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Dr. Jeff Arrington breaks down the differences between uterine ablation and hysterectomy while offering candid advice about advocating for yourself with dismissive doctors. His expert insights challenge conventional approaches to endometriosis and adenomyosis treatment, emphasizing the importance of evidence-based care and patient autonomy.

• Uterine ablation uses heat to destroy the uterine lining and primarily treats heavy bleeding, not painful periods
• Adenomyosis is one of the top reasons patients need hysterectomy after endometrial ablation
• For heavy bleeding with painful periods, a progesterone IUD may be better than ablation as it addresses both symptoms
• Post-ablation syndrome can occur when scarring traps active endometrial tissue, causing pain over time
• When doctors don't listen to your concerns, asking for supporting research studies may help
• If providers consistently dismiss you, finding a new doctor may be your only viable option
• Many physicians remain fixed in outdated residency training and fail to offer referrals to specialists

Have more questions? Send them in using the link in the episode description, email [email protected], or visit the endobattery.com contact page.

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Dr. Jeff Arrington, renowned excision specialist and patient advocate, joins Quick Connect to debunk misinformation and empower patients with expert insights on endometriosis care. He breaks down the complexities of excision surgery, the connection between fibroids and endometriosis, and the critical need for proper referrals. Plus, he explains why endometriomas signal deeper disease and why honest surgical discussions are essential.

Send in your questions via the link in this episode's description, email [email protected], or visit endobattery.com.

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Dr. Christine Vaccaro, a double board certified urogynecologist, provides crucial insights about the often-overlooked challenges of surgical menopause and comprehensive hormone replacement therapy. She explains why the abrupt hormonal changes after ovary removal create a "rude awakening" for the body, unlike the gradual transition of natural menopause.

• The difference between natural menopause and surgical menopause (removing ovaries)
• Why all three hormones matter: estrogen, progesterone and testosterone
• The specific roles each hormone plays in overall health and wellbeing
• How quickly bone loss occurs without hormone replacement
• Why local vaginal hormone treatment is necessary even with systemic hormone therapy
• Options for vaginal hormone treatments including creams, tablets, rings and suppositories
• The importance of addressing pelvic floor muscles after surgery
• Why some women still have pain after hysterectomy
• How mental health support, particularly sex therapy, aids in recovery
• The value of education before surgery to make informed choices

Don't underestimate the impact of surgical menopause. Find doctors who will discuss comprehensive hormone replacement before surgery and create personalized treatment plans to support your quality of life afterward.

general email: [email protected]

appointments: [email protected]

website: rachelrubinmd.com 

instagram: @drchristinevaccaro 

youtube: youtube.com/@DrRachelRubin

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Intimacy doesn't have to end when chronic pain begins - it simply requires thoughtful adaptation, clear communication, and a willingness to explore new pathways to pleasure.

• Understanding the crucial difference between pain (stop immediately) and discomfort (slow down and get curious)
• Expanding your definition of intimacy beyond penetrative sex to explore the "whole playground" of possibilities
• Approaching new relationships with honesty about endometriosis without feeling obligated to become an educator
• Recognizing that most female orgasms occur through clitoral stimulation rather than penetration
• Learning that pleasure and pain signals use the same brain pathways, which is why pain can inhibit pleasure
• Embracing acceptance without judgment as a pathway to moving forward
• Considering therapeutic approaches like EMDR to address medical trauma and negative beliefs
• Using communication as your most powerful tool for maintaining intimacy despite chronic illness

If you're struggling with intimacy issues related to endometriosis or chronic pain, visit The Brooke Center for Counseling and Wellness at thebrookecenter.com or follow @thebrookecenter and @malloryoxendine on Instagram.

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Gut Health & Endometriosis: What You Need to Know with Sarah Rae, RDN

Registered dietitian Sarah Rae breaks down the powerful link between gut health and endometriosis, explaining how inflammation, the brain-gut connection, and diet impact symptoms. Learn evidence-based strategies to support your microbiome—without relying on expensive supplements.

🔹 How endo-related inflammation disrupts gut balance
 🔹 Why gut health affects pain, mood, and digestion
 🔹 The truth about probiotics & specialized testing
 🔹 Best foods to nourish beneficial gut bacteria

Got questions? Send them via the link in the description, email [email protected], or visit EndoBattery.com!

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Registered dietitian Sarah Rae debunks common myths about soy and endometriosis, explaining why phytoestrogens may actually support—not harm—your health. Research suggests soy could even lower endometriosis risk!

In this episode:
✅ Soy as a source of calcium & lean protein
✅ No strong evidence that soy worsens endo
✅ Studies linking soy intake to lower endo risk
✅ How personal sensitivities & hidden ingredients impact reactions

Listen now & learn how to make informed choices for your body!

💬 Got questions? Submit them for future Quick Connect episodes via the link in the description, email [email protected], or visit EndoBattery.com.

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Mallory Oxendine, a licensed professional counselor and certified sex therapist, shares powerful insights about maintaining intimacy while navigating the challenges of endometriosis and chronic illness. She offers compassionate guidance on reframing our expectations of sex, communicating with partners, and finding connection despite pain.

• Sex is inherently complex—even without chronic pain—so remove the pressure to make it "easy"
• Expand your definition of intimacy beyond penetrative intercourse using the "playground metaphor" 
• Negative self-talk about your body's limitations creates additional barriers to intimacy
• Partners can best support by slowing down, being present, and checking in regularly
• Both partners' feelings about intimacy challenges are valid and important
• Grieving together about chronic illness can create profound emotional intimacy
• Setting the right environment (lighting, temperature, comfort) helps you stay present
• Grounding techniques like the "take five" method can prevent dissociation during intimacy
• Communication before, during, and after intimacy is essential for both partners
• "I can't truly say yes if I can't say no"—permission to decline leads to more authentic consent

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Dr. Abhishek Mangeshkar breaks down why hormonal suppression only manages symptoms, while surgery removes endometriosis. He highlights key differences between these approaches and the serious long-term risks of hormonal treatments, including bone loss, heart disease, GI issues, mood disorders, and potential permanent ovarian damage.

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Dr. Mona Orady breaks down the critical role of adhesion prevention in endometriosis excision surgery—key for protecting fertility and reducing pain. She shares expert techniques, from minimizing tissue trauma to innovative methods like suspending ovaries during healing. Learn how proper surgical strategies, including laser excision, complete hemostasis, and ADEPT solution, help prevent organs from becoming "plastered" together.

🎧 Listen now & send your questions: link in episode description, email [email protected], or visit endobattery.com.

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Think endometriosis is just a bad period? Or that pregnancy cures it? Think again! In this myth-busting episode, we’re cutting through the noise and delivering facts about endometriosis and adenomyosis. Learn what these conditions really are, why they’re often misunderstood, and how misinformation impacts treatment and diagnosis. Whether you’re new to these topics or looking for reliable resources, this episode will empower you with knowledge and help recharge your advocacy battery.

🎧 Subscribe now for more expert insights and myth-busting moments!

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