Send us a text with a question or thought on this episode ( We cannot replay from this link)
Explore the intricate world of endometriosis as we embark on a thought-provoking journey through our Endometriosis Reflection Series. Discover the cutting-edge techniques shared by the esteemed Dr. Mona Orady, who unlocks the secrets of preventing adhesions during surgery. Her use of lasers, micro laparoscopy, and innovative solutions like Adapt opens new horizons for managing pain and preserving fertility. Dr. Orady’s approach of temporarily suspending the ovaries post-surgery showcases her commitment to advancing care and nurturing hope for those affected. This episode is a crucial checkpoint, urging us to pause and reflect on the significance of fertility preservation and pain management.
Celebrate the unwavering advocacy of Dr. Orady as she champions endometriosis care despite financial barriers. Her tireless work to secure insurance coverage underscores a powerful narrative of passion and dedication. Join me in revisiting the transformative conversations and lessons gathered throughout the year, as we draw strength from the profound insights and stories shared. This episode is more than a reflection; it’s a rallying cry for advocacy, education, and community support, reminding us that together we’re stronger in our battle against endometriosis.
Website endobattery.com
Endometriosis Reflection Series
Speaker 1
0:02
Welcome
to
EndoBattery
,
where
I
share
my
journey
with
endometriosis
and
chronic
illness
,
while
learning
and
growing
along
the
way
.
This
podcast
is
not
a
substitute
for
medical
advice
,
but
a
supportive
space
to
provide
community
and
valuable
information
so
you
never
have
to
face
this
journey
alone
.
We
embrace
a
range
of
perspectives
that
may
not
always
align
with
our
own
.
Believing
that
open
dialogue
helps
us
grow
and
gain
new
tools
always
align
with
our
own
.
Believing
that
open
dialogue
helps
us
grow
and
gain
new
tools
.
Join
me
as
I
share
stories
of
strength
,
resilience
and
hope
,
from
personal
experiences
to
expert
insights
.
I'm
your
host
,
alana
,
and
this
is
EndoBattery
charging
our
lives
when
endometriosis
drains
us
.
Welcome
back
to
EndoBattery
.
Grab
your
cup
of
coffee
or
your
cup
of
tea
and
join
me
at
the
table
,
because
you're
always
welcome
here
.
Speaker 1
0:49
Can
you
believe
it
is
nearing
the
endo
of
the
year
Again
?
See
what
I
did
there
.
As
I
said
,
this
time
of
year
always
seems
to
come
up
at
full
speed
.
Between
the
holiday
hustle
and
juggling
of
life's
demands
,
it
can
feel
like
there's
hardly
any
time
to
catch
your
breath
.
But
here's
the
thing
the
end
of
the
year
is
also
the
perfect
time
to
pause
,
reflect
and
celebrate
all
the
growth
,
knowledge
and
connections
we've
built
together
and
this
year
it's
been
amazing
.
We've
had
incredible
experts
join
us
,
meaningful
conversations
and
,
of
course
,
there's
plenty
of
moments
where
I
think
we've
all
said
yes
,
that
is
what
I've
been
dealing
with
.
Speaker 1
1:28
I
wanted
to
do
something
a
little
bit
different
to
close
out
the
year
.
Instead
of
cramming
a
single
episode
with
all
the
lessons
and
information
and
the
highlights
,
I
thought
why
not
take
this
journey
in
smaller
,
more
digestible
doses
?
After
all
,
we
know
pacing
ourselves
is
essential
when
managing
energy
and
life
,
and
not
overfilling
our
plates
with
all
the
things
.
So
here's
what
we're
gonna
do
Multiple
times
a
week
for
the
rest
of
the
year
,
we'll
take
a
walk
down
memory
lane
together
.
Each
short
episode
will
spotlight
a
lesson
learned
,
an
expert
who
has
left
their
mark
or
a
conversation
that
resonated
deeply
.
This
is
your
chance
to
reflect
with
me
,
revisit
what
you've
loved
or
maybe
discover
something
you've
missed
.
I'm
calling
it
the
endo
year
reflection
series
because
sometimes
looking
back
is
just
what
we
need
to
recharge
and
gear
up
for
what's
ahead
.
So
buckle
up
for
this
little
reflection
road
trip
quick
stops
,
meaningful
moments
and
plenty
of
reminders
that
you're
not
alone
on
this
journey
.
Let's
take
this
ride
together
,
one
moment
at
a
time
and
,
as
always
,
thank
you
for
being
here
,
for
listening
,
for
sharing
and
for
showing
up
,
not
just
for
me
but
for
yourself
.
You're
the
heartbeat
of
EndoBattery
.
Speaker 1
2:44
With
that
being
said
,
let's
get
started
on
episode
two
.
Last
episode
I
shared
the
part
one
of
Dr
Mona
Arati's
episode
,
but
this
episode
we're
going
to
reflect
back
on
part
two
of
Dr
Mona
Arati's
episode
,
and
boy
did
she
bring
it
again
,
and
this
time
with
talk
about
adhesions
.
Now
we
have
all
maybe
heard
of
adhesions
and
we've
not
really
quite
understood
what
adhesions
are
,
what
role
they
play
within
endometriosis
and
pain
right
.
So
this
episode
was
really
good
for
me
because
I
didn't
really
understand
that
adhesions
were
such
a
big
issue
.
I
mean
,
yes
,
I
knew
a
little
bit
and
with
adhesions
this
was
something
that
I
didn't
think
was
going
to
play
such
a
big
part
in
pain
factors
,
but
really
it
plays
a
massive
part
in
it
.
Dr
Mona
Arati
is
a
big
advocate
for
adhesion
prevention
.
Speaker 2
3:38
Well
,
just
take
a
listen
.
A
lot
of
people
don't
talk
about
this
but
adhesions
can
have
a
huge
effect
on
women
who
are
still
wanting
childbearing
.
It
can
affect
their
fallopian
tubes
and
block
their
tubes
.
It
can
cause
pain
,
it
can
cause
shifting
of
the
uterus
and
a
lot
of
them
already
have
some
adhesions
from
the
endometriosis
.
And
the
question
is
how
do
we
minimize
reformation
?
And
as
I
said
,
it
would
be
a
whole
lecture
.
I
gave
a
whole
hour
lecture
at
SLS
about
how
to
all
the
techniques
that
I
use
to
minimize
adhesions
.
Speaker 2
4:04
But
to
be
very
brief
,
number
one
minimizing
the
surgery
that
I
do
to
make
sure
I
only
touch
what
needs
to
be
touched
,
Meaning
I
don't
sit
there
digging
around
.
I
pick
up
the
endometriosis
lesions
,
I
excise
it
using
the
least
amount
of
energy
and
the
least
trauma
as
possible
,
Even
if
that
means
using
a
laser
to
actually
laser
to
cut
out
the
lesion
.
It's
less
traumatic
than
using
monopolar
energy
or
monopolar
scissors
.
So
I
use
a
laser
a
lot
in
endometriosis
surgery
,
using
micro
laparoscopy
when
I
can
,
using
sharp
dissection
when
I
can
,
minimizing
tissue
trauma
,
minimizing
bleeding
because
blood
can
cause
adhesions
and
inflammation
.
So
my
surgeries
and
everybody
else's
I
don't
like
to
see
blood
ever
.
They
have
to
be
completely
dry
,
perfectly
hemostatic
.
Speaker 2
4:50
At
the
end
it
has
to
do
everything
.
You
rinse
everything
really
clean
and
then
using
agents
like
Adapt
,
which
is
an
adhesion
prevention
solution
that
coats
everything
and
prevents
things
from
sticking
together
.
It's
kind
of
like
a
syrup
that
covers
everything
and
kind
of
coats
it
so
that
things
don't
stick
together
.
It
makes
everything
slippery
so
that
you
don't
develop
adhesions
.
And
then
I
do
procedures
where
I
like
I'll
elevate
the
ovaries
,
I'll
I'll
like
basically
suspend
the
ovaries
away
from
the
area
that
I
dissected
or
cut
out
endometriosis
for
three
or
four
days
until
that
area
heals
over
and
then
I'll
cut
the
string
and
release
the
ovaries
so
that
when
they
come
back
down
,
the
fallopian
tubes
and
ovaries
were
not
in
the
area
that's
healing
,
so
they
don't
develop
adhesions
around
them
.
Speaker 2
5:32
So
there's
a
lot
of
techniques
that
I
specifically
do
and
I
teach
to
prevent
adhesions
,
because
the
majority
of
my
patients
and
I
think
the
majority
of
endometriosis
patients
have
not
yet
had
children
and
you
don't
want
to
affect
their
ability
,
you
want
to
preserve
their
fertility
and
adhesion
prevention
is
a
big
part
of
that
and
it's
also
a
big
part
of
preventing
pain
and
things
like
that
.
I've
seen
patients
where
I've
reoperated
on
,
who
had
surgery
somewhere
else
or
had
someone
else
do
surgery
,
and
you
go
in
and
it's
a
complete
plastered
mess
of
everything
stuck
to
everything
.
How
is
that
not
hurting
?
Speaker 1
6:04
What
I
loved
about
her
talking
about
adhesions
was
the
fact
that
adhesion
prevention
should
always
be
in
the
forefront
of
a
surgeon's
mind
,
and
I
didn't
realize
just
how
delicate
surgeons
should
be
with
tissue
to
help
prevent
adhesions
.
Speaker 1
6:19
Now
,
as
she
said
,
we
can't
prevent
all
adhesions
,
but
that
should
be
a
goal
.
So
I
thought
that
was
a
really
interesting
and
yet
impactful
thing
to
think
about
,
because
it
does
affect
us
,
especially
post-surgically
.
Another
thing
that
came
from
the
conversation
with
Dr
Arati
was
the
fact
that
we
have
such
a
delay
in
diagnosis
for
endometriosis
,
and
oftentimes
endometriosis
,
although
may
not
manifest
in
painful
periods
right
away
,
does
manifest
,
usually
at
a
younger
age
,
not
always
,
obviously
.
That's
kind
of
a
generalization
,
and
something
I
had
not
considered
was
the
fact
that
why
aren't
we
looking
at
abnormalities
with
our
anatomy
as
an
indicator
for
endometriosis
,
and
could
we
prevent
a
delayed
diagnosis
if
doctors
recognize
the
fact
that
abnormalities
in
the
uterus
,
if
it's
shifted
one
side
or
the
other
,
could
have
endometriosis
?
I
never
really
sat
down
and
thought
about
that
,
but
Dr
Arati
explains
this
in
a
way
that
I
really
hadn't
considered
before
.
Speaker 2
7:19
Take
a
listen
you
go
back
and
you
ask
them
and
you're
like
did
you
have
painful
periods
?
Yeah
,
I
was
passing
out
in
college
or
I
was
,
you
know
,
throwing
up
in
high
school
.
How
come
nobody
knew
that
these
symptoms
are
endometriosis
,
right
,
Right
,
no
one's
talking
about
it
.
How
do
people
not
know
that
dysmenorrhea
is
painful
periods
?
Speaker 2
7:38
but
,
pain
that
happens
before
the
period
,
which
that
is
my
diagnostic
key
for
endometriosis
.
Endometriosis
pain
starts
one
or
two
days
before
the
period
.
Dysmenorrhea
,
or
painful
period
,
starts
when
you're
bleeding
.
That's
dysmenorrhea
.
You
can't
call
pain
one
or
two
days
before
the
period
dysmenorrhea
.
They're
not
having
a
period
.
That
is
endometriosis
.
That's
almost
100%
diagnostic
for
endometriosis
.
If
you
have
pain
the
day
or
two
before
the
period
and
then
as
it
progresses
it
gets
worse
three
days
before
,
four
days
before
,
five
days
before
,
seven
days
before
,
from
ovulation
to
the
period
,
the
whole
month
.
Now
I
mean
,
if
you
go
back
their
history
,
you
can
actually
see
that
it's
literally
the
same
story
every
single
time
.
Speaker 1
8:21
Then
how
do
we
diagnose
earlier
?
Speaker 2
8:23
Through
discussion
,
through
history
,
through
exam
,
through
ultrasound
,
through
the
other
one
,
other
one
,
uh
,
the
tilted
cervix
right
.
Oh
,
I
have
a
tilted
uterus
.
I
mean
,
I
was
tilted
left
,
is
tilted
right
,
it's
shifted
this
and
that
I
mean
.
Do
you
know
that
we're
all
born
with
our
uterus
in
the
middle
,
just
like
our
heart
?
Speaker 2
8:41
is
on
our
left
side
and
our
liver's
on
our
right
side
and
our
gallbladder
is
over
here
and
our
appendix
is
over
here
.
The
uterus
is
in
the
middle
.
That's
how
we're
born
.
That's
how
it
was
created
.
If
it's
not
in
the
middle
,
when
we're
a
teenager
or
when
we're
in
our
twenties
,
something
moved
it
.
Guess
what
moved
it
?
The
endometriosis
moved
it
,
the
fibrosis
moved
it
.
If
your
uterus
is
tilted
,
I
almost
guarantee
you
have
endometriosis
.
And
it's
just
again
.
It
boggles
my
mind
.
I
talk
to
the
patient
.
I
say
,
oh
,
your
uterus
has
shifted
this
or
that
.
Or
oh
,
yeah
,
they
told
me
when
I
was
a
teenager
that
it
was
hard
to
get
a
pap
smear
because
they
couldn't
find
my
cervix
because
it
was
shifted
and
it's
like
and
like
there
was
no
clue
in
that
.
Oh
,
my
God
,
the
cervix
has
shifted
,
there's
something
going
on
.
Speaker 1
9:22
Maybe
she
has
endometriosis
,
Maybe
Maybe
we
should
start
questioning
our
providers
a
little
bit
more
if
things
don't
come
back
normal
,
because
something
that
doesn't
come
back
normal
,
there's
a
reason
for
it
.
It
can't
be
unexplained
.
There
was
so
much
more
that
I
took
away
from
this
episode
but
honestly
those
were
some
major
things
that
have
really
stuck
with
me
throughout
this
year
and
as
I've
planned
ahead
,
and
things
that
I've
looked
at
as
far
as
resources
and
knowledge
have
come
from
this
conversation
.
Something
else
that
I
learned
in
talking
to
Dr
Arati
was
the
fact
that
the
cost
for
endometriosis
excision
specialists
is
significant
.
I
know
a
lot
of
us
complain
that
it's
so
expensive
to
have
endometriosis
excision
surgery
and
it's
not
accessible
to
us
.
I
completely
understand
that
feeling
.
As
someone
who's
had
surgery
with
a
provider
that
has
insurance
coverage
.
It's
still
expensive
,
so
to
get
expert
excision
out
of
seems
unreasonable
.
But
what
I
didn't
realize
was
the
cost
to
the
doctors
.
Advocating for Endometriosis Care
Speaker 1
10:22
This
was
something
that
Dr
Arati
really
brought
up
to
me
.
That
has
really
stuck
with
me
.
This
is
not
a
cheap
endeavor
for
them
and
,
as
someone
who
wanted
to
provide
insurance
coverage
for
those
patients
to
get
expert
excision
,
it's
not
an
easy
road
for
her
either
.
It's
not
cheap
,
but
her
passion
and
her
drive
,
continue
to
push
her
and
propel
her
forward
.
I
hope
these
episodes
have
inspired
you
.
I
look
back
and
I
continue
learning
,
and
I'm
inspired
all
over
again
.
So
join
me
again
for
the
endo
year
of
reflection
as
we
continue
to
reflect
on
these
impactful
episodes
that
leave
us
with
more
knowledge
,
understanding
and
insight
into
endometriosis
,
its
care
and
its
people
.
Until
next
time
,
continue
advocating
for
you
and
for
those
that
you
love
.