The Unseen Struggle: Nathali’s Story of Resilience Against Pelvic Pain and Endometriosis

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The Unseen Struggle: Nathali's Story of Resilience Against Pelvic Pain and Endometriosis
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Imagine enduring a pain so severe that it dictates every moment of your life, yet being told it’s all ‘in your head.’ Our guest, Nathali, shares a poignant narrative of her battle with endometriosis and adenomyosis—a tale that begins with dismissed symptoms in high school and evolves into a relentless quest for answers. She unveils the raw truth behind misdiagnoses and the frustration of facing a healthcare system that often undermines those with chronic conditions. Her journey is not just a testament to her fortitude but also a rallying cry for patient advocacy and the critical need for specialized care.

As we listen to Natalie recount her experiences with pelvic floor dysfunction and the search for relief, it’s akin to watching a warrior reclaim her strength. The discovery of a supportive community and the role of pelvic floor therapy mark a transformative chapter in Natalie’s life, offering a glimmer of hope to listeners who may be sharing a similar path. This episode is a gripping exploration of the intersection between personal struggle and collective empowerment, encouraging patients everywhere to become champions of their own health and well-being. Join us for an intimate and inspiring conversation that illuminates the courage required to fight back against a daunting adversary: one’s own body.

Endocipota
The Chronic RBF

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Instagram: EndoBattery

Understanding Endometriosis and Adenomyosis

Speaker 1
0:03

Welcome

to

Indobattery
,

where

I

share

about

my

endometriosis

and

adenomyosis

story

and

continue

learning

along

the

way
.

This

podcast

is

not

a

substitute

for

professional

medical

advice

or

diagnosis
,

but

a

place

to

equip

you

with

information

and

a

sense

of

community
,

ensuring

you

never

have

to

face

this

journey

alone
.

Join

me

as

I

navigate

the

ups

and

downs

and

share

stories

of

strength
,

resilience

and

hope
.

While

navigating

the

world

of

endometriosis

and

adenomyosis
,

from

personal

experience

to

expert

insights
,

I'm

your

host
,

elana
,

and

this

is

Indobattery

charging

our

lives

when

endometriosis

drains

us
.

Welcome

back

to

Indobattery
,

grab

your

cup

of

coffee

or

your

cup

of

tea

and

join

my

guest
,

natalie
,

and

I

at

the

table
.

Natalie

is

an

advocate
,

where

she

runs

her

Instagram

page
,

indosipota
,

as

well

as

her

new

publication
,

the

Chronic

RBF
.

Thank

you
,

natalie
,

so

much

for

joining

me

today

and

I

am

excited

to

share

your

story
.

You

have

recently

just

inundated

the

internet

with

questions

and

from

your

posts
,

people

are

asking

a

bunch

of

questions
,

but

I

think

to

understand

where

you

are
,

can

we

go

back

to

where

you

started
?

Speaker 2
1:21

Yeah

for

sure
.

Well
,

thanks

for

having

me
.

I'm

really

excited

to

be

on

Endobattery
,

which

is

one

of

the

most

amazing

podcasts

for

Endo
.

I'm

newly

diagnosed

post-excision
.

Wherever

you

are
,

thank

you
,

and

I

was

in

the

process
.

Speaker 2
1:34

I

would

say

that

I

started

experiencing

symptoms

in

high

school
,

and

not

in

the

same

way

that

everybody

else

talks

about

it
,

and

that's

kind

of

the

theme

of

my

diagnosis
,

my

symptoms

and

even

my

excision

surgery
.

A

lot

of

it

wasn't

what

you

would

normally

find
.

So

I

would

say
,

as

soon

as

I

started

my

period
,

my

periods

were

very

painful

and

they

got

worse

over

time
,

just

excruciatingly

debilitating
.

And

I

remember

specifically

just

I

would

fill

the

hot

tub

in

our

apartment

with

boiling

hot

water
,

because

if

you're

from

Brooklyn
,

new

York
,

you

know

that

the

hot

tap

here

is

literally

like

fueled

by

lava
.

It's

coming

out

of

a

volcano

because

you

will

burn

your

flush

off
.

I

used

to

fill

the

tub

with

like

after

a

day

of

school

or

just

like

if

I

had

my

period

or

I

was

cramping
.

I

would

fill

it

up

with

this

boiling

water

and

I

would

just

submerge

myself

in

it
.

Speaker 2
2:36

And

I

remember

my

mother
,

who

is

somebody

who

has

always

been

very

healthy

and

never

really

had

pain

issues

Like

her

periods

she

always

talked

about

were

just

like

painless
.

Her

pregnancies

were

wonderful

and

amazing

and

giving

birth

was

great
.

She

recovered

pretty

quickly

from

it
.

So

she

had

like

nothing

to

compare

it

to
.

But

it

would

bother

her

to

see

me

in

pain

and

they'd

be

like

you

can't

soak

in

this

hot

water

and

I'm

like

you

don't

understand
.

I

took

eight

abdoles

today

and

it's

not

working
.

Speaker 2
3:08

That

was

one

thing

that

I

did

in

high

school

and

another

thing

I

would

do

is

it

was

to

the

point

where

my

little

sister
,

who's

seven

years

younger

than

me

and

nobody

should

be

doing

this
,

but

she

already

knew

to

put

boiling

water

on

the

stove

for

me

so

that

I

could

put

it

in

Ziploc

bags

and

put

the

Ziploc

back

on

my

abdomen

and

they

never

tore
.

That

is

crazy
,

but

I

was

ready

to

risk

no
,

seriously
,

like

I

don't

know

what

Ziploc

proprietary

technology

they

had

there
,

but

I

would

put

boiling

hot

water

in

Ziploc

bags

and

they

wouldn't

burst

and

I

would

put

it

skin

to

skin
.

I

don't

have

the

toasted

skin

condition

where
,

like

I

damaged

my

skin
,

but

I'm

shocked

that

I

didn't

have

like

blisters

or

anything

like

that
,

because

it

was

just

ridiculous

what

I

was

doing
.

I

would

just

have

extremely

heavy

periods
,

like

I

was

always

constantly

worried

that

I

was

gonna

leak

through

my

pants
,

my

clothes

at

school

and

back

in

the

day

for

younger

listeners
.

Speaker 2
4:02

We

didn't

have

the

technology

that

you

do

now
.

Nope
,

sure

didn't

when

you

have

these

like

paper

thin

pads

that

can

absorb

like

10

gallons

of

blood
.

I

used

to

wear

the

big
,

thick
,

like

hospital

diaper

ones

to

the

school
.

Speaker 2
4:18

It

was

like

so

embarrassing

you

could

like

hear

it

as

you

walked

and

it

was

uncomfortable

and

ugh
,

and

especially

if

you

had

to

double

up

on

days
.

Speaker 1
4:26

Oh
,

yes
.

That

was

the

worst

Was

the

double

up

days

where

you

felt

like

you're
,

like

I

was
,

a

big

booty
,

judy
,

and

so

I

always

had

extra

cushion

in

my

tuition
,

and

so

putting

two

pads

on

made

me

feel

even

more

attractive
.

Speaker 2
4:43

You

know

what

I

mean
?

Well
,

no
,

and

that's

great
,

cause

at

the

time
,

super

tight

jeans

were

in
,

like

so

tight

that

you

could

barely

walk

in

them
.

So
,

and

I

also

had

a

giant

butt

which

the

Kardashians

weren't

around

yet
.

Speaker 1
4:55

No
.

Speaker 2
4:56

I

just

felt

fat

and

like

I

had

these

big
,

thick

thighs
,

I

was

also

a

fellow

big

booty
,

judy
,

yeah
.

So

yeah
,

it

was

like

swamp

swamp

in

the

summer
.

It

was

terrible
,

it

was

awful

yeah
.

Speaker 1
5:07

Yeah
,

I

mean
,

I'm

a

little

bit

older

than

you

so

we

didn't

have

like

the

tight

tight

jeans

yet
.

We

had

the

Jinkos

and

things

like

that
.

You

know

where

it's

like

the

pockets

were

large
.

But

then

as

I

got

older
,

into

like

later

high

school
,

early

college
,

that's

when

it

started

really

getting
,

you

know
,

squeeze

the

life

out

of

you

skinny
.

So

I

get
,

I

get

that

yeah
.

Speaker 2
5:31

And

so

so

those
,

I

would

say

those
,

are

some

of

my

first

symptoms

and

exhaustion
.

I

have

horrific
,

horrendous

exhaustion
,

like

I

just

couldn't

get

out

of

bed

in

the

morning

and

I

thought

that

it

was

like

discipline

and

something's

wrong

with

me

and

I

don't

care
.

Blah
,

blah
,

blah
,

blah
.

But

it

was

none

of

that
,

it

was
.

Nobody

tells

you
,

even

when

you

get

diagnosed
,

that

fatigue

is

a

huge

symptom

of

endometriosis
.

Speaker 1
5:51

Yes
.

Speaker 2
5:52

So

I

moved

out

when

I

was

18
.

And

I

lost

my

health

insurance

Cause

at

the

time

there

was

no

affordable

care

act
,

so

I

was

insurance
,

less

it

was
.

Also
,

I

started

college

in

2007
.

And

you

know
,

the

recession

came

right

after
.

Right
,

it's

not

like

I

could

get

a

job

that

would

give

me

benefits

and

I

and

also

I

just

I

was

a

kid

right
,

I

didn't

have

the

skill

set

to

get

like

a

real

job
.

Quote

unquote

quotation

marks
.

All

jobs

are

real

jobs
,

right
,

and

college

was

rough
.

Speaker 2
6:23

College

was

rough

because

at

that

time
,

just

period

week

was

the

worst
.

That

was

the

worst

week

of

the

month
,

and

then

the

week

after

recovering

from

the

pain

was

pretty

awful

and

I

was

just

relentless
.

So

when

I

was

20

years

old
,

when

I

should

have

been

finishing

college
,

which

I

didn't
,

I

didn't

graduate

until

I

was

24

because

I

couldn't

afford

some

semesters
.

I

was

on

my

own
,

I

was

paying

it

for

myself
.

I

started

experiencing

pain

all

the

time

and

then

the

affordable

care

act

kicked

in

and

I

was

able

to

get

back

on

my

mom's

insurance

and

so

I

had

moved

in

with

my

high

school

sweetheart
.

Speaker 2
6:58

We're

not

together
,

but

at

the

time

I

moved

in

with

him

and

we

I

became

sexually

active

and

I

was

like
,

well
,

the

responsible

thing

to

do

is

to

go

see

a

gynecologist

and

maybe

I'll

ask

them

about

this

pain
.

So

I

go
.

My

first

gynecological

visit

was

awful
.

When

I

told

her

why

I

was

there

because

it

became

sexually

active

she

reprimanded

me
,

told

me

that

I

was

crazy
,

told

me

I

was

gonna

ruin

my

life
,

prescribed

birth

control

immediately

and

when

she

did

my

vaginal

examination

she

didn't

tell

me

that

she

was

going

to

also

check

correctly
.

So

really

awful

experience
.

And

she

just

told

me

that

the

pain

was

normal

but

that

I

should

be

more

concerned

about

getting

pregnant

and

ruining

my

life
.

So

it

took

me

a

long

time

before

I

went

to

another

gynecologist
.

No

wonder
,

and

at

this

time

my

symptoms

started

being

okay
.

Speaker 2
7:51

So

now

I

don't

only

have

pain

period

week
,

but

a

few

days

before

my

period

I'm

in

a

lot

of

pain
.

The

week

after

I'm

feeling

this

tinge

of

pain

predominantly

and

I'm

tired
,

I'm

exhausted
.

I

feel

like

I

run

a

marathon

every

day

and

I

just

have

no

idea

why
.

And

no

matter

how

much

I

work

out

and

how

healthy

I

eat
,

I

just

don't

feel

better
.

Right

and

healthy

quotation

marks
,

right
,

right
,

what

it

really

was

was

I

was

just

restrictive

eating

because

that's
,

I

was

following

diet

culture

pads
.

So

then

I

was

like
,

no
,

I

need

to

get

an

answer

for

this

pain
.

So

I

see

another

gynecologist
.

She

just

tells

me

it's

normal
,

right
,

if

you

have

pain
,

it's

normal
.

If

you're

bleeding

a

lot
,

it's

normal
.

Okay
,

fine
,

the

pain

is

getting

worse
.

I'm

bleeding

a

lot
,

I'm

fainting
.

Speaker 2
8:36

Now

I'm

starting

to

deal

with

constipation

in

a

way

that

was

bizarre

to

me
,

just

because

I'm

like

I

only

drink

water
.

That's

my

favorite

drink

and

I

love

my

fruits

and

veggies
.

I

was

eating

a

lot

of

fiber
,

right
,

and

I

was

young

too
,

right
.

So

I

was

having

like

crazy

constipation

and

nothing

would

help
.

And

the

Aleve

liquid

gels

that

I

was

taking

during

period

week
,

I

was

taking

about

like

16

to

18

a

day
.

Wow
,

no

one

should

be

doing

that
.

No

one

should

be

taking

that

much

ibuprofen
.

That

is

not

the

way

that

you

deal

with

that
.

I

actually

can't

take

Advil

anymore
.

I

have

a

horrible

reaction

to

it
.

Now

when

I

take

it
,

same
,

my

body

just

can't

tolerate

it
.

And

so

I

was

like

this

can't

be

like

a
.

It

doesn't

make

sense

to

eating

16

to

18

Advil

liquid

gels

a

day
,

every

single

day

of

period

week
,

which

could

be

seven

to

10

days

for

me
.

Speaker 2
9:25

So

I'm

in

college
,

I'm

just

trying

to

get

through

college
.

Speaker 2
9:27

There

were

so

many

instances

where

I

like

bled

through

my

clothes
.

I

almost

missed

finals

and

it

was

awful
.

And

that's

what

I

was

the

most

concerned

about

was

I

was

the

first

in

my

family

to

go

to

college
.

I

was

the

first

one

to

navigate

the

college

system

to

begin

with
,

and

there

was

all

this

pressure

on

me

because

I

was

the

first

right

and

I

was

worthy

as

long

as

I

was

in

school

and

working
,

as

long

as

my

body

was

producing

something
.

I

was

worthy

and

I

was

living

out

everybody's

dreams

of

why

they

hid

underneath

crates

and

a

truck

and

crossed

the

border
,

of

why

my

grandmother

got

student

visas

for

her

daughter

to

come

here

right
,

but

none

of

them

went

to

college

and

none

of

them

had

the

opportunity
.

None

of

them

spoke

English
,

but

Natalie

had

the

pressure

of

going

to

school

and

becoming

something

right
,

doing

something
,

bringing

the

family

honor
.

That's

what

people

love
.

Speaker 2
10:20

That

movie

I

think

it's

called

Encanto

from

Disney
.

Yes
,

it

gives

me

like

instant

PTSD
,

like

because

that's

what

you

know
,

it's

cliche
,

but

I

was

like

oh

God
,

I

was

like
.

You

know
,

this

is

my

life
.

It's

hard
.

It's

hard

to

be

the

first

and

I'm

the

oldest

of

24

cousins
.

Speaker 2
10:43

So

I'm

not

only

an

example

to

my

sister
,

but

I'm

an

example

to

23

other

kids

The Journey to Diagnosing Endometriosis

Speaker 2
10:49

.

It

was

a

nightmare
,

so

that's

all

I

cared

about
.

I

didn't

care

about

me

hurting

because

my

mother

worked
.

She

was

a

single

mom
.

She

worked

70

hours

shifts

a

week
.

I

never

heard

a

complaint

about

pain

or

being

tired
.

She

came

home
,

cooked

dinner
,

made

sure

we

had

food

if

she

was

going

to

work

on

the

weekends

and

clean

the

house

and

did

what

she

had

to

do
.

I

never

heard

a

complaint
.

My

grandmother

worked

standing

at

a

factory
,

also

60

to

70

hours

a

week

making

sweaters
.

I

never

heard

a

complaint
.

Speaker 2
11:15

My

father

used

this

body

to

work

still

to

this

day
.

He's

a

busboy

at

a

restaurant

and

is

on

his

feet

all

day
,

so

I

don't

hear

him

complain

about

it
.

And

so

for

me

to

complain

about

pain

to

my

family

was

ridiculous

Like

how

dare

I

when

I

have

all

this

privilege

and

all

this

opportunity

that

they

didn't

have
?

So

I

didn't

really

talk

too

much

about

how

the

pain

was

affecting

me

and

I

didn't

really

ever

want

to

talk

about

it
.

So

I

don't

want

to

be

seen

as

weak
,

because

if

I

can't

tolerate

my

pain
,

then

I'm

weak

of

character
,

I'm

weak

as

a

person

and

I'm

not

worth

anything
.

My

parents

have

been

through

so

much

worse

than

I
.

How

dare

I
?

You

know
,

that's

that's

how

I

felt
,

and

so

I

wanted

an

answer

to

the

pain
,

just

so

that

I

could

continue

being

worthy
.

Speaker 2
12:02

And

the

second

gynecologist
,

so

actually

third
.

So

now

I'm

on

my

third

gynecologist

and

I'm

telling

her

about

the

pain

and

she's

like
,

again
,

normal
,

normal

to

bleed

for

seven

to

10

days
.

Normal

to

bleed

through

her

clothes
.

Normal

to

be

debilitatingly

in

pain
.

Normal

to

faint
.

Okay
,

fine
,

I

wait

a

few

more

months
.

The

pain

is

just

getting

worse
.

I

end

up

in

the

ER

because

I

have

the
.

I

felt

like

somebody

harpooned

me

through

my

abdomen
.

I

thought

I

was

going

to

die

and

that's

the

only

reason

I

went

to

the

ER
.

Speaker 2
12:33

I'm

sure

going

to

school

and

working

didn't

help

the

toll

on

my

body
,

but

it

was
.

I

remember

it

was

the

first

time
,

thinking

like
,

oh
,

this

is

a

nice

break
.

I

get

to

sit

in

the

hospital

bed

overnight

and

I

get

to

call

out

of

work

with

an

excuse
.

And

they're

just

like

oh
,

they

didn't

even

do

a

sonogram
.

I'm

complaining

about

abdomen

pain
.

And

they're

like

you're

on

your

period
,

it's

just

period

cramps
.

And

I'm

like

okay
,

that's

fine
,

you

know
.

And

again

I'm

weak
.

That's

what

it

is

Like
.

I'm

so

weak
.

Speaker 2
13:02

I

go

to

my

fourth

gynecologist

and

she

says

to

me

I

remember

she

was

like

I

think

you

have

GI

issues
,

you

should

go

see

a

gastroenterologist
.

Clearly
,

that's

what

this

is

Right
.

And

so

I'm

like

okay
.

So

I

go

to

a

gastroenterologist
,

I

do

the

whole
,

the

whole

bit
.

I'm

20

years

old
,

I

get

an

endoscopy

done
,

not

a

colonoscopy

yet
,

but

the

the

gastroenterologist

was

like

I

don't

see

anything

wrong
.

And

so

I

wait

a

few

more

months

and

I

go

see

a

gynecologist

again

because

now

I'm

in

pain

three

weeks

out

of

the

month
.

If

I

work

out

it

gets

worse

and

my

constipation

is

extremely

painful
.

Just

going

to

the

bathroom

will

make

me

want

to

faint
,

because

you

know
,

something

coming

out

of

me

just

felt

like

I

was

going

to

die
.

Speaker 2
13:45

At

that

point

I

had

started

Googling

my

symptoms

and

that

was

the

first

time

I

saw

endometriosis
.

And

it's

funny

because

I'm

new

to

the

advocacy

online

space

as

a

contributor

Right
.

But

I've

been

Googling

my

symptoms

from

35

tomorrow

and

I

was

20

when

I

when

I

first

found

the

word
.

It's

been

a

long

time
.

Speaker 1
14:08

Yeah
.

Speaker 2
14:10

I've

been

watching

the
,

the

social

media

space
,

for

a

long

time

not

as

long

as

some

of

our

other

amazing

advocates

that

talk

about

being

in

AOL

chat

rooms

about

it
,

Right
,

but

I

found

endometriosis

and

I

was

like
,

okay
,

I

have

a

lot

of

these

symptoms
.

But

when

I

saw

the

causes

for

it
,

I

remember

distinctly

reading

that

it

could

be

because

of

STDs
,

Really
,

and

I

was

so

embarrassed

oh

yeah
,

I

was

embarrassed
,

I

was

ashamed

and

I

was

like
,

oh

my

God
,

if

I

hope

I

don't

have

this

because

somebody

Googles

this
,

they're

going

to

see

STDs
.

And

I

was

like

a

virgin

when

I

met

my

then

boyfriend

and

what

are

people

going

to

think

about

me
?

And

I

remember

that

being

one

of

the

reasons
,

right
,

and

I

remember

it

saying

that

it

only

happened

to

him

at

over

35

years

old
.

But

I

still

took

a

chance
.

So

I

went

to

go

see

my

now

fifth

gynecologist

and

I

said
,

listen
,

I

got
.

Speaker 2
14:59

I

went

to

gastro
.

No

symptom
.

He

says

there's

nothing

wrong
.

I

think

I

might

have

endometriosis
.

She

literally

looks

at

me

and

goes

where

did

you

learn

that

word
?

And

I

said

online
.

And

she

was

like

please

don't

Dr

Google

me
.

She

was

like

you

don't

have

endometriosis
.

Older

women

get

endometriosis
.

You're

way

too

young

and

she

was

like

your

symptoms

are

normal
,

and

so

I

was

just

like

and

all

these

people

prescribe

birth

control

right

For
?

Speaker 2
15:26

what

reason

I

have

no

idea
.

I

felt

defeated
.

I

felt

a

little

crazy
.

I

was

just

like

I'm

not

a

liar
,

like

I

don't

do

things

for

attention
.

I

just

felt

so

defeated

and

I

just

didn't

know

what

to

do

and

the

symptoms

were

just

getting

worse
.

Then

I

found

a

PCP
,

a

primary

care

physician
,

and

I

tell

him

and

like

listen
,

I

went

to

five

gynecologists
.

They

all

say

that

I

don't

have

anything

gynecological

wrong

with

me
.

And

he

says

well
,

it's

not

gastro
,

because

he

was

an

internist
.

And

he

was

like

I

think

this

is

gynecological

and

he

was

like
.

Speaker 2
15:55

I

think

you

should

go

for

one

more

opinion

and

I'm

like

a

seventh

one
.

Speaker 1
16:01

Like

yeah
.

Speaker 2
16:02

I

mean

eighth

opinion
.

You

know
,

and

I'm

telling

my

best

friend

about

it

and

she's

like

you

know
,

my

family

got

an

ecologist
.

Is

really

nice
,

you

should

go

see

him
.

And

I

didn't

want

to

go

see

a

man
,

but

I

was

desperate

so

I

was

like
,

all

right
,

let

me

just

make

an

appointment

and

let's

just

see

what

he

says
.

If

this

doctor

says

that

it's

all

in

my

head

and

this

is

normal
,

I'm

gonna

stop

looking

for

an

answer
,

because

I

had

also

had

sonograms

done

and

all

that

kind

of

stuff
,

right
.

Interaginal

sonograms

work

excruciating
,

exams

work

excruciating
,

right
,

but

that

was

normal
.

I

kept

being

told

that

was

normal
.

So

I

go

see

this

doctor
,

I

love

him

so

much
.

Speaker 2
16:37

He's

a

great

gynecologist

not

an

endometriosis

expert

though
,

and

he

was

just

so

sweet
,

so

gentle
,

asked

me

for

consent

the

whole

way

through
,

which

I

had

never

experienced

yet
,

and

I

didn't

say

a

word
,

I

didn't

say

what

I

thought

I

had
,

I

just

told

him

my

symptoms
.

He

did

a

pelvic

exam
,

asked

me

if

it

hurt
,

you

know
,

was

asking

me

certain

questions
,

very

quick

examination
.

He

takes

me

into

his

office

and

he

looks

at

me
.

And

New

York

City

is

like

so

full

of

different

people

from

different

places
,

different

cultures
.

So

where

I

grew

up
,

we

grew

up

with

a

lot

of

Arab

descent

friends
.

So

Habibi

means

my

love

in

Arabic
,

and

he

looks

at

me
,

in

my

eyes

and

with

just

the

most

compassion
,

sympathy

in

his

voice
,

he

says

Habibi
,

I'm

very

sorry
,

but

I

think

you

have

a

condition

called

endometriosis
.

And

I

was

like
,

oh

my

God
,

he

said

it
,

I

didn't

say

it
.

And

he

says

to

me

there's

no

cure

for

this
.

He's

like

you're

most

likely

gonna

be

infertile

by

the

time

you're

30
.

And

he's

like

you

should

think

about

having

kids

as

soon

as

you

can
,

and

then

we're

gonna

do

hysterectomy
.

He's

like

all

I

can

do

for

you

for

now

is

we're

gonna

do

a

leproscopy
.

I'm

gonna

go

in

and

I'm

gonna

burn

it

and

see

what

state

you're

in
,

and

then

after

that

he's

like

I'm

gonna

put

you

on

birth

control

and

then

we'll

just

see

until

you

have

kids

so

I

can

do

hysterectomy
.

Speaker 2
17:56

I

was

21

at

this

point
.

I

had

turned

21

finally
.

That

was

just

a

lot

to

reckon

with
.

I

didn't

know

if

I

wanted

kids
.

I

had

career

goals
.

Speaker 2
18:04

I

sought

to

finish

college

Like

I

didn't

know

what

to

do

and

everyone

was

telling

me

not

to

do

the

surgery
.

But

I

did

it

because

I

was

like
,

at

the

very

least

you're

gonna

go

in

and

either

she's

something

or

not
.

And

he

did
.

He

went

in
,

he

got

a

biopsy

it

was

endometriosis
.

He

did

ablation

surgery

and

I

didn't

know

how

hard

the

recovery

was

gonna

be
.

So

I

ended

up

failing

that

semester

of

college

because

I

was

told

I

was

gonna

be

fine

after

two

weeks
.

I

was

in

so

much

pain

yeah
,

I

needed

physical

therapy

Like

I

was

not

okay

and

I

worked

at

like

a

pharmacy

they

call

them

Dwayne

Reed

here

which

is

like

a

Rite

Aid

or

a

Walgreens

or

whatever
.

I

couldn't

lift

the

boxes

or

do

the

stocking

stuff
.

I

had

to

then

quit

that

job
,

which

I'm

glad

I

did

go

to

because

that's

where

I

met

my

husband
,

but

Kind

of

says

2020
,

right

Right
.

Speaker 2
18:52

Yeah
,

and

so

it

was

just

like

again
.

I

was

just

like

I'm

so

weak
,

Like

I

couldn't

even

handle

this
,

like

little

surgery

where

they

did

nothing

right
,

and

I

got

put

on

birth

control

and

I

just

took

it

because

I

had

to

Did

that

help

with

symptoms
,

though
,

so

it

did
.

Okay

For

me
.

It

absolutely

helped

with

symptoms
.

In

the

beginning

I

was

on
.

I

forgot

what
.

I

don't

know

what

it's

called

now

low

estrin

menastrin
.

Speaker 2
19:15

It's

like

a

very

low

dose

of

birth

control
,

but

it

did

help

with

symptoms

and

the

ablation

I

would

say

help

with

symptoms

for

like

three

months

and

then

the

pain

came

back
,

everything

came

back

and

he

was

just

like

I

did

all

I

could

do
.

He

was

like

I

don't

want

to

do

hysterectomy

now
.

You're

too

young
,

this

is

just

going

to

be

your

life
.

You're

just

going

to

have

to

live

in

pain
.

And

you

know

they

prescribed

me

opioids
.

I

went

to

the

ER

a

few

times
.

I

remember

the

first

time

I

got

injected

with

morphine

and

they

didn't

tell

me

that's

what

they

were

doing
.

Speaker 2
19:44

I

freaked

the

hell

out

in

the

ER

and

the

nurse

came

over

to

me

and

she's

like

you've

never

been

high

before

and

I

was

like

what
?

No
,

I

was

like

do

people

enjoy

this
?

Speaker 1
19:55

I'm

like

I'm

going

to

die
.

Speaker 2
19:56

And

she

was
.

She

was

laughing
,

I

was

not
.

Speaker 1
19:59

It's

funny

to

laugh

at

now

when

you

think

about

it
,

but

back

then

you're

like

why

is

this

necessary
?

Like

why

would

you

just

do

something

to

someone
?

Speaker 2
20:07

Without

telling

me
.

And

the

worst

part

was

the

endometriosis

pain

didn't

go

away
,

but

I

was

absolutely

high

off

of

morphine
,

so

maybe

it

wasn't

as

bad
,

I

don't

know
.

So

I

was

like

high

and

in

pain

and

you

know
,

they

gave

me

opioids

but

like

at

the

time

we

were

starting

to

learn

about

the

opioid

crisis

and

I

was
,

I

was

terrified

to

take

them
.

And

when

I

did

take

them
,

oh

my

God
,

I

have

the

worst

reaction

to

opioids
.

I

don't

know

what

it

is
.

They

just

immediately

constipate

me

and

it's

just

the

worst

thing

ever
.

So

I

actually

still

have

the

opioids

from

my

excision

surgery

from

2019

in

my

medicine

cabinet
,

I

don't

know
,

like

as

a

souvenir
,

like

I

have

no

idea
,

and

that's

not

to

say

that

if

you

take

opioids
,

I

mean

anything

by

it
,

it's

just

for

me

personally
,

they

just

never

did

anything

besides

make

me

loopy

and

still

be

in

pain
.

Diagnosing Endometriosis and Seeking Treatment

Speaker 1
20:53

So

how

much

pain

did

you

get

to

the

right

doctor
,

Like

what

led

you

to

that

point

of

saying

I

can't

take

it
?

Speaker 2
20:57

So

then
,

like

I

got

diagnosed
,

felt

a

little

bit

better

for

a

little

bit

of

time

and

then

everything

just

compounded

on

me
,

like

every

year
.

The

symptoms

would

get

worse

every

year
,

and

it's

amazing

how

much

you

get

used

to
,

how

much

pain

and

discomfort

you

get

used

to
,

because

I

was

just

like

this

is

this

is

just

what

it

is

Like

I'm

not

eating

healthy

enough
,

I'm

not

exercising

enough
,

I'm

not

doing

enough

of
,

I'm

not

doing

enough

of

something
.

It's

my

fault

that

I

don't

feel

good
,

and

I

had

a

partner

who

also

didn't

understand
,

and

we

didn't

understand

it

in

a

mutual

assistance
.

Nobody

told

me

that

it

was

a

full

body

disease
.

Nobody

told

you

that

it

was

chronic

fatigue
,

nobody

explained

that

it

could

cause

pelvic

floor

dysfunction
,

and

that

was

another

thing

that

drove

me

crazy
.

I

was

complaining

about

abdominal

pelvic

pain

to

my

gynecologist

nonstop

for

years
,

so

my

PCP
,

nonstop

for

years
,

and

no

one
,

not

a

single

person
,

was

like

your

pelvic

area

hurts
,

you

should

see

a

pelvic

floor

therapist
.

Not

a

single

person
.

Speaker 1
21:57

I

didn't

even

hear

about

it

until

after

my

excision
.

Speaker 2
22:00

So

I

was

very

lucky

that

Sally

was

my

first

pelvic

floor

therapist
.

Come

on
.

Speaker 1
22:07

How

did

you

get

like

the

most

world

renowned

PT

for

pelvic

floor

on

the

first

try
?

Speaker 2
22:12

No
,

seriously
,

it's

amazing
.

Speaker 2
22:14

So

I

got

diagnosed

2010
.

I

was

like

in

all

these

Facebook

groups

for

years
.

I

remember

just

like

hating

being

in

them

because

people

would

just

be

like

my

husband's

going

to

leave

me

if

I

don't

have

sex

with

him
,

my

husband's

going

to

leave

me

because

I

can't

get

pregnant
.

I

don't

know

what

to

do
.

Like

I'm

a

failure

and

that

was

all

that

the

conversations

were

about
,

and

like

I

wasn't

even

thinking

about

that
.

I

just

wanted

a

solution
.

So

I

was

vegan
.

I

was

whole

30
.

I

did

every

diet

you

can

imagine

Anti-inflammatory
.

I

exercise

and

exercise

and

exercise
.

Like

HIIT

had

taken

over

everything
.

So

I

was

doing

high

intensity

intervals
.

I

could

jump
.

I

could

probably

slam

dunk

at

one

point

because

of

how

high

I

could

jump
.

For

what

reason

Was

I

doing

that
?

Speaker 1
22:56

I

don't

know
,

I

was

running
.

Speaker 2
22:58

I

was

running
,

I

was

rowing

again

with

pelvic

floor

dysfunction

and

the

first

sign

should

have

been

when

I

like

snapped

my

T-band
.

I

did

tear
,

but

I

bruised

it

so

bad

my

thigh

was

like

five

times

its

size

in

purple
.

I

got

an

MRI

done

and

I

had

to

go

to

physical

therapy
.

While

I'm

in

physical

therapy

for

the

rehabilitation

of

my

IT

band
,

I'm

telling

the

therapist

that

I

have

anometriosis
.

I'm

telling

her

about

all

this

horrific

pelvic

pain

and

I'm

like
,

is

there

any

correlation

between

what

happened

to

me

and

anometriosis
?

And

she

was

like

no
,

that

doesn't

make

any

sense
,

it

wouldn't

affect

it
.

And

I

was

like
,

okay
.

Speaker 2
23:36

And

then
,

come

2017
,

my

symptoms

are

now

24-7
.

Every

single

day

I'm

in

pain
.

Every

single

day

it

hurts
.

Every

single

day

I

have

tension
.

Sex

is

painful
.

I'm

constipated

constantly
.

I

faint

from

being

constipated
,

like

I

could

literally

feel

as

the

bowel

movement

was

happening
.

It

would

be

so

excruciating
.

One

time

I

passed

out
.

I

remember

I

always

joke

like

I

became

like

an

expert

fainter
.

I

could

feel

when

it

was

coming

and

I

would

just

get

down

so

that

I

could

just

like

lay

down

and

not

like

fall

dramatically

because

they

don't

want

any

convenience
,

anybody
.

I

passed

out

at

the

subway

entrance

once
,

and

I

remember

waking

up

like

30

minutes

later

and

thank

God

like

I

was

fine
.

But
,

like

in

typical

New

York

fashion
,

no

one

helped

me

and

I

just

got

up

and

I

went

to

work
.

That

was

just

my

life
.

Speaker 1
24:25

Colorado
.

Everyone

would

be

around

you
.

Everyone

from

like

three

states

over

would

be

right

there

to

make

sure

that

that

we

also

hold

the

door

for

each

other
.

I

know

that

that's

not

common

in

New

York
,

but

here

we

hold

the

door

for

each

other
.

Speaker 2
24:38

Now

I've

been

to

other

states

and

when

people

are

like

really

nice
,

I'm

just

like

what

do

you

want

from

me
?

Right
,

what

it's

up
.

Speaker 1
24:46

You

know

it's

very

New

York

for

me
.

Speaker 2
24:47

Yeah
,

and

I

was

still

trying

to

finish

college

because

I

had

another

semester

that

I

failed
,

because

I

was

like

in

such

horrible

condition

and

I

was

so

embarrassed

about

it

then

and

I

was

like

I

don't

know

how

anybody

finishes

anything

with

an

Amitri

Ossis
,

to

be

honest
.

So

2017
,

2018
,

I'm

in

one

of

these

groups

and

somebody

is

like

I

hate

Nancy
.

Nancy's

the

worst
.

She

kicked

me

out

of

the

group

and

so

all

these

women

are

like

Nancy's

the

worst
.

I

hate

that

group

and

I'm

like

what

group

are

they

talking

about
?

Speaker 1
25:19

Right
.

Speaker 2
25:20

So

I

asked

I

was

like
,

what

group

are

you

guys

talking

about
?

And

then

I

found

it

Nancy's
,

not

an

Amitri

Ossis
,

care

and

education
.

So

I

go

and

I'm

like

what

the

F
?

What

is

the

secret
?

Underground

patient

led

and

I'm

reading

about

Dr

Redwine

and

I'm

reading

about

Nancy

and

I'm

doing

the

education

module

and

I'm

reading

all

these

stories

about

excision

and

I'm

like

this

is

what

I

have
,

like

I'm

going

to

do

this
.

You

probably

know

exactly

what

I'm

talking

about
.

Speaker 2
25:44

Sometimes

the

endo

can

just

like

dip
,

go

high

and

low
,

and

so

then
,

like

I

would

have

periods

where

I

would

feel

a

little

better

and

then

I

was

like
,

oh
,

maybe

it's

not

that

bad
,

and

then

it

would

get

worse
,

right
,

and

even

though

I

educated

myself

so

much

through

Nancy's

nook
,

I

still

didn't

really

understand

what

the

Amitri

Ossis

was

doing
.

So
,

2019
,

I'm

doing

hit

again
,

I'm

doing

high

intensity

interval

workouts
,

working

out

all

the

time

Sorted
,

eating

all

that

stuff
,

right
,

because

I'm

still

blaming

myself

for

all

this

pain

and

discomfort

and

exhaustion
.

And

my

now

husband

at

the

time

my

boyfriend

picks

me

up
,

we

go

on

a

date
,

we

do

one

of

those

painting

wine

things
,

we

walk

out

and

I

swear

it

felt

like

something

just

fell

out

of

my

vagina
.

I

tell

him

we

have

to

go

home
.

Now

I

freak

out
.

We

were

supposed

to

go

to

dinner
.

We

go

home

and

I

have

him

check
.

I'm

like

do

you

see

anything

coming

out

of

it
?

And

he

was

like
,

no
,

I

don't

see

anything
,

but

I

feel

it
.

I

feel

something

is

coming

out

of

me
.

Speaker 2
26:42

I

go

to

my

gynecologist

the

original

one
.

I'm

still

seeing

him
,

right
.

So

I

got

diagnosed

in

2010
.

I'm

still

seeing

him

2019
.

He

was

like

you

have

uterine

prolapse
.

And

I

was

like

what
?

And

he

was

like
,

yeah
,

he

was

like

I

can't

believe

it
.

He

was

an

OBGYN
,

so

he

delivered

like

a

million

babies

and

had

all

his

clients

had

kids
.

And

he

was

like

I've

never

seen

this

in

a

woman

your

age

that

hasn't

birthed

before
.

But

you

have

prolapse
.

I'm

so

sorry
.

And

he's

like

I

told

you
.

He's

like

what

are

you

waiting

for
?

You

have

to

get

pregnant
.

I

just

turned

30
.

Speaker 2
27:11

And

he's

like

you

have

to

get

pregnant
,

like

I

don't

know

what

you're

waiting

for
.

I

have

to

take

the

uterus

out
.

And

he's

like

and

if

you

don't

want

it

to

get

out
,

I'm

going

to

have

to

stitch

it

so

that

it

can

stop

from

falling

and

I

can't

explain

Like

I'm

telling

it
,

like

nonchalant
,

but

like

when

I

was

told

that

I

had

to

have

a

hysterectomy

when

I

was

21
,

telling

getting

this

news
.

Now
,

every

time

you

get

news

of
,

like

something

new
,

it

was

just

devastating

Because

I

just

met

my

now

husband
.

We

were

embarking

on

this

new

life

and

now

I

have

I'm

29

years

old
,

with

prolapse
.

Like
,

are

you

kidding

me
?

30

years

old

with

prolapse
,

I

was

like
,

well
,

what

can

help

it
?

And

he

was

like
,

well
,

start

doing

kegels
.

He's

like

buy

weights

off

of

Amazon

to

start

doing

kegels
.

That's

really

the

best

that

you

could

do
.

So

I

go

home
,

order

it

from

Intimate

Rose
.

I

order

the

kegel

set
.

The

little

did

I

know

how

much

Intimate

Rose

would

play

a

part

of

my

life
.

For

the

rest
,

of

my

life
.

Speaker 2
28:03

And

that

I

would

meet

Amanda

Olson
.

I

start

doing

the

kegels

and

I

started

having

excruciating

pain

and

the

hit

workouts

were

worse

than

I

was
,

like

it

was

awful
.

So

I'm

Googling

what

helps

prolapse

and

it

says

pelvic

floor

therapists
.

Never

heard

of

this

in

my

life
.

I

go

to

Nancy's

Nook
,

I

type

in

pelvic

floor

therapist

and

I

start

reading

all

these

posts

from

Sally

and

I

go

to

her

page

and

she

has

all

these

live

videos

that

she's

recorded

and

left

on

the

Facebook

and

she's

talking

about

endometriosis

and

how

it

causes

constipation
.

That

was

the

first

video

I

saw

she

had

like

it

was

like

a

poop

one
,

and

I

was

like
,

oh

my

God
,

I

have

all

those

symptoms
.

And

then

I

started

watching

all

of

her

videos

and

I

reached

out

to

her
.

Speaker 2
28:47

I

still

have

the

email

in

my

inbox

and

I'm

like

hi
,

dr

Sally
,

I

got

diagnosed

in

2010

and

they're

saying

that

I

have

prolapse
.

And

immediately

she

responds
.

She

was

like

I

don't

think

it's

prolapse
.

She

was

like

come

see

me
,

I

have

an

opening

next

week
.

Endometriosis

can

cause

a

lot

of

things
.

Just

come

see

me

and

I

tell

my

husband
.

I'm

like
,

oh

my

God
,

I

found

this

woman

who

knows

about

endometriosis

and

she's

going

to

help

me
.

So

he

comes

with

me

to

the

appointment

and

I'll

never

forget

I'm

laying

on

the

table
.

I

meet

Sally
,

who

just

is

like

straight

to

business
,

right
.

Speaker 1
29:18

I

love

Sally
.

Speaker 2
29:20

Nice

to

meet

you

and

she's

just

so

sweet

and

comforting

and

she's

just

like

telling

me

do

you

have

these

symptoms
?

And

she's

describing

my

life
,

like

she's

describing

everything

I've

ever

been

through

and

the

symptoms

that

I'm

having
.

And

I'm

telling

her

about

the

pain

that

I'm

having
.

And

I

brought

a

chart
.

I

listed

all

my

symptoms
.

I

drew

X's

where

I

had

pain
,

and

so

she

laughed

because

she

like

picks

up

the

paper

and

she

was

like

the

little

X's

that

you

traced
.

Speaker 2
29:46

She

was

like

I

don't

know

if

you

know

this
,

but

that's

your

genital

femoral

nerve

that

you

mapped

out

on

yourself
.

And

so

I

was

like
,

yes
,

I'm

like

I

always

have

ovary

and

uterus

pain
.

And

she

was

like

it's

not

your

ovary
,

it's

not

your

uterus
,

she's

like

it's

your

bladder
.

That's

hurting
.

That
,

you

think
,

is

your

uterus

and

that

ovary

pain

that

you're

saying
.

She

was

like

I

think

you

have

nerve

compression

and

so

she's

like

touching

me
,

whatever
.

And

she

was

like

I

think

you

have

inguinal

hernias

pressing

your

inguinal

nerve
,

that's

that

ovary

pain

on

both

sides
.

And

I'm

like

hernias
,

how
?

Why
?

Like

you

know
,

because

what

you

think

of

is

like

intestines

falling

out

of
,

like

a

hole
.

Speaker 1
30:18

But

I'm

just

like

there's

no

way

that

I

would

have

that
.

I

would

know

right

Like

somebody

would

have

seen

it

on

the

million

scans

that

I

had
.

Speaker 2
30:24

I

had

a

colonoscopy

that

year

because

I

was

still

trying

to

find

answers

to

my

constipation
.

Again
,

gastroenterologists

quote

beautiful

colon
,

end

quote
.

And

so

she's

like

doing

her

thing
.

And

then

she

has

me

stand

up

and

she

calls

up

the

Captain

Morgan

pose

and

I

put

my

leg

up

on

the

thing
.

She

does

what

she

has

to

do

and

she's

like

cough

and

cough

and

she's

like

you

don't

have

prolapse
.

She

was

like

you

have

a

severely

hypertonic

pelvic

floor
.

She

was

like

you

are

extremely

tense

and

she

was

like

what

have

you

been

doing
?

And

I

was

like

well
,

I

do

high

intensity

and

so

I'll

walk

out

some

kikles
.

And

she

was

like

stop

doing

kikles

immediately

and

you

loosening
,

not

tightening
.

And

that's

when

I

started

learning

about

the

pelvic

floor
.

Speaker 1
31:06

Natalie's

story

isn't

over

quite

yet
.

It's

just

starting

to

get

really

good
.

So

join

us

next

week

as

Natalie

continues

talking

about

the

ways

that

she

has

overcome

all

the

challenges

that

she's

faced

in

her

journey
.

You

won't

want

to

miss

it

and

until

next

time
,

continue

advocating

for

you

and

for

those

that

you

love
.

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