Latest Episodes

Not on the Table: The Science Behind Period Cramps and What’s Still Missing

The First Podcast
The First Podcast
Not on the Table: The Science Behind Period Cramps and What’s Still Missing
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Send us a text with a question or thought on this episode 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 […]

QC: Navigating Diet Conflicts: Endometriosis Meets PCOS Meets Intermittent Fasting With Sarah Rae

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The First Podcast
QC: Navigating Diet Conflicts: Endometriosis Meets PCOS Meets Intermittent Fasting With Sarah Rae
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Send us a text with a question or thought on this episode 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 […]

QC: Communicating Intimacy Challenges Without Losing Connection With Mallory Oxendine

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The First Podcast
QC: Communicating Intimacy Challenges Without Losing Connection With Mallory Oxendine
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Send us a text with a question or thought on this episode 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 […]

Endo Battery Fast Charged: #16; When Your Body Calls In Sick But You Can't

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The First Podcast
Endo Battery Fast Charged: #16; When Your Body Calls In Sick But You Can't
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Send us a text with a question or thought on this episode Endometriosis impacts every aspect of life—physical health, relationships, mental wellbeing, career, and finances—not just the reproductive system. Research validates what patients experience: this disease is systemic, serious, and requires comprehensive care approaches beyond dismissive “solutions” like yoga or positive thinking. • Medical gaslighting […]

Does Birth Control Actually Shrink Endo Lesions? (Spoiler: Probably Not), Timing Surgery with Your Cycle, & Cyclical Nose Bleeds

The First Podcast
The First Podcast
Does Birth Control Actually Shrink Endo Lesions? (Spoiler: Probably Not), Timing Surgery with Your Cycle, & Cyclical Nose Bleeds
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Send us a text with a question or thought on this episode Expert endometriosis surgeon Dr. Abhishek Mangeshikar debunks common myths and provides clear answers to pressing questions about endometriosis management. Drawing from his extensive experience at the Indian Center for Endometriosis, he offers evidence-based insights on treatments, surgical approaches, and unusual symptoms. • No […]

QC Understanding Post-Op Imaging: What It Reveals About Your Endometriosis Surgeon

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The First Podcast
QC Understanding Post-Op Imaging: What It Reveals About Your Endometriosis Surgeon
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Send us a text with a question or thought on this episode Dr. Abhishek Mangeshikar shares critical insights on evaluating surgeon skill and the importance of comprehensive treatment for endometriosis. His expertise reveals that clean, meticulous surgical technique with respect for tissue significantly improves outcomes and reduces post-operative adhesions. • Red flag if surgeon plans […]

Your Nervous System Controls More Than You Think: Part 2 With Dr. Zac Spiritos

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The First Podcast
Your Nervous System Controls More Than You Think: Part 2 With Dr. Zac Spiritos
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Send us a text with a question or thought on this episode Dr. Zac Spiritos, a neurogastroenterologist, shares his expertise on the complex connections between endometriosis and gastrointestinal symptoms. We explore the critical role of the nervous system in gut function and discuss practical approaches to managing painful bowel movements, bloating, and food sensitivities. • […]

QC: Burning Questions, When or If Ablation Works

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The First Podcast
QC: Burning Questions, When or If Ablation Works
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Send us a text with a question or thought on this episode Dr. Jeff Arrington, a renowned excision specialist and patient advocate, shares his expert perspective on when ablation might be appropriate in endometriosis treatment. He discusses the nuanced decision-making process that balances complete disease removal against fertility preservation, challenging the notion that excision is […]

Red Flags at the GI Doctor: Is There a Low Histamine Diet?

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The First Podcast
Red Flags at the GI Doctor: Is There a Low Histamine Diet?
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Send us a text with a question or thought on this episode Dr. Zac Spiritos shares key insights about gastroenterology red flags and specialized dietary approaches for digestive disorders. We explore the concerning situation when doctors label symptoms as “just IBS” without proper explanation and the important distinctions between histamine intolerance and mast cell activation […]

The Gut-Brain Connection: Sorting Endometriosis from IBS, POTS, and MCAS With Dr. Zac Spiritos

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The First Podcast
The Gut-Brain Connection: Sorting Endometriosis from IBS, POTS, and MCAS With Dr. Zac Spiritos
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Send us a text with a question or thought on this episode A deep dive into the tangled web of GI symptoms and how they connect to endometriosis, EDS, POTS, and Mast Cell Activation Syndrome. Dr. Zac Spiritos, a neuro-gastroenterologist, shares insights on differentiating between these conditions and finding effective treatment approaches. • IBS is […]

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