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

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

Support the show

Website endobattery.com

Instagram: EndoBattery

Kate's Painful Period Journey

Speaker 1
0:00

Have

you

ever

wondered

why

period

cramps

happen

or

why

we

know

so

little

about

them
?

Or

maybe

you

felt

like

you

couldn't

talk

about

periods

but

weren't

sure

why
.

In

this

episode
,

I'm

joined

by

Kate

Downey
,

the

creator

of

the

podcast

Cramped
,

who

dives

deep

into

the

science
,

the

silence

and

the

stigma

surrounding

period

pain
.

She

shares

what

she's

learned
,

what

shocked

her

and

why

this

conversation

matters
.

You

won't

wanna

miss

this
,

so

stick

around
.

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
.

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

IndoBattery

charging

our

lives

when

endometriosis

drains

us
.

Welcome

back

to

EndoBattery
.

Speaker 1
1:13

Grab

your

cup

of

coffee

or

your

cup

of

tea

and

join

me

at

the

table

Today
.

I

am

joined

by

my

guest
,

kate

Downey
,

who

is

a

storyteller
,

podcast

powerhouse

and

the

creative

mind

behind

Cramped
,

a

podcast

investigating

why

period

pain

is

so

misunderstood

and

mistreated
.

She

has

produced

hit

shows

for

Wondery
,

built

live

podcast

events

with

names

like

Malcolm

Goodwill

and

co-founded

Caveat

NYC
,

where

she

made

science

and

history

hilarious

and

human
.

Kate

has

a

knack

for

making

boring

things

fascinating

and

today

she's

here

to

talk

about

how

she

combined

her

skillset

and

her

story

with

the

curiosity

surrounding

periods
.

Please

help

me

in

welcoming

Kate

Helen

Downey

to

the

table
.

Thank

you
,

kate
,

so

much

for

joining

me

today

on

this

podcast
.

It

is

such

an

honor

to

have

you

sit

down

with

me

and

go

over

all

the

things

that

you're

doing
.

Thank

you

so

much
.

Speaker 2
2:04

Thank

you

so

much

for

having

me
.

I'm

so

excited

to

be

here
,

of

course
.

Speaker 1
2:08

Now
,

this

is

something

that

I'm

excited

to

talk

about
,

because

you

have

a

podcast

which

I

think

is

phenomenal
.

It's

called

Cramped
,

but

you

didn't

start

this

overnight

and

for

no

reason

Can

you

tell

us

how

this

all

came

to

be

and

the

process

it

took

you

to

get

to

this

point

to

want

to

do

a

podcast

like

cramped
.

Speaker 2
2:28

Yeah
,

I

mean

the

long

story

is

22

years

ago
,

when

I

was

14
,

I

got

my

first

period

and

then

I

got

my

second

or

third

period

and

it

was

horrifically

painful
.

I

was

in

science

class
,

I

think

in

eighth

grade
,

and

started

a

full

body

sweat
.

I

thought

maybe

like

I

had

a

stomach

bug

or

food

poisoning
.

I

asked

to

be

excused

to

go

to

the

bathroom

and

realized

I

couldn't

stand

all

the

way

up
,

that

my

whole

midsection

was

just

completely

clenched

down

and

like

twisted
.

I

tried

to

get

to

the

bathroom

and

had

to

keep

stopping

in

the

halls

with

my

hand

against

the

locker

like

trying

to

catch

my

breath
,

trying

to

stand

up

Didn't

think

I

was

going

to

make

it

Suddenly

realized

like

how

far

it

actually

is

to

the

bathroom
,

started

thinking

like

am

I

going

to

throw

up

in

the

middle

of

the

hallway
?

Like

this

is

horrible
.

Speaker 2
3:20

So

after

I

went

to

the

bathroom

and

threw

up
,

I

went

to

the

nurse's

office

and

I

was

convinced

I

was

having

like

that

my

appendix

had

burst
,

because

I

couldn't

imagine

what

else

could

possibly

hurt

this

much
.

Like

I

was

a

pretty

healthy

kid
.

You

know

this

was

me

at

14
.

I

had

never

experienced

pain

like

this

before
,

pain

like

this

before
.

And

so

in

my

fantasy
,

as

I'm

dragging

myself

down

the

school

halls
,

I'm

like

this

is

what

a

medical

emergency

is
.

This

is

what

they

talk

about
,

this

is

what

they

describe
,

this

is

what

you

see

on

TV
.

I'm

going

to

get

to

the

nurse's

office
.

She's

going

to

immediately

see

how

bad

it

is
.

She's

going

to

call

an

ambulance
.

They're

going

to

take

me

to

the

hospital

and

do

emergency

surgery
.

And

then

I'm

going

to

wake

up

and

a

doctor

is

going

to

explain

to

me

like

what

crazy

thing

went

wrong

inside

of

my

body

to

cause

this

much

pain
.

Speaker 2
4:12

I

was

like

I

just

have

to

get

to

the

nurse's

office
.

I

just

have

to

get

to

the

nurse's

office
.

And

when

I

got

there
,

she

asked

me

if

I

she

knows
.

She

asked

me

what

was

wrong
.

It

was

like

oh
,

I've

thrown

up

a

couple

of

times
.

It

hurts

so

much
.

Speaker 2
4:23

You

know

was

describing

what

was

going

on

was

still

sweating
,

full

body

sweat

couldn't

stand

up

straight
.

She

goes

oh
,

do

you

have

your

period
?

I

was

like
,

yeah
,

but

kind

of

like

what

does

that

have

to

do

with

anything
?

And

she

was

like

oh

well
,

here's

a

hot

water

bottle
.

You

know

you

can

lie

on

the

cot

for

a

little

while
,

but

like

you

do

have

to

go

back

to

class

eventually

and

I

was

like

hold

on
,

there

must

be

some

misunderstanding
.

Like

are

you
?

Like
?

No
,

call

an

ambulance
.

Speaker 2
4:53

And

so

instead

I

just

I

lay

on

this

cot

with

a

hot

water

bottle

and

got

up

every

10

minutes

to

throw

up

in

her

bathroom

until

she

finally

called

my

mom

and

was

like
,

yeah
,

I

guess

you're

not

going

back

to

class
.

She

called

my

parents
.

My

mom

came

to

get

me
.

She

was

very

concerned

because

my

mom

had

never

had

these

kinds

of

cramps

before
,

so

she

did

what

she

could

for

me
.

After

we

got

home
,

I

kind

of

passed

out

from

the

pain

and

when

I

woke

up

the

cramps

were

gone
.

My

mom

took

me

to

the

gynecologist

like

a

week

later

and

the

gynecologist

explained

to

me

that

some

women

just

have

very

bad

cramps

and

it

would

probably

get

better

when

I

had

my

first

baby
,

which

is

something

that

is

not

super

helpful

to

say

to

a

14-year-old
.

Speaker 1
5:32

Yeah
,

and

that's

like

the

last

thing

you

want

to

hear

when

you're

14
.

Speaker 2
5:36

Right
.

And

so

the

rest

of

my

adult

life
,

the

rest

of

my

menstruating

life
,

up

until

last

year
,

I

went

to

doctor

after

doctor
.

I

switched

insurances

a

lot

in

my

20s
.

I

went

to

doctors

in

rural

Maine
,

I

went

to

doctors

in

Boston
,

where

I

went

to

college
.

I

went

to

doctors

in

New

York
,

where

I

lived

for

almost

a

decade
,

and

I

went

to

doctors

in

LA

where

I

moved

about

five

years

ago
,

and

no

doctor

could

give

me

no

gynecologist
.

Nobody

could

give

me

an

explanation

of

what

was

happening
.

Speaker 2
6:06

When

my

periods

hurt

that

bad
,

when

my

cramps

got

so

bad

that

I

was

throwing

up
,

I

ended

up

in

emergency

rooms

with

doctors

who

tried

to

give

me

IV

anti-nauseas
.

That

did

not

work
,

even

when

I

would

explain

to

them
.

I

have

horrible

cramps
.

This

is

what

happens

when

my

cramps

get

really

bad
.

They

did

not

believe

me
.

I

did

my

own

research
,

brought

my

research

to

the

doctors

that

I

was

seeing
,

said

hey
,

could

it

be

endo
?

Could

it

be

adenomyosis
?

Could

it

be

PCOS
?

Could

it

be

all

these

things
?

And

every

time

I

was

told

no
,

it

couldn't

be

that
,

because

blank
.

No
,

it

couldn't

be

that
.

It

couldn't

be

endometriosis
,

because

otherwise

you'd

have

very

heavy

periods

and

I

have

very

light

periods
.

And

no
,

it

can't

be

endometriosis
,

because

otherwise
,

because

if

it

was
,

that

you

would

be

having

pain

throughout

your

cycle
,

not

just

during

your

period
.

Nope
,

turns

out

it

can

totally

just

be

on

your

period
,

anyway
,

and

so

on

and

so

forth
.

And

so

it

meant

that

I

got

to

the

age

of

36

with

no

diagnosis
,

no

effective

treatment
,

and

I

kind

of

got

sick

of

it
.

Speaker 2
7:05

I

ended

up
,

in

the

course

of

my

weird

meandering

career
,

I

became

a

podcast

producer

and

so

I

decided

this

is

something

The Medical Mystery of Period Pain

Speaker 2
7:14

I

want

to

do

a

podcast

about
.

I

want

to

find

out

for

once

and

for

all

what

is

wrong

with

me
,

why

I've

been

in

unexplained

and

untreated

pain

for

22

years
.

That
,

after

talking

to

people

about

it
,

like

as

I

got

older
,

I

realized

is

actually

not

uncommon
.

It's

very

common

to

be

having

extreme
,

debilitating

pain

during

your

period
.

And

yet

why

did

every

doctor

look

at

me

like

I

was

some

medical

mystery
?

So

that

kind

of

cognitive

dissonance

always

interested

me

and

always

made

me

really

want

to

like
,

dig

into

that
,

like

what

could

possibly

be

going

on

Right
.

Speaker 2
7:53

Plus
,

I

wanted

a

diagnosis

and

treatment

Right
,

and

so

I

got

a

grant

from

the

Simons

Foundation

in

New

York

City

and

I

was

able

to

make

10

episodes

of

a

series

called

Cramped

where

I

dug

into

all

of

my

questions
.

That

seemed

like

really

basic

questions

and
,

of

course
,

once

you

start

digging

into

them
,

it

turns

out

they're

not

so

basic
.

Questions

like
,

hey
,

why

do

cramps

hurt
?

Like

what

is

actually

cramping
,

what

is

actually

hurting
.

They

seem

really

basic
,

seem

like

there'd

be

simple

answers
.

There

aren't
.

Speaker 2
8:26

Questions

like

why

don't

doctors

know

what

I'm

talking

about

when

I

bring

them

my

symptoms
?

Seems

like

there

should

be

an

easy

answer

for

that
.

Seems

like

it

should

be

simple
.

It's

not
.

It

turns

out

there's

a

deep

history
.

So

that's

really

what

I

went

into

it

trying

to

find

out
.

That

was

about

a

year

ago
.

I

started

working

on

it
.

Over

the

course

of

the

year

I

went

to

see

some

specialists
,

which

were

expensive
,

but

I

decided

to

invest

in

that

finally

and

I

got

diagnosed

with

endometriosis

as

part

of

my

constellation

of

diagnoses
,

because

I

feel

like
,

as

endometriosis

is

becoming

more

prevalent

in

conversation
,

it

still

seems

to

be

largely

ignored

in

the

medical

system

when

it

comes

to

general

GYN

or

family

care
.

Speaker 1
9:25

And

again
,

this

is

much
,

much

deeper

than

I

think

any

of

us

really

understood

when

we

first

started

exploring

this
.

But

what's

interesting

about

you

is

that

you

even

mentioned

like

my

periods

aren't

heavy
,

but

I'm

in

so

much

pain
.

But

the

curiosity

stopped

at

that

point
,

it

sounds

like
,

and

that's

where

your

curiosity

took

you

to

where

you

are

now

with

your

podcast

and

what

you're

doing

and

discovering

about

periods

and

discovering

about

women's

health

and

menstrual

health

and

all

of

those

things

that

we

deal

with

day

in

and

day

out
,

but

no

one's

talking

about

it
.

And

then

all

the

nuances

to

the

period

why

are

they

painful
?

Why

aren't

we

talking

about

these
?

Pain

is

one

thing

and

discomfort's

another
.

How

do

we

differentiate

that
?

Speaker 1
10:07

And

so

I

feel

like

this

podcast

has

been

so

needed
.

So

thank

you

for

doing

it

and

exploring

that
.

I

encourage

everyone

to

listen

to

it

because

it's

incredible

and

you

do

an

amazing

job

at

it
.

But

I

think

what

it

highlights

more

is

that

there's

different

facets

of

your

period
.

What

is

one

thing

from

your

podcast

that

you

have

learned

that

just

kind

of

blew

your

mind
?

I'm

sure

there's

a

lot
,

but

what

is

maybe

one

or

two

things

that

you

have

taken

away

from

having

your

podcast
.

That

just

was

like
.

I

never

even

would

have

thought

of

that
.

Speaker 2
10:41

Oh
,

yeah
,

okay
.

So

there's

two

things

that

come

to

mind

immediately

that
,

for

me
,

just

blew

my

mind

right

away
.

One

was

in

trying

to

answer

the

question

what

is

actually

hurting

when

I

have

cramps
,

what

are

the

mechanics

of

this

pain
,

and

why

do

sometimes

I

get

quote

unquote

regular

cramps

that

are

like

unpleasant
,

uncomfortable

but

not

debilitating
,

and

then

sometimes

I

get

what

I

call

death

cramps
,

which

are

excruciating
,

debilitating
,

they

make

me

throw

up
,

they

make

me

pass

out
,

and

so

what
?

Is

something

different

actually

physically

happening
,

or

is

it

just

regular

cramps
,

like

turned

up

to

a

15
?

You

know
,

I

had

this

question
.

Doctors

couldn't

answer

it

for

me
,

so

I

went

to

a

lab

in

Evanston
,

illinois

called

the

GYRL

lab
,

the

gynecological

research

lab
,

and

they

are

specifically

studying

dysmenorrhea
,

which

is

the

medical

term

for

severe

period

pain
,

and

they're

doing

things

that

I

thought

were

like

very

basic

research

questions

that

you

would

think

at

this

point

in

2025
,

had

been

answered

in

the

60s

or

70s
,

right
,

but

they

haven't
,

and

so

I

think
.

So

what

I

learned

is

that

if

you

Google
,

you

know

why

do

period

cramps

hurt
?

You're

going

to

get

an

explanation

that

tells

you

about

prostaglandins
,

which

are

messengers
,

kind

of

like

hormones

that

are

released

when

your

progesterone

dips
,

basically

your

progesterone

dips

telling

your

body

like
,

okay
,

time

to

have

a

period
,

that

causes

prostaglandins

to

get

released
.

Speaker 2
12:24

The

prostaglandins

bind

with

receptors

in

the

muscle

of

the

uterus

and

tell

the

uterus

to

squeeze

or

contract
.

That

is

what

like

squeezes

the

blood

out

of

your

uterus

and

the

uterine

lining

and

when

your

muscle

is

squeezing

that

can

hurt
,

it

can

get

sore
.

It

can

also

pull

on

the

muscles

in

your

back
,

your

pelvic

floor

muscles
.

They

kind

of

compensate

for

that

squeezing
.

The

prostaglandins

also

flood

into

your

system
.

They

don't

just

affect

your

uterus
,

they

also

affect

other

muscles

in

your

pelvis
,

but

they

also

affect

things

like

your

colon

and

your

intestine
,

which

is

why

you

get

period

poops
,

which

are

amazing
,

yes
,

yes
.

Speaker 2
13:05

And

so

that

process

just

learning

about

that

in

my

own

research
,

I

was

like

oh
,

okay
,

and

in

my

research

they

say

the

pain

comes

from

something

called

ischemia
,

which

is

when

a

muscle

squeezes

so

tightly

for

so

long

that

oxygenated

blood

can't

get

to

the

muscle

fibers

and

the

muscle

fibers

will

die

if

they

don't

get

oxygenated

blood
.

So

they

basically

try

to

get

your

attention

and

experience

pain
.

They

say

like

this

is

you

know
?

If

it

happens

in

your

arm

or

your

leg

it's

called

a

Charlie

horse
,

right
,

that's

ischemia
.

And

so

you're

essentially

getting

a

Charlie

horse

in

your

uterus

and

that's

the

widely

accepted

cause

of

all

dysmenorrhea
.

All

period

pain

is

like

it's

ischemia

from

the

prostaglandins

telling

your

muscle

to

squeeze
,

right
,

I

was

like
,

okay
,

I

didn't

know

that

before
.

Like
,

I

knew

the

uterus

was

squeezing

to

get

blood

out
,

but

I

didn't

really

know

all

the

details

behind

it
.

That

makes

sense
.

So

I

guess

my

death

cramps

is

just

like

too

many

prostaglandins
,

like

so

much

ischemia

that

it's

like

locking

up

those

muscles

and

causing

so

much

pain
.

But

like

I

still

don't

really

understand

why

it

happens

sometimes

and

not

other

times
,

right
.

Speaker 2
14:19

So

I

go

and

visit

this

lab

and

I

like
,

lay
,

I

go

to

the

lead

researchers

and

interview

them

and

I

say
,

okay
,

here's

how

I

understand

period

pain

to

work
.

Is

that

right
?

And

they're

like

no
,

you're

like
.

I

was

like

what
?

Like
?

Because

that's

literally

what

every

textbook
,

every

research

paper

that

I

was

able

to

find

like

on

in

my

own

research

that's

what

it

said

causes

period

pain
.

And

they're

like

well
,

that's

probably

only

part

of

it
.

And

I

was

like

okay
,

well
,

what

are

the

other

parts

of

it
?

And

they're

like

we

don't

know
.

Yet

you're

like

wonderful
,

because

what

they're

doing

is

they're

putting
,

so

they're

you

know

they're

doing

what

a

good

scientist

would

do

and

they

are

testing

the

accepted

theory
.

So

they

are

saying
,

okay
,

is

ischemia

what's

causing

all

period

pain
?

They

are

putting

people

who

are

having

dysmenorrhea
,

who

are

having

cramps
,

they're

putting

them

in

an

MRI

and

they're

having

them

squeeze

a

little

sensor

whenever

they

are

actively

feeling

pain

from

a

cramp

and

so

what
?

They're

able

to

see

what

the

uterus

is

actually

doing

and

see

when

they

are

experiencing

pain
.

And

so

if

it

was

ischemia

causing

the

pain
,

you

would

expect

when

the

uterus

contracts

to

line

up

with

when

they

feel

pain
.

And

it

doesn't

Interesting

theories

that

actually

the

pain

is

from

other

muscles

in

the

like

abdominal

muscles

contracting

in

anticipation

of

pain

or

after

the

contraction

has

already

happened
.

There

are

a

lot

of

theories

around
,

like

inflammation
,

that

the

body

can

react

in

a

way

that

sends

more

inflammatory

mediators

to

that

area
.

But

ultimately

we

don't

know

and

it

probably

has

more

to

do

with

our

brain's

pain

processing

pathways

than

it

does

with

The Reality of Menstrual Stigma

Speaker 2
16:28

the

actual

activity

of

the

muscles
.

And

that

was

fascinating

to

me
.

That

is

fascinating
.

Speaker 2
16:40

30%

of

menstruating

people

experience

enough

period

pain

that

it

is

in

some

way

debilitating
.

It

keeps

you

from

living

your

day-to-day

life

Right
.

And

that's

millions

of

people
,

that's

30%

of

menstruating

people

worldwide

would

be

about

522

million

people
,

over

half

a

billion

people

worldwide

having

debilitating

pain

once

a

month

potentially

and

we

don't

know

why

we

haven't

really

studied
.

The

GYRL

lab

is

one

of

the

only

labs

getting

NIH

funding
,

at

least

right

now
,

currently

to

study

dysmenorrhea

and

period

pain
,

and

so

they

are

making

progress
,

but

this

is

progress

we

should

have

made

years

ago
,

and

it's

because

of

what

you

were

talking

about

that

there's

just

doesn't

seem

to

be

this

curiosity
.

Prostaglandins

were

discovered

in
,

I

think
,

the

1970s

and

we

stopped

there
.

Science

said
,

like

great
,

we

did

it
,

we

get

it
,

that's

what

it

is
,

no

further

questions
,

and

that's

where

we

stopped
.

And

so

I'm

very
,

very

grateful

and

excited

that

more

research

is

being

done

and

more

progress

is

being

made
,

and

I'm

also

angry

that

there

was

not

more

curiosity

or

interest

in

like

half

a

billion

people's

pain
.

Speaker 1
17:58

Right
,

Well
,

and

I

think

and

have

you

experienced

this

in

all

of

the

work

that

you've

done

that

the

lack

of

curiosity

is

more

so

in

women's

and

reproductive

or

menstrual

health
.

Like

it's

not
.

It's

been

such

a

taboo

topic

for

so

long

and

people

haven't

talked

about

it
.

I

mean
,

think

about

it

Like

did

when

you

were

growing

up
,

when

you

had

your

period
?

Were

you

outwardly

excited

to

talk

about

your

period
?

Or

was

it

something

that

you

didn't

talk

about

and

you

didn't

hear

other

people

talk

about
,

unless

you

were

in
,

like

your

little

friend

group
,

you

know
,

in

middle

school
,

and

then

you

would

like
,

when

did

you

have

your

period
?

Yeah
,

you

know
.

Like

I

don't

know

why

the

period

was

so

excited

to

get

in

the

first

place
.

Like
,

yeah
,

I

don't

know

why

the

period

was

so

excited

to

get

in

the

first

place
.

Yeah
,

it's

a

sign

of

womanhood
.

Speaker 2
18:43

We're

also

terrified

to

have

anything

happen

to

us

that's

not

quote

unquote

normal
,

yeah
,

and

our

experiences
,

in

anyone

who

gets

a

period
,

our

experiences

are

so

different

and

it's

normal

to

have

a

variety

of

experiences
.

Not

that

it's

normal

to

be

in

extreme

pain
,

not

that

it's

okay
.

Right
,

it

is

very
,

very

hard

to

be

12
,

13
,

14
,

15

and

be

forced

to

reckon

with

this

idea

that

there

is

no

normal

for

this

experience
.

It's

going

to

happen

when

it

happens
,

you

can't

control

it

Right
.

Normal

for

this

experience
?

It's

going

to

happen

when

it

happens
,

you

can't

control

it
,

right
.

And

all

of

your

friends

have

different

experiences

and

different

things

they

think

are

normal

and

that's

terrifying
.

And

so

we

also

are

really

given
.

Speaker 2
19:32

And

I

grew

up

with

a

very

progressive

hippie

mother

who

and

I

say

that

with

love

and

admiration

who

was

very

open

about

reproductive

stuff

periods

like

it

was

never

a

taboo

issue

in

our

home
.

And

I

still

got

the

message

very

clearly

from

the

world

I

live

in

that

you

do

not

talk

about

your

period
.

The

consequences

of

talking

about

your

period

are

you

are

shunned
,

you

are

laughed

at
,

you

are

tittered

about
,

and

so

you

avoid

it

at

all

costs
.

And

even

when

we

get

older

and

we

don't

consciously

make

that

choice
.

We

are

trained
,

we

are

conditioned

not

to

talk

about

it
,

and

it

damages

us

because
,

like

the

only

our

doctors
,

our

gynecologists

don't

necessarily
,

I

have

learned

do

not

necessarily

have

accurate

information

on

our

health

and

our

bodies

and

what

is

normal

or

possible

and

where

we

could

get

more

help
.

We

have

no

information
,

right
,

unless

we

are

lucky

enough

to

have
,

you

know
,

a

doctor

who

does

have

good

information

or

is

willing

to

look

stuff

up

or

refer

us

to

a

specialist

and

not

all

doctors

are
.

Speaker 2
20:57

Our

experiences

with

our

periods

harms

us

in

both

psychologically

and

physically
,

because

we

are

isolated

in

our

pain
,

which
,

like

psychologically
,

gives

us

more

pain
.

Our

pain

is

worse

because

we

are

isolated

and

alone

in

it
.

We

are

social

animals
.

Our

brains

have

developed

to

want

to

be

around

other

people
,

to

want

to

know

we're

not

alone
,

and

so

if

you

are

having

pain

and

your

brain

is

going

to

tell

you

there's

something

wrong
,

if

you're

alone

in

this

pain
,

if

you

don't

know

why

it's

happening
,

that's

worse
,

right
?

So
,

literally
,

our

pain

is

worse

because

we're

not

talking

about

it
,

and

if

you

think

about

who

benefits

from

us

not

talking

about

our

pain
,

it's

not

us
.

Speaker 1
21:44

Nope
,

it's

to

make

people

less

uncomfortable
.

Speaker 2
21:48

Yeah
,

and

not

just

people
,

it's

men
.

Speaker 2
21:51

It's

people

who

do

not

get

periods
,

and

they

do

not
.

One
,

talking

about

our

pain

would

potentially

make

them

uncomfortable
,

because

it

is

a

part

of

the

body

that

they

don't

have

and

an

experience

they

don't

have
.

And

two
,

being

open

about

our

suffering

and

our

pain

would

force

them

to

do

something

about

it
,

even

if

that

is

just

accepting

that

we

can't

that
.

Okay
,

I'm

in

pain
,

I

can't

show

up

to

work

today
.

I

can't

do
.

I

do

childcare

today
.

I

can't

pick

up

my

mom

from
,

like
,

her

appointment

today
.

You

have

to

do

it
.

Speaker 2
22:26

And

when

we

shut

up

about

our

pain
,

when

we

keep

it

to

ourselves
,

when

we

just
,

like

white

knuckle

our

way

through

it
,

that's

not

benefiting

us
,

that's

harming

us
.

That's

benefiting

the

people

who

rely

on

our

labor
,

who

rely

on

our

emotional
,

social
,

unpaid

labor

and

paid

labor
,

and

so

that's

another

reason

that

we're

encouraged

not

to

talk

about

it
.

It

may

not

be

direct

I'm

not

suggesting

that

every

man

in

your

life

is

trying

to
,

you

know
,

extract

labor

from

you

when

you're

on

your

period

but

that

is

what

ends

up

happening

when

we

don't

Why Period Science is Shockingly Limited

Speaker 2
23:00

talk

about

our

pain

and

demand

support

when

we

are

in

debilitating

pain
.

Speaker 1
23:07

Yeah
,

and

it's

so

true
.

I

remember

my

husband

and

I

were

talking

about

in

the

midst

of

my

pain

with

my

period

and

this

is

when

we

first

got

married

and

he

went

to

the

store

to

get

me

tampons

and

pads

and

and

this

like

90

year

old

woman

he's

probably

not

90
,

but

like

older

woman

was

like

I

get

that

time

that

kind

too
,

and

he'd

forgotten

that

he

had

like

some

potting

soil

right

there

with

the

pads

and

tampons

and

he

automatically

was

like

the

pads

and

tampons

Okay
,

and

she

meant

the

potting

soil
.

But

he

I

was

like

did

that

embarrass

you
?

I

remember

asking

him

did

that

embarrass

you
?

It

was

no
,

that

didn't

embarrass

me
.

He

said

I

shouldn't

be

embarrassed

because

I

have

a

woman

that

has

a

cycle

Like

I'm

proud

of

that
,

I'm

proud

that

I

can

do

this

for

you
.

He's

like

you're

in

pain
.

Speaker 1
23:59

But

I

will

tell

you

that

I

myself

didn't

want

to

even

check

out

pads

and

tampons

unless

and

this

is

like

before

self-checkout

was

really

a

thing
.

I

would

always

find

the

checkout

that

had

like

the

oldest

woman

at

the

register
,

because

I

didn't

want

to

be

embarrassed

by

it

and

that

is
.

And

so

I

think

just

how

that

plays

out

with

not

only

us

as

menstruating

people
,

but

also

like

how

that

plays

out

in

society

and

how

we

get

embarrassed
,

is

not

okay
,

because

I

think

it

is

more

harmful
.

It's

more

we're

not

talking

about

the

serious

things

and

that's

why

I

think

for

a

long

time

not

fully
,

I

think

this

is

only

a

component

of

it

why

research

wasn't

done

on

women
,

why

we

don't

know

why

we

have

these

cramps
.

Speaker 2
24:46

Yeah
,

I

think

because

we

didn't

talk

about

it
.

It's

one

of

those

things

that

if

you

stop

and

think

about

it

for

two

seconds
,

it

makes

no

goddamn

sense
.

No
,

because

half

the

population

of

the

world
,

for

at

least

half

of

their

life

for

potentially
,

you

know
,

potentially

half

of

their

lives

is

menstruating

12

times

a

year

ish
.

And

so

why

are

we

living

in

a

world

where

we

are

going

through

these
,

like

crazy

acrobatic
,

you

know

tricks

to

hiding

tampons
,

like

hiding

menstrual

products
,

not

talking

about

it

in

public
,

like

going

through

all

of

this

labor

to

hide

it
?

Who's

doing

the

work

to

hide

it
?

Us
,

while

we

are

at

our

lowest

point
,

sometimes

while

we

are

feeling

the

worst
,

we

are

also

putting

in

all

this

effort

to

hide

it

or

being

made

to

feel

uncomfortable

about

it
,

and

it

is

no

sense
.

And

also
,

the

species

wouldn't

continue

if

we

didn't

menstruate

you

know

like

it

makes

no

sense
.

Speaker 2
25:44

And

to

your

point

about

women's

bodies

not

being

studied
,

I

mean

that

was

a

huge

part

of

the

podcast

as

well
,

of

like

I

understood
,

like

I

kind

of

intellectually

like

knew

that

women

were

less

represented

in

medical

studies

and

I

vaguely

remembered

that
,

like

in

the

past
,

there

was

like

a

whole

thing

where

women's

bodies

weren't

studied

at

all
.

And

I

vaguely

remembered

that
,

like

in

the

past
,

there

was

like

a

whole

thing

where

women's

bodies

weren't

studied

at

all
.

And

I

was

like

yeah
,

yeah
,

yeah
,

I

know
,

when

I

actually

looked

into

the

actual

history

of

it

and

the

facts

around

it
,

it's

wild
,

like
,

truly

wild
,

the

like

contortions

that

the

medical

and

scientific

industry

goes

into

to

not

study

female

bodies
.

And

part

of

the

reason

that

they

will

say

is

that

women's

bodies

and

women's

cells
,

like

down

to

they

don't

use

female

lab

rats
,

no
,

a

lot

of

the

time

because

they

say

it's

because

of

these

hormone

fluctuations
.

Oh
,

dear

Women
,

female

bodies
,

female

animals

have

these

hormone

fluctuations

and

that

makes

it

much

harder

to

study
.

Speaker 2
26:50

It's

another

factor

that

you

know

could

complicate

it
.

Female

lab

rats

have

like

four

day

hormone

cycles

or

something

and

so

like
,

oh
,

you'd

have

to

replicate

the

experiment

like

four

different

times

to

make

sure

that

the

hormone

fluctuations

are

not

like

changing

the

results

of

the

experiment

or

whatever
.

And

so

they're

like

we're

just

not

going

to

do

it

because

male

you

know
,

male

lab

rats
,

male

humans
,

like

they

don't

have

these

kinds

of

hormone

fluctuations

that

could

really

mess

up

the

data

we

have

hormone

fluctuations
.

Speaker 1
27:21

Right
.

Speaker 2
27:23

So

it's

not

only

Half

the

people

who

are

taking

this

medication

or

whatever

are

going

to

be

having

these

hormone

fluctuations
.

So

like
,

even

if

it's

a

little

more

complicated
,

isn't

that

effort
?

That's

well

worth

it
.

And

it

turns

out
,

no
,

not

to

them
.

For

a

long

time
,

it

was

sort

of

accepted

in

science

that

whatever

results

you

got

from

male

rats
,

more

male

human

participants
,

you

could

just

also

apply

to

female

participants

and

or

female

you

know

female

people

who

are

going

to

be

taking

this

drug
.

And

it's

not

true
.

Speaker 2
28:00

If

you

are

ovulating
,

if

you

are

cycling
,

your

hormone

fluctuations

affect

every

single

organ

in

your

body

and

the

way

that

it

functions
.

Like

I'm

on

an

antidepressant
,

I'm

on

an

SSRI
.

That

SSRI

is

the

same

dose

all

month
,

yet

my

hormone

fluctuations

mean

that

it

is

much

more

effective

in

my

follicular

phase

than

it

is

in

my

luteal

phase
,

which

is

when

I

need

it

more
,

and

so

there

are

lots
.

There

are
,

just

recently
,

some

pushes

to

change

some

of

the

dosage
,

and

this

is
,

by

the

way
,

this

is

true

about

cold

medicine
,

this

is

true

about

so

many

different

medications

that

if

you

take

it

in

your

follicular

phase
,

it

might

work

very

differently

for

you

than

it

will

in

your

luteal

phase
,

because

the

vastly

different

levels

of

hormones

affect

your

digestion
,

it

affects

your

liver

and

your

kidney

function
.

It

affects

all

these

different

organs

and

yet

that

medication

has

not

been

tested

on

people

at

different

stages

in

their

hormone

fluctuation
.

Speaker 2
29:04

So
,

they

don't

know
.

It's

also

why

women

experience

a

much

higher

rate

of

adverse

reaction

to

medication
,

and

it

doesn't

seem

to

matter
.

Our

quality

of

life

and

our

experience

and

our

level

of

pain

does

not

really

seem

to

matter

enough

to

science

and

medicine

to

get

them

to

change

and

change

is

hard
.

I

have

an

aunt

who

is

a

scientist

and

she

has

explained

to

me

things

that

I

didn't

think

of

before

that

just

starting

to

include

more

women

in

clinical

studies

would

make

it

much

harder

to

compare

results

to

studies

done

in

the

past

with

different

populations
.

It

would

mean

that

you

would

have

to

replicate

it
,

which

would

double

the

budget

for

a

lot

of

these

studies

which
,

especially

in

today's

climate
,

would

be

really

hard
.

Speaker 2
29:50

But

again

it's

like

well

then
,

what

are

we
?

What

is

the

point

If

half

the

people

taking

this

medication

are

going

to

be

reacting

to

it

differently
?

What's

the

point

of

not

doing

it

this

way
?

Speaker 1
30:02

Well
,

and

it's

also

like

not

only

are

we

lacking

the

curiosity
,

we're

also

lazy

in

research
,

like

that's

the

bottom

line

too
,

is

you

want

to

get

and

I

don't

know

this

for

100%

certainty
,

but

I

would

guess

that

if

you

are

given

a

certain

amount

of

grant

funding

to

do

research
,

you

need

to

get

that

research

done

within

a

specific

period

of

time
,

or

you

don't

finish

it
.

So

when

you're

making

something

more

complex
,

when

you're

researching

something

more

complex
,

you're

going

to

need

a

bigger

budget
,

and

if

you

don't

have

that
,

you're

just

going

to

go

the

easiest

route

and

hopefully

the

best

route

for

that

budget
.

Now
,

I'm

not

saying

that's

exactly

what

happens
,

but

I

would

have

to

assume

there's

some

of

that

at

play

when

it

comes

to

researching

women's

health
.

Speaker 2
30:47

Right
,

and

you

know
,

one

of

the

frustrating

things

about

digging

deep

into

this

issue

is

that
,

you

know
,

we

want

to

be

mad

at

the

doctors
,

right
.

We

want

to

be

mad

at

the

people

who

are

not

well

informed

and

are

not

giving

us

the

information

that

we

need

or

giving

us

the

treatment

that

we

need
.

We

want

to

be

mad

at

the

scientists

who

are

choosing

to

do

the

work

this

way
,

who

are

choosing

not

to

include

more

women

participants

in

these

issue
.

It

is

the

definition

of

a

systemic

issue

which

is

like

it's

not

a

problem

of

bad

actors
,

right
,

it's

not

a

problem

of

bad

apples
.

It's

a

problem

of

the

entire

structure

of

our

society
,

of

our

medical

industry
,

of

our

scientific

research
,

of

our

scientific

research
.

Speaker 2
31:51

The

way

that

that

is

funded

and

structured

discourages

and

disincentivizes

all

of

the

changes

that

need

to

be

made

in

order

for

women

to

be

fully

represented

in

these

studies
,

for

these

basic

questions

about

our

anatomy

and

functioning

to

be

answered
.

And

you

know

when

you

have

to

zoom

out

to

really

see

that
.

And

it's

incredibly

frustrating

because
,

short

of

mandates

which
,

like

the

NIH
,

does

have

a

mandate
,

it

just

doesn't

get

enforced

and

it's

very

hard

to

enforce

for

including

female

participants

in

these

studies
,

and

you

know
,

it

is

hard

to

imagine

how

we

can

get

there
,

because

without

completely

tearing

down

the

entire

system

and

starting

from

scratch
.

I

mean
,

this

administration

is

pretty

well

along

into

tearing

down

the

entire

system
,

but

I

don't

necessarily

trust

that

it

will

be

rebuilt

The Gender Bias in Medical Research

Speaker 2
32:36

in

a

better

way
.

Speaker 1
32:37

Well
,

and

we'll

see
.

I

think

one

of

the

things

that

I

have

become

more

aware

of

is

that

this

isn't

just

a

US

issue
.

This

is

a

worldwide

issue
,

and

this

is

something

that

you

know
,

I

feel

like
.

For

me
,

I

was

completely

oblivious

to

the

people

in

the

UK

who

are

still

struggling

with

this
,

and

we're

all

dealing

with

a

lot

of

the

same

issues

because
,

like

it

or

not
,

we

share

a

lot

of

the

same

research
,

and

so

that's

the

big

part

of

it
.

And

if

one

country's

on

it
,

unless

you're

like

of

the

same

research
,

and

so

that's

the

big

part

of

it
,

and

if

one

country's

on

it
,

unless

you're

like

really

wanting

to

research

it

more
,

can

they

just

don't
.

Speaker 2
33:14

And

that's

so

hard
,

and

I

mean

it

is

perversely

gratifying
,

I

think

you

know
.

I

think

we

look

at

a

lot

of

the

problems

with

our

healthcare

in

the

US

and

we

say

single

payer

healthcare

would

solve

a

lot

of

these

problems
.

But

this

is

a

problem

that
,

like
,

yeah
,

you

look

at

the

UK

and

places

in

Europe

that

have
,

you

know
,

single

payer

health

care
,

that

have

nationalized

health

care
,

and

they

might

have

slightly

different

problems
.

You

know
,

right

on

par
,

like
,

I

don't

think

you're

better

off

having

endometriosis

in

the

UK

than

you

are

in

the

US
.

It

is

maybe

in

Switzerland

or

Sweden

or

one

of

the

Nordic

countries
.

It

seems

like

they

have

some

stuff

figured

out
.

But

no
,

it

is

a

worldwide

problem
,

in

no

small

part

because

we're

all

in
.

All

of

these

Western

countries

are

essentially

based

off

the

same

structure
.

Speaker 1
34:07

Right
,

yeah
,

exactly

Exactly
.

We've

talked

about

the

challenges

and

the

shocks

of

what

you've

learned

doing

this

podcast

and

kind

of

sifting

through
,

not

only

figuring

out

what's

best

for

you

and

your

care
,

but

also

like

we

got

to

talk

about

this

more

what

is

one

thing

that

you

have

taken

away

from

doing

the

podcast
,

or

maybe

a

couple

of

things

that

encourage

you

about

what

not

only

you're

doing
,

but

the

direction

that

we

can

go

as

people

with

menstrual

cycles
,

people

with

endometriosis
.

What

encourages

you

most
?

Speaker 2
34:40

Okay
,

I

have

so

much

to

talk

about
.

I'm

so

glad

you

asked

this

question

because

there's

so

much

that

feels

hopeless

and

there's

so

much

that

feels

like

too

big
,

too

much

to

wrap

our

heads

around

or

to

do

anything

about
.

But

there

are

so

many

good

things

happening

at

the

same

time
.

One

there

are

so

many

incredibly

smart
,

incredibly

driven

people

working

on

these

problems
.

The

people

at

the

GYRL

lab

are

working

on

this
.

If

you

go

to

cureperiodpainorg
,

they

are

always

running

studies

that

you

can

actually

participate

in
.

Some

of

them

are

just

surveys

you

can

fill

out
,

and

so

I

highly

encourage

they're

always

looking

for

people

to

participate

in

these

studies
.

So

go

see

if

you're

eligible
.

Some

of

them

are

even

paid
.

So

go
,

go
,

go
,

go
.

Speaker 2
35:21

Yes
,

there

are

people

advocating

at

the

highest

levels

of

government

for

more

research

into

endometriosis
,

more

research

into

menstrual

pain
,

into

women's

health
.

People

who

are

like

lifelong

government
,

people

who

know

how

the

system

works

I

don't

even

know

how

it

works

well

enough

to

say
,

like

what

their

jobs

are
,

but

like

they're

not

lobbyists
,

they're

like

doing

this

for

the

society
,

for

women's

health
.

Research

is

doing

incredible

work
,

so

that

is

incredibly

hopeful
,

that

like

a

few
,

like

people

who

know

more

than

me

and

who

are

much

more

qualified

than

me
,

are

like
.

Working

on

this

is

so
,

so

good

to

know
.

A

Society

for

Women's

Health

Research

is

also

always

looking

for

more

people's

stories
,

so

if

you

go

to

their

website
,

you

can

just

write

your

story

there

and

they

can

ask

you

permission

to

share

it

on

their

various

channels

or

with

Congress
,

people

and

senators
.

So

that

is

a

way

that

you

can

immediately

just

like

help

them
,

help

you
.

Speaker 2
36:16

Another

thing

that

gives

me

a

lot

of

hope

is

that
,

looking

at

like

zoomed

way

out
,

looking

at

the

history

of

women's

health

and

how

we

have

been

treated

through

history
,

the

one

thing

that

I

see

as

a

through

line

is

the

more

access

to

information

we

have

as

individual

people

trying

to

get

better

healthcare
,

the

better

off

we

are

Right

now
.

If

you

look
,

before

the

printing

press

was

invented
,

it

was

really

hard

to

get

accurate

information

about

healthcare
,

the

way

your

body

worked
,

anything

like

that

you

were

reliant

on
,

potentially

a

village

wise

woman

or

a

midwife
,

and

that

these

systems

of

knowledge

died

out
.

And

now

we
,

at

this

point

in

our

history
,

we

have

access

to

more

information
,

and

more

quickly

than

we

ever

have

had

in

our

entire

existence

as

human

beings
.

Obviously
,

it's

a

double-edged

sword
,

because

we

also

have

access

to

all

the

bad

information
,

misinformation
.

But

if

we

can

be

media

literate
,

if

we

know

good

sources
,

if

we

know

how

to

check

and

validate

our

sources
,

we

can

have

access

to

all

the

information

out

there
.

Basically
,

I

read

a

lot

of

research

papers
,

medical

papers
.

I

don't

understand

all

the

words
,

I

Google

them
.

I

have

a

friend

who's

a

data

scientist

and

sometimes

I

send

her

a

paper

and

say

here's

what

I

think

this

data

is

saying
.

Can

you

tell

me

if

I'm

right

or

not
?

And

then

she'll

call

me

and

we'll

talk

about

what

the

difference

between

an

average

and

a

mean

is

and

I'll

try

to

remember

my

high

school

stats
.

But

we

have

access

to

that

information

and

we

have

access

to

all

of

the

things

we

need

to

decode

that

information
.

And

so
,

yeah
,

it's

a

pain

in

the

ass
,

it

sucks

that

we

have

to

basically

get

amateur

medical

degrees

just

to

care

for

ourselves
,

but

that's

where

we

are

right

now
.

We

also

have

access

to

each

other

and

I

think

that's

a

hugely

important

piece

of

the

puzzle
.

Speaker 2
38:15

I

agree

there

are

a

lot

of

people

doing

what

are

sometimes

called

like

women's

circles

just

getting

together

with

other

people

who

are

menstruating
,

people

with

uteruses
,

together

with

other

people

who

are

menstruating
,

people

with

uteruses

getting

together

in

groups

from
,

you

know
,

three

to

a

hundred
,

over
,

zoom

over
,

like

in

person
,

in

your

living

room
,

in

a

local

coffee

shop
,

at

a

bar
,

wherever
.

I

had

one

recently
.

I

think

I'm

going

to

keep

doing

them
,

monthly
,

I

think
,

and

call

them

clam

bakes
,

because

that

appeals

to

my

sense

of

humor
.

Yes
,

but

just

literally

getting

together

with

a

group

of

people

who

are

experiencing

different

things
,

going

around

and

you

know

you

are

going

to

doing

it

this

way
,

you

are

going

to

find

other

people

who

are

experiencing

things

similarly

to

you
.

I

didn't

know
.

Speaker 2
39:00

You

know
,

I

invited

kind

of

a

random

group

of

people

that

I

knew

to

my

house
.

About

12

people

showed

up
,

I

think
.

I

invited

like

25
,

12

showed

up
.

We

had

some

wine
,

we

had

some

snacks
,

we

went

around

and

just

like
,

said

what

was

good
,

what

we're

each

dealing

with
.

Some

of

these

people

are

people

I've

been

close

with

for

years
.

I

had

no

idea

some

of

the

stuff

that

they

were

dealing

with
.

We

ended

up

having

a

long

conversation

about

IUDs

and

insertion
.

Oh

yeah
.

Speaker 1
39:30

And

some

people
.

Speaker 2
39:31

Some

people

in

the

group

had

experienced

an

IUD

insertion

where

they

were

given

lidocaine
,

where

they

were
,

you

know
,

given

topical

local

anesthesia
,

and

we

you

know

other

people

in

the

group

were

asking

where

did

you

get

that
?

How
,

like
,

cause
,

I've

tried

to

get

that

and

they

refuse

it
.

And

so

we

shared

information

about
,

like
,

which

locations
,

under

which

insurances

cover

like
,

uh
,

local

anesthesia

with

IUD

insertion
,

and

people

went

away

with

actual

actionable

okay
,

next

time

I

need

an

IUD
,

like

I'm

going

to

go

to

that

place

because

I'm

it

is

important

to

me

to

have

anesthesia
,

and

so
,

like

that

kind

of

that's

an

empowerment
,

that

kind

of

sharing

of

information

so

that

we

can

get

what

we

need
,

what

we

deserve

in

terms

of

health

care
,

and

know

that

we

are

not

alone

in

dealing

with

this
.

That

is

incredibly

important
,

yeah
,

so

those

are

things

that

give

me

a

ton

of

hope

with

this
.

Speaker 1
40:27

That

is

incredibly

important
.

Yeah
,

so

those

are

things

that

give

me

a

ton

of

hope

Hope on the Horizon for Menstrual Health

Speaker 1
40:30

.

I

have

hope

that

you
,

that

there

are

more

people

taking

their

platform

and

talking

about

it

and

being

open

about

it

and

being

vulnerable
.

I

think

sometimes

it

can

be

overlooked
.

You

know

what

we

do
.

It

can

be

a

very

vulnerable

thing

to

do
,

because

you're

talking

about

your

healthcare

A

lot

of

times
,

you're

talking

about

your

challenges

and

sometimes

that's

not

always

the

easiest

thing

to

do
,

but

I

have

hope

that

more

people

are

talking

about

their

care
,

they're

looking

at

it

more
,

they're

advocating

and

they're

showing

how

to

advocate

better

for

themselves

and

they're

demanding

more

from

a

lot

of

people
,

everyone

that

has

a

hand

in

our

care
,

and

I

think

that

that

is

what's

going

to

change

the

trajectory

of

healthcare

in

general
,

but

women's

healthcare

specifically
,

and

so

I

have

just

an

immense

amount

of

hope
,

given

that

women

are

tired

of

becoming

second-class

citizens

and

they're

speaking

up

and

they're

saying

this

is

not

good

enough

for

us

anymore
.

Speaker 1
41:26

Our

lab

values

shouldn't

be

based

off

of

men's

lab

values
.

Our

lab

values

are

our

own
.

We're

individual

humans
.

We
,

you

know
,

we

do

operate

differently
,

and

so

talking

about

it
,

bringing

it

to

light

and

putting

it

out

there

in

a

place

that

leaves

space

for

criticism

can

be

really

challenging
.

So

thank

you

for

stepping

into

that

space

and

taking

the

funding

that

you

did

get

to

do

something

like

this
,

because

this

is

so

important

and

it's

so

impactful
.

So

thank

you

for

doing

that

and

thank

you

for

sitting

at

the

table

with

me

and

talking

about

this

because

Of

course
,

it's

my

pleasure
.

This

is

how

it

changes
.

Speaker 2
42:02

Yes
,

and

I

will

say

there

is

a

lot

of

good

research

out

there

that

shows
.

I

forget

the

exact

number
,

but

you

only

need

about

3.5%
,

and

the

more

that

we

just

talk

to

each

other

about

this
,

the

closer

we

get

to

that

3.5%
.

And

doing

something

you

know
,

you

don't

have

to

go

to

a

physical

protest

Like

you

can

write

your

congressperson

about

this
.

You

can

share

your

story

with

the

Society

for

Women's

Health

Research
.

You

can

write

an

open

letter

on

social

media

about

how

dumb

it

is

that

this

is

the

way

our

system

works
.

Yes
,

because

I

think

the

more

yeah
,

completely

the

more

open

we

are

to

this
,

the

more

we

just

talk

one-on-one

to

each

other
,

the

more

awareness

there

is
.

And

we

talk

one-on-one

to

people

in

our

lives

who

don't

get

periods
,

who

don't

have

uteruses
,

and

help

them

understand

how

dumb

this

system

is
,

that

half

the

people

on

this

earth

can't

get

adequate

healthcare

or

accurate

information

because

of

the

way

the

system

is

set

up
.

You

know

it's

a

big

system

but

like

we

made

it

up
,

we

can

change

it
.

Speaker 1
43:18

Right
,

absolutely
.

And

if

you

don't

feel

empowered

to

say

all

the

stats

or

say

all

the

facts
,

point

people

to

the

right

direction
,

because

sometimes

that's

a

really

overwhelming

thing

for

us

to

do
,

because

we

are

so

inundated

within

our

own

things

that

we're

dealing

with

that

sometimes

it's

hard

for

us

to

convey

this

accurately
.

Nate's

podcast

is

amazing

Cramped
.

If

you

haven't

listened

to

it

yet
,

go

listen

to

it
.

It's

amazing
.

She's

a

phenomenal

communicator
.

Love

the

fact

that

you

open

up

the

door

to

so

many

different

conversations

and

things

that

we

should

be

paying

attention

to

more
,

and

you're

bringing

in

some

really

good

evidence-based

materials

as

well
,

which

I

think

is

crucial

to

the

way

that

we

approach

this
.

So

thank

you

for

doing

that

and

I

encourage

you

to

go

check

out

cramped

and

it's

streaming

everywhere

or

where's

this
.

Speaker 2
44:07

Anywhere

you

get

your

podcast

and

it's

cramped
.

C
,

r
,

a
,

m
,

p

E

D
.

My

name's

Kate

Helen

Downey
,

so

you

can

find

me

on

Instagram

at

Kate

Helen

Downey
,

or

on

Tik

TOK

at

Kate

is

cramped
.

Speaker 1
44:20

Love

it
,

I

love

it
.

Go

follow

her

there
,

kate
.

Thank

you

again

so

much

for

sitting

down

with

me

and

this

has

been

so

fun
,

so

fun
.

Until

next

time
,

everyone

continue

advocating

for

you

and

for

others
.

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