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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.

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Surgical removal of reproductive organs creates an abrupt hormonal shift that requires thoughtful planning and preventive care. Dr. Christine Vaccaro discusses the importance of pre-surgical hormone replacement therapy planning and the significant risks of delaying treatment after ovary removal.

• Prevention is key—proactive planning can help avoid the "six weeks of awful" many women experience after surgery
• Transdermal estrogen products do not cause blood clots, contrary to some medical misconceptions
• Bone health suffers dramatically with hormonal depletion—even perimenopause can cause 10% bone density loss
• Sleep disruption without hormones can lead to cascading health problems including depression and chronic illness
• Starting hormone therapy immediately after surgery prevents suffering and protects long-term health
• Some patients with already low testosterone may benefit from starting replacement before surgery
• Withholding hormone replacement makes as little sense as withholding insulin from a diabetic

Got a question? Send it in using the link in the description, email contact@endobattery.com, or visit the endobattery.com contact page.

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Dr. Zachary Spiritos demystifies SIBO treatment for patients with complex conditions like endometriosis and mast cell activation syndrome. He cuts through the noise with a straightforward approach to this commonly misunderstood digestive condition, explaining why it's often simpler to treat than many functional medicine practitioners suggest.

• SIBO treatment basics: antibiotics like rifaximin that shift your microbiome rather than traditional systemic antibiotics
• Preventing recurrence by identifying root causes: antibiotic use, PPI use, chronic narcotic use, or other factors slowing bowel motility
• Pro-motility agents can help the small intestine function properly to prevent bacteria from accumulating where they don't belong
• Low FODMAP diets may help but are used sparingly due to their restrictive nature
• Elemental diets are a last resort for persistent cases
• SIBO is often overdiagnosed when the real issue is constipation or pelvic floor dysfunction
• Virtually all endometriosis patients have some degree of pelvic floor dysfunction
• Pelvic floor dysfunction prevents proper evacuation of both stool and gas, causing significant bloating

Have questions? Send them in using the link in the description, email contact@endobattery.com, or visit the endobattery.com contact page.

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Kate Downey shares her 22-year journey through debilitating period pain and her quest for answers that ultimately led to creating her podcast "Cramped." Through extensive research and interviews with experts, Kate uncovers why period pain remains so misunderstood despite affecting hundreds of millions of people worldwide.

• 30% of menstruating people (approximately 522 million worldwide) experience debilitating period pain
• The widely accepted explanation for period cramps is being questioned by researchers at the GYRL lab
• Female bodies are systematically excluded from medical research, leading to gaps in treatment effectiveness
• Even medications like antidepressants work differently depending on where you are in your menstrual cycle
• The stigma around periods keeps us isolated in our pain, which neurologically can make the pain worse
• Women's health research is making progress, but requires more advocacy and awareness
• Creating community through "women's circles" or "clam bakes" helps share crucial information about treatments
• Resources like cureperiodpain.org offer opportunities to participate in studies that advance menstrual research

You can find Kate Helen Downey's podcast "Cramped" wherever you listen to podcasts, and follow her on Instagram @KateHelenDowney or TikTok @KateIsCramped.

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Registered dietitian Sarah Rae shares evidence-based nutrition strategies for those managing both endometriosis and PCOS simultaneously. She explains why balanced blood sugar is crucial for both conditions and how protein intake, fiber, and healthy fats support hormone regulation.

• Similar nutrition approaches work for both endometriosis and PCOS despite perceived conflicts
• Focus on balancing blood sugars which impacts sleep, hormones, and hunger levels
• Aim for 20-30 grams of protein at each meal with fiber and healthy fats
• Those with PCOS and insulin resistance may need slightly more careful carbohydrate management
• Intermittent fasting generally not recommended as it can lead to disordered eating patterns
• Regular breakfast helps prevent binge eating, control sugar cravings, and manage bloating
• Anti-inflammatory food choices benefit both conditions

Have more questions? Send them to contact@endobattery.com or visit endobattery.com/contact to get expert answers on future episodes.

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Certified sex therapist Mallory Oxendine provides practical strategies for communicating with partners about pain during intimacy while maintaining connection and avoiding shame. She addresses the fear of rejection that often prevents these crucial conversations and introduces a framework that transforms vague concerns into specific requests partners can fulfill.

• Fear of rejection often prevents difficult conversations about sexual pain and limitations
• Avoidance of these discussions only deepens disconnection and misunderstanding
• John Townsend's "People Fuel" framework offers language for requesting specific relational nutrients
• Being clear about needing acceptance, comfort, or encouragement helps partners know how to respond
• Most partners want to be supportive but need guidance on what response would be most helpful
• Clear communication preserves emotional intimacy even when physical intimacy needs adaptation

Check out episodes 120 and 121 with Mallory for more insights on intimacy, endometriosis, and chronic illness.

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