pain gets labeled, but rarely decoded. We sit down with pelvic floor physical therapist Dr. Taylor Reyes to untangle the “messy middle” where endo, scar tissue, and musculoskeletal compensations blur together. Instead of chasing one culprit, we map how delayed diagnosis rewires movement, ramps up the nervous system, and turns the pelvic floor into an overworked backup for a weak or unstable core. That orthopelvic lens helps us ask better questions: Is this pain endo, or is it fascial restriction, nerve tension, or pressure mismanagement?

Together, we break down pain science in plain language. When symptoms linger, the brain’s sensory map can amplify normal input into alarms, especially after years of flare cycles and medical gaslighting. Excision can quiet a storm but isn’t the finish line; scar tissue is part of healing, and new patterns need training. We share a simple triage method: list every symptom, color-code likely drivers (endo, scar tissue, EDS, PCS, MCAS), and choose the target that improves function and quality of life first. You’ll hear clear strategies for self-advocacy, how to vet real excision specialists and manual therapists, and why outcomes and training matter more than titles.

Expect practical tools you can use today. Learn breath-led bracing for safer movement, graded mobility in pain-free ranges, and fast nervous system resets for commutes and high-stress moments. We talk specific visceral mobilization, when it helps reduce pain enough to retrain patterns, and how to build an anti-inflammatory lifestyle that fits your budget and reality. Most of all, we focus on agency: pairing pelvic floor and orthopedic therapy with mental health support, setting honest expectations, and rebuilding trust in your body. If you’re ready to swap confusion for clarity, hit play and join us. If this conversation helps, subscribe, share with a friend, and leave a review to help others find the show.

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The end of the year doesn’t just mark a finish line—it reveals how far we’ve come and where we’re brave enough to go next. We look back at the breakthroughs that mattered in endometriosis care: smarter imaging, emerging biomarkers, and the human skills that carry patients through the hardest stretches. Alongside a heartfelt recap, we highlight our in-person conversations with Dr. Gaby Moawad—sessions that blended deep clinical insight with disarming candor about the realities of surgery, research, and the emotional burden clinicians shoulder.

We break down how AI is starting to strengthen ultrasound and MRI interpretation, why machine learning can narrow the gap between experts and generalists, and where noninvasive tests using microRNA might change the diagnostic journey. We also explore triage algorithms that combine symptoms, history, imaging, and labs to get high-need patients in front of specialists sooner. The throughline is practical: tools that shorten the diagnosis maze, questions that sharpen advocacy, and a vision for standardizing excellence so access isn’t luck.

But tech is only half the story. We talk legacy, training the next generation to question assumptions, and building systems that protect compassion from burnout. Gratitude sits at the center—listeners who found language for their symptoms, guests who raised the bar, and friendships that keep the work honest. You’ll leave with a clear view of what’s changing, why it matters, and how to ask for the care you deserve, plus a small holiday comfort tip for the days when bloat and fatigue crash the party.

Want more deep dives into imaging pathways, noninvasive testing, and day-to-day strategies for thriving with endometriosis? Follow the show, share this episode with someone who needs it, and leave a review with your top question for 2026. Your voice shapes what we explore next.

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What if your pain story starts in the nerves—and your path to relief begins with balance, not just suppression? We dive into a year-defining reflection on endometriosis care, exploring how the autonomic nervous system shapes pain, inflammation, digestion, and mood, and why the vagus nerve can be a quiet but powerful ally. Along the way, we revisit conversations with two renowned surgeons whose work reframes both daily management and long-term outcomes.

First, we unpack neuropelveology in clear, practical terms: the dance between sympathetic “fight or flight” and parasympathetic “rest and digest,” and how that tug-of-war can intensify or soften endometriosis symptoms. From breathwork and paced exhalation to simple vagus nerve activators, we highlight approachable ways to support nervous system regulation without promising quick fixes. Then we turn to nerve-sparing surgery—where precision protects bladder function, sexual health, gait, and quality of life. Sciatic endometriosis and deep disease demand rare expertise, and choosing the right surgeon can be the difference between lasting relief and lifelong complications.

We also tackle the fertility fork in the road: go straight to IVF, or consider excisional surgery first? Drawing from large, long-term datasets in advanced disease, we explain why removing endometriosis can improve natural conception rates and make postoperative IVF more effective, challenging the reflex to skip surgery altogether. It’s not either-or; it’s sequencing care based on evidence, goals, and the full person—pain, function, and future.

This reflection is ultimately about agency and hope. When clinicians share data openly and patients bring lived experience with curiosity, care gets smarter. If you’re navigating endometriosis, chronic pelvic pain, or infertility, you’ll find practical tools, nuanced insights, and a reminder that rest is productive and progress can be patient. If this resonates, subscribe, share with someone who needs it, and leave a review with the one idea you’re taking into your week.

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What if the most powerful thing you could do for your endometriosis care wasn’t another appointment, but a better question? We revisit a standout set of conversations to unpack how to spot true expertise, avoid convincing pretenders, and build a team that actually improves outcomes. Titles and confidence can look impressive; results, transparency, and collaboration tell the truth.

I walk through a practical framework for vetting providers, moving beyond the vague “find an excision specialist” advice. You’ll hear how to evaluate surgical volume, complication data, pathology correlation, and the way a clinician handles your questions. Then we step into the operating room realities of bowel-involved disease with a colorectal perspective: when restraint is safer than risk, why staged approaches can spare complications, and how documentation plus expert referral protects patients when nodules are complex.

We balance the scalpel with the nervous system. From a neurogastroenterology lens, we outline pre-op planning that changes outcomes: stabilizing mast cell activity, anticipating dysautonomia, supporting hypermobility, coordinating anesthesia choices, and creating a perioperative protocol that prevents flares. It’s the difference between hoping for a smooth recovery and planning for it. Along the way, we make the case for multidisciplinary care that looks more like a tumor board than a solo act—gynecology, colorectal surgery, radiology, anesthesia, and GI aligning to reduce blind spots and keep you at the center.

This is a candid, sometimes funny, always practical reflection designed to help you ask better questions, choose safer options, and recognize small wins as real progress. If you’ve felt pressured to “just trust” a confident voice, this conversation hands you the tools to verify instead. Subscribe, share with someone who needs a clearer path, and leave a review with the one question you wish you had asked sooner.

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Pain that shifts across decades. Symptoms that don’t fit a single mold. And experts who refuse to let dismissal be the default. We’re revisiting the year’s most galvanizing insights on endometriosis with two standout voices: Dr. Megan Wasson of Mayo Clinic and Dr. Francesco Di Chiara, a leader in cardiothoracic endometriosis. Their clarity cuts through the noise, offering practical steps for earlier recognition, safer evaluation, and care that honors the whole person.

We walk through the lifespan of endometriosis—from the first period to perimenopause—naming what changes, what doesn’t, and how to navigate care without inflaming trauma. You’ll hear why adolescents need thoughtful, minimally invasive approaches; how family narratives can normalize severe pain; and the questions that help you get beyond “everyone has cramps.” Then we widen the frame to the thoracic cavity, translating hard-to-spot symptoms like cycle-linked shoulder pain, shortness of breath, or cough into targeted next steps. Dr. Di Chiara’s vivid descriptions of lesion colors and textures illuminate how surgeons read the disease and why that matters for diagnosis and treatment planning.

Along the way, we share a practical nudge for your holiday survival kit: use pain management proactively rather than waiting for a flare to peak. Heat, pacing, guided breathwork, and clinician-approved anti-inflammatories can preserve energy and reduce inflammation when used early. Most of all, this reflection centers compassion—clear language, curiosity, and dignity—as the real engine of progress in endometriosis care. If you’ve ever been told to wait it out, this conversation hands you the language and confidence to advocate for yourself or your child.

If this resonated, follow the show, share it with someone searching for answers, and leave a review so more people can find these tools. Your story could be the lifeline someone else needs.

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You know that feeling when your symptoms refuse to fit the script—racing heart when you stand, brain fog, rashes, and reflux that laughs at PPIs? We revisit two powerful conversations that changed how we approach endometriosis care by connecting the gut, the nervous system, and the immune response. Instead of chasing single labels, we map patterns: the hallmark features of POTS beyond “it’s just stress,” the skin and ENT clues that point to MCAS, and the very real GI turbulence that follows autonomic shifts and histamine surges.

We also zoom out on endo as a long-haul inflammatory condition. Excision is the gold standard, but years of inflammatory signaling can reshape the microbiome, strain the endocrine and immune systems, and wire the body for constant “threat.” That’s why parallel care matters: gut repair, nervous system regulation, pelvic floor therapy, and thoughtful nutrition that expands tolerance instead of collapsing into permanent restriction. With clear screening, smarter questions, and gentler habits, surgery works better and recovery feels more stable.

What stood out most is the power of clinicians who listen and connect dots. Neurogastroenterology offers language for symptoms many patients struggle to describe; functional strategies offer traction when “normal” labs miss the story. We share practical takeaways: how to spot orthostatic patterns, when to suspect MCAS in stubborn reflux, and how to protect your energy during the holidays—no explanations needed for “Uncle Opinions.” If you’ve felt dismissed or siloed, this is your reminder that your body makes sense, and there’s a path forward when systems talk to each other. If this resonates, follow the show, share it with someone who needs a kinder map, and leave a review to help others find these tools.

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What if the most healing thing isn’t a fix, but finding the right words for what hurts and what helps? We revisit two listener-favorite conversations that reshaped how we think about intimacy, food, and self-trust while living with endometriosis and chronic illness. With therapist Mallory Oxendine, we move past the myth that closeness equals performance and create space for grief, tenderness, and clearer scripts. With Dr. Jennifer Gaudiani, we challenge diet culture’s noise and explore what “normal eating” looks like when pain, nausea, and fatigue are part of daily life—and how neurodiversity and sensory needs change the plan without inviting shame.

Mallory helps us ask better questions: How do I approach you when I want intimacy? What words feel safe? How can we protect connection when plans shift? She shows how partners can support rather than fix, validate both sets of feelings, and build rituals that honor fluctuating capacity. Intimacy becomes broader—touch, presence, humor, and steady care—so bodies aren’t forced to perform to be worthy of love.

Dr. G brings nuance and care to disordered eating in chronic illness. She offers a science-backed view of nourishment that reduces mental load, embraces satisfaction, and respects symptoms. We talk about ADHD, autism, and sensory profiles that make fullness or textures overwhelming and why care plans must flex to those realities. Her practical guidance centers progress over perfection and energy over rules, including a simple seasonal tip: pick one thing to care about and let the rest go.

If you’re craving validation, language, and doable tools, this reflection is for you. Listen, share with someone who needs gentleness today, and if it resonates, subscribe and leave a review so others can find this space.

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Start with a question that matters: What single idea would make your care feel lighter, clearer, and more doable this week? That’s the heart of our year-end reflection, where we revisit the formats that changed how we learn together—Quick Connect and Fast Charge—and the experts who made complex topics feel human. We swapped long lectures for focused Q&As, brought your toughest questions to clinicians and researchers, and kept the tone honest, hopeful, and grounded in real life.

We dig into surgical realities with excision: what improvement can look like, why outcomes vary, and how to plan recovery with informed hope instead of guarantees. We move to nutrition with practical, compassionate steps—eating enough, prioritizing protein, and using colorful produce in ways your gut can handle—without guilt or rigid rules. Then we zoom out to the science with a clear look at liquid biopsy: how sampling blood or uterine bleeding might bring less invasive insight, and why any new tool must prove it truly improves care for specific patients.

This conversation grew from your curiosity. Your questions shaped the episodes, your lived experience sharpened the focus, and your hunger for clarity kept us grounded in what actually helps. The big takeaway is simple but strong: meaningful progress can be small, consistent, and deeply personal. Hold one idea, let it settle, and give yourself room to learn, unlearn, rest, and repeat.

If this resonated, follow the show, share it with someone who needs a lift, and leave a review telling us the one idea you’re taking with you. Your questions power the next season—send them our way so we can keep building smart, kind, and usable conversations together.

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Pain that makes you faint is not “just periods,” and “just get pregnant” isn’t a plan—it’s a myth. We open the Endo Year Reflection series with a clear-eyed look back at the stories and science that reshape care for endometriosis and chronic pelvic pain. You’ll hear how harmful narratives spread, why they stick, and what actually helps when you’re stuck between dismissal and a diagnosis that takes too long to arrive.

Fisayo’s journey lays bare how predictably timed fainting, ER visits, and back pain were waved away for years—even with a physician in the family. Naming endometriosis became a turning point, and her documentary Walking Through Walls transforms private suffering into public advocacy. Nikki’s path mirrors what so many endure: repeated ER trips, migraines tied to cycles, sports and school sacrificed, and well-meaning but wrong answers. Excision surgery changed her trajectory, but honest talk about fertility loss and the quiet grief of parenting through pain offers the validation many have been missing.

We also reflect on getting curious about the mechanics of cramps. Why do some cycles feel manageable while others become “death cramps”? With a nod to the GYRL lab’s research and Kate Helen Downey’s blend of humor and rigor from the podcast Cramped, we explore dysmenorrhea, prostaglandins, and why basic questions about menstrual pain still lack basic answers. Then we get practical: a holiday survival kit with meds, heating pads, safe snacks, and comfort items; travel pacing; and boundaries that protect your energy without apology. Stories matter, accuracy matters, and community matters—because none of us should navigate this alone.

Take one idea from this conversation and let it sit. If it helps, share this episode with someone who needs better information or a reminder that they aren’t imagining it. Subscribe, leave a review, and tell us the biggest myth you want gone for good.

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What if the most compassionate choice you make this season is the quiet one—leaving early, resting without apology, or finally asking for the support your body has needed all along? This reflective chapter pulls together the most resonant insights from recent conversations on grief, hormones, and the everyday work of living with endometriosis and chronic illness.

We look back into how grief moves in spirals, not straight lines, and how perfectionism can turn pain into a private contest no one wins. Through a trauma lens, we unpack avoidance, intrusive thoughts, and the family stories that shape how we carry stress. Then we shift into the hormonal landscape: the messy, human reality of perimenopause, surgical menopause, hypermobility, and endo—plus how progesterone and estrogen changes can drive anxiety, sleep loss, hot flashes, joint pain, and brain fog. Clear, practical takeaways emerge around HRT basics and why local therapy matters: vaginal estrogen and DHEA can restore tissue health, reduce pain with sex, calm urinary symptoms, and support sexual function in ways systemic hormones alone can’t.

We also name a hard truth: the research gap in women’s health has left too many of us feeling confused and blamed. Reframing testosterone as a human hormone, not a male-only one, opens space for better care and better questions. Across these threads, one message holds: you’re not broken for needing help. Choose one next step—book that appointment, try local support, track symptoms for patterns, or give yourself permission to leave the party early. Subscribe for more honest, practical conversations, share this with someone who needs it today, and leave a review to help others find their way here. What’s the one idea you’ll let sit with you this week?

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