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Professor Marc Possover reveals how our nervous system drives endometriosis pain and offers practical tools for managing symptoms through vagus nerve regulation. This groundbreaking conversation challenges traditional views of endometriosis by exploring neuropelviology – the study of pelvic nerves – and how nerve function impacts everything from pain perception to fertility.

• The pelvic nervous system controls all pelvic functions and pain signals
• Our autonomic nervous system has two branches: sympathetic (fight-or-flight) and parasympathetic (rest-and-digest)
• Endometriosis activates the sympathetic nervous system, creating widespread effects beyond the pelvis
• Vagus nerve stimulation can increase parasympathetic activity and decrease pain
• Simple techniques like ear stimulation, breath work, positive thinking, and physical activity can regulate the nervous system
• Symptoms often dismissed as "comorbidities" are actually part of one connected nervous system dysfunction
• Many patients with persistent pain after surgery may be experiencing nervous system sensitization rather than disease recurrence
• Future treatments may include neuromodulation techniques that decrease both pain and inflammation
• Understanding neuropelviology could reduce unnecessary surgeries and improve outcomes
• Both patients and doctors need education about the nervous system's role in endometriosis

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Kimether Redmon shares powerful strategies for setting the tone of respect with healthcare providers and knowing when to walk away from medical gaslighting.

• Come prepared with a one-page symptom summary, tracking information, and imaging reports to guide the conversation
• Ask providers to explain what led to their diagnosis and what their differential diagnoses are
• Remember that proper diagnostic process requires listening to patient history, physical exam, and multiple possible diagnoses
• When faced with dismissal, calmly state you're looking for a provider who will partner with you
• Don't hesitate to ask for your co-pay back if a provider refuses to engage respectfully

Have questions about advocating for yourself in healthcare settings? Send them in using the link in the description, email contact@endobattery.com, or visit the endobattery.com contact page.

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Dr. Jeff Arrington joins us to discuss accessible endometriosis management options and surgical considerations for patients at different stages of their journey. We explore alternatives to excision surgery, the relationship between round ligament pain and endometriosis, and the real risks of deep excision procedures compared to standard gynecological surgeries.

• Various hormonal options including birth controls, progesterone-only medicines, and IUDs
• Low-risk alternatives like magnesium, omega-3s, turmeric, anti-inflammatory diets
• Physical therapy, acupuncture, and specialized pelvic pain clinics
• No clear connection between round ligament pain and endometriosis
• Deep excision risks include bleeding and organ injury but specialist complication rates are lower than for routine gynecological procedures
• Proper knowledge of pelvic nerves critical for preserving bladder and bowel function

Do you have more questions? Keep them coming! Send them in using the link in the top of the description of this podcast episode, by emailing contact@endobattery.com, or by visiting the endobattery.com contact page.

Website endobattery.com