Uncovering Inequalities in Endometriosis Care: A Global Discussion with Jen Moore: A Continued Discussion

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When we peel back the layers of healthcare access for endometriosis and adenomyosis sufferers, a tangled web of systemic biases and inequalities is revealed. Joined by the insightful Jen Moore, our latest episode delves into the heart-breaking narratives from all corners of the globe, including the stark discrimination unmarried women in India face and the prolonged wait times that disproportionately affect black women in the UK. We confront the distressing realities that income, culture, and race play in healthcare, scrutinizing the obstacles specialists grapple with in their quest to deliver affordable, expert care within the constraints of insurance and private practice.

Imagine the frustration of navigating medical misinformation, where even the experts falter. Jen and I share our own stories of advocating for accurate treatment in a sea of inaccuracies that permeate even the most esteemed medical texts. We dissect the dangerous misconceptions, like the myth of hysterectomies as a cure-all for endometriosis, which only scratch the surface of the broader issue. It’s an unfiltered conversation on the vital need for patients to arm themselves with knowledge, push for comprehensive medical records, and challenge the status quo of medical care, especially when chronic illnesses cast long shadows on one’s quality of life.

Jen’s journey from personal struggle to a beacon of advocacy is nothing short of heroic. Through heartfelt stories of advocacy and the emotional toll of chronic pain, we underscore the importance of individualized treatment paths and the nuances of long-term rehabilitation. This episode is an empowering reminder of the power of community, the significance of multidisciplinary approaches to treatment, and the ongoing fight for better, more compassionate care. Pour yourself a comforting beverage and join us as we offer support, knowledge, and a shared sense of purpose to those navigating the complexities of endometriosis and adenomyosis.

Support the show

Website endobattery.com

Instagram: EndoBattery

Access and Challenges in Healthcare

Speaker 1
0:03

Welcome

to

EndoBattery
,

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
,

Alana
,

and

this

is

EndoBattery

charging

our

lives

when

endometriosis

drains

us
.

Welcome

back

to

EndoBattery
.

Grab

your

cup

of

coffee

or

your

cup

of

tea

and

join

my

guest

and

I
,

Jen

Moore
,

at

the

table

as

we

continue

with

our

unfiltered

conversation
.

Just

as

a

reminder
,

this

is

where

we

left

off

and

where

we're

going
.

Speaker 2
0:55

We

sometimes

forget

that

there

are

lots

of

other

people

that

don't

have

access

the

way

we

have

access
.

I

think

access

is

such

a

layered

and

complicated

thing
,

so

my

access

will

be

really
,

really

different

to

somebody

from

a

lower

income
,

a

lower

level

of

education
,

a

different

cultural

background
,

a

different

race
,

a

different

religious

background
.

All

of

these

things

will

implement

how

or

impact

how

we

can

access

health

care
,

and

I

get

stories

every

single

day

from

people

saying

things

along

those

lines

that

there

was

one

lady

in

India

and

she

actually

gave

me

permission

to

share

this

and

she

messaged

me

saying

that

she

was

refused

a

transvaginal

ultrasound

because

she

wasn't

married
.

So

she

was

an

adult
,

but

she

was

unmarried

and

they

refused

to

even

perform

one

on

her
.

So

she

couldn't

even

get

past

that

kind

of

level

to

get

to

the

next

level

she

was
.

It

was

just

an

immediate

no
,

so

she

was

sent

away

and

told

deal

with

it

why

would

a

race
,

a

religion

automatically

disqualify

you

from

proper

care
?

Speaker 2
2:08

religion

automatically

disqualify

you

from

proper

care
,

like

it

shouldn't
.

It

shouldn't
,

but

racism

and

bigotry

means

that

it

does
.

And

I

think

black

women

are

twice

their

sort
.

Of

wait

to

diagnosis

time

is

likely

to

be

twice

as

long

here

in

the

uk
.

I

don't

know

about

elsewhere
,

I'm

sure

it's

the

same
.

You

know

they

could

wait

twice

as

long

as

I

did
,

purely

just

because

the

color

of

their

skin

and

outdated

ideas

that

they

feel

less

pain

than

we

do
,

or

you

know

all

these

other

things
,

and

it's

just
.

Speaker 2
2:34

It

is

so

wrong
.

Yeah
,

so

so

wrong
.

And

I

think

I

do

think

it's

really

important

that
,

no

matter

how

difficult

my

journey

was

and

it

was

an

exceptionally

difficult

journey

to

get

access

to

health

care
,

it

was

way

too

long
,

22

years

no

matter

how

difficult

that

was
,

I

didn't

have

those

other

barriers
.

That

puts

me

in

quite

a

privileged

position
.

Obviously

didn't

feel

like

it

at

the

time
,

but

I

do

try

and

remind

myself

of

that
,

because

I'm

just

humbled

every

day

by

messages

telling

me

how

difficult

it

is

for

people

all

around

the

world
,

but

in

the

UK
.

How

difficult

it

is

for

people

all

around

the

world
,

but

in

the

UK
,

how

difficult

it

is

for

them

to

access

care
.

Speaker 1
3:08

Absolutely
.

I

mean
,

I

think

that's

true

around

the

world
.

Care

for

endometriosis

is

so

hard

and

I

do

think

that

those

who

specialize

in

endometriosis

and

excision

of

endometriosis

are

doing

their

absolute

best

to

meet

patients

where

they're

at
.

But

it's

hard

because

you're

seeing

patient

after

patient

after

patient

and

these

doctors
,

especially

in

the

US
,

still

have

to

keep

the

lights

on

and

they

still

have

to

feed

their

families
.

So

I

understand

why

they

have

to

do

private

pay

to

be

able

to

afford

to

practice
.

Otherwise

it

becomes

really

not

advantageous

for

them

to

do

it
,

because

they

can't

pay

their

staff
.

And

you

want

a

good

staff

when

you're

dealing

with

these

high

intensity
,

high

complexity

surgeries
,

and

then

you

also

want

to

be

able

to

make

a

living
,

but

you

also

have

this

passion

and

this

drive

to

help

those

with

endometriosis
,

so

it

becomes

a

very

complex

issue

that

they

are

dealing

with

and

they're

confronted

with

on

a

daily

basis
.

And

then

they

get

the

patient

backlash
,

so

to

speak
,

because

they're

like

why

do

I

have

to

pay

so

much

for

the

surgery
?

Shouldn't

it

be

covered

by

insurance
?

Well
,

ideally

yes
,

but

because

of

the

way

that

our

healthcare

system

works

and

the

way

that

the

insurance

system

works
,

it's

not

and

it

comes

down
.

Speaker 1
4:27

So

here

with

insurance
,

they

have

billing

codes

and

the

billing

codes

are

the

same

whether

you

do

excision

or

ablation
,

whether

you

are

a

general

GYN

or

if

you're

a

specialist

GYN
.

So

the

billing

codes

for

insurance

are

the

same
.

But

that's

like

saying

an

oncologist

who

does

breast

cancer

oncology

is

the

same

as

doing

prostate

oncology
.

They're

very

different

subsets

but

they're

still

oncology
.

So

they're

still

doing

cancer
,

but

they

can't

operate

on

prostate

when

you're

a

breast

cancer

surgeon
,

you

know
,

or

an

oncologist
.

So

it's

very

similar

to

that
,

but

the

codes

just

don't

align

with

it
.

So

it

becomes

a

restrictive

measure

for

both

the

doctor

and

the

patient
.

And

there

are

certainly

quite

a

few

still

that

are

trying

to

work

within

the

healthcare

system

and

take

insurance
.

So

again
,

I

think

true
,

specialists

are

doing

their

absolute

best

to

meet

patients

where

they

are
.

It's

just

really

hard

across

the

board
.

Speaker 2
5:30

Interesting
.

There's

an

interesting

parallel

actually

in

the

UK

in

that

obviously

if

you're

an

NHS

surgeon

you

get

paid

by

the

NHS
,

so

you

don't

have

that

needing

to

keep

the

lights

on
.

But

I've

spoken

to

quite

a

few

endometriosis

surgeons

who

do

private

as

well

as

NHS

and

I

asked

them

why

they

do

that
.

Because

again
,

they

get

often

get

a

backlash

like

well
,

shouldn't

your

time

be

in

the

NHS
?

You

know
,

we've

trained

you

in

the

NHS
,

why

are

you

now

profiting

off

it
?

Speaker 2
5:57

And

they

say

they

actually

said

something

so

interesting

and

it

was

because

we

weren't

allowed

to

offer

the

treatments

that

we

wanted

to

and

that

the

disease

requires

with

the

nhs

guidelines
,

and

the

nhs

guidelines

was

very

much

ablation

is

fine
,

surgery

isn't

really

required

for

the

vast

majority

of

cases
.

You

know

they're

fine
,

hormonal

treatments

are

best
.

You

know

all

these

kind

of

things
.

And

they

were

saying

we're

not

allowed

to

practice

the

kind

of

medicine

that

we

actually

want

to

practice

in

this

specialism

unless

we

do

it

in

this

environment

and

unfortunately

that

is

in

the

private

sector
.

So

there's

an

interesting

parallel
,

like

you

say
,

and

I

work

with

clinicians

a

lot

and

I

always

say

they

don't

go

into

medicine

to

make

your

life

miserable
.

Speaker 2
6:42

There

are

so

many

easier
,

quicker
,

cheaper

ways

than

getting

a

medical

degree

right

if

you

want

it

to

make

someone's

life

a

misery

or

harder

or

be

sexist
.

You

know

all

these

things
.

They

don't

do

it
.

They

go

into

medicine

because

they're

either

really

fascinated

by

it

or

they

want

to

make

a

massive

difference
,

right
?

So

I

always

try

and

remind

myself

of

that

and

I

mean

there

obviously

are

just

some

misogynists

practicing

in

healthcare
.

They're

just

are
,

but

the

vast

majority

of

them

are

just
.

They

know

what

they

know
,

right
,

and

they

don't

know

what

they

don't

know
.

Speaker 2
7:16

But

how

do

we

fill

in

those

gaps
?

And

how

do

we

do

it

with

empathy
?

Because

if

you've

been

doing

a

12-hour

day

in

an

operating

theater

and

then

somebody

comes

at

you

and

says
,

you

know
,

you've

made

my

life

a

misery
,

you've

done

this

wrong
,

you

didn't

listen

to

me

all

very
,

very

valid

things
,

right
,

but

of

course

the

reaction

is

going

to

be

defensiveness
.

So

it's
,

how

do

we

do

we

get

into

this

system

and

try

and

diffuse

this

historic

baked

in

sexism

so

that

they

can

actually

start

to

believe

us

when

we

go

with

our

symptoms
?

If

we

can

get

them

to

believe

us

when

we

go
,

how

different

would

that

be
?

That

would

be

amazing
,

wouldn't

Challenging Medical Misinformation on Endometriosis

Speaker 2
7:56

it
?

Speaker 1
7:56

It

would
.

And

you

know
,

I

think

that

is

kind

of

at

the

core

of

a

lot

of

the

issues

surrounding

endometriosis

is

that

it's

definition

at

its

core
.

What

it

is
,

its

definition

I

mean

truly
,

and

I

don't

understand

the

challenge

with

this

is

that

it

is

so

ingrained
.

It

is

so

ingrained

within

the

medical

system

abroad
.

I

don't

think

this

is

specific

to

country
.

I

think

this

is

largely

misunderstood
,

and

so

that

is

where

education

kind

of

gets

a

little

gray
,

because

when

you

start

with

the

wrong

definition

and

only

touch

on

it

in

medical

school

for

a

period

of

like

two

hours

maybe

a

day
,

you're

going

to

miss

an

entire

subset

of

disease

yeah
,

I

actually

went

and

sat

in

the

university

of

cambridge

medical

library
.

Speaker 2
8:50

I

went

and

sat

in

there

and

it

had

they

have

a

whole

gynecology

stack

and

I

sat

on

the

floor

in

between

these

two

stacks

and

I

looked

in

every

single

book
,

every

single
.

There

was

a

lot
.

It

took

me

like

three

days

and

I

can

count

on

one

hand

the

number

that

had

correct

definitions

of

endometriosis
.

Three

days

worth

of

books
,

one

hand
.

And

out

of

those

I

think

that

am

I

right

in

saying

only

one
?

I'm

pretty

sure

it's

only

one

then

went

on

to

give

correct

treatment

options
.

So

even

the

other

ones

that

had

the

correct

definition
.

They

then

went

on

to

give

correct

treatment

options
.

So

even

the

other

ones

that

had

the

correct

definition
.

They

then

went

on

to

give

misinformation

about

how

to

treat

it
.

They

went

on

to

say

a

hysterectomy

is

a

cure
.

There

was

one

book

in

this

whole

entire

library

and

the

hysterectomy

doesn't

solve

like

thoracic

endometriosis
.

Speaker 2
9:41

It

doesn't

solve

diaphragmatic

or

any

it

doesn't

solve

it
,

or

bowel

or

bladder

or

any
,

I

mean
,

unless

you

have

it

on

your

uterus

somewhere

on

the

outside
,

it's

not

solving

it
.

Speaker 1
9:53

No
,

but

I

mean

just

even

thinking

on

a

logical

scale
,

like

it

just

does

not

make

sense
.

And

it

was

interesting

because
,

you

know
,

I

had

Dr

David

Redwine

on

right

before

his

passing

and

he

will

be

greatly

missed
.

But

just

when

he

even

brought

this

up
,

he's

like

it

doesn't

make

logical

sense

because

the

way

that

the

body

is

formed

and

I

just

sat

there
,

it

was

so

funny

in

that

conversation
,

he

just

was

so

passionate

about

it
,

but

it

was

interesting

because

he

was

sitting

there

he's

like

why

can't

we

think

outside

of

the

uterus
?

Because

he

was

sitting

there
,

he's

like

why

can't

we

think

outside

of

the

uterus
,

you

know
?

And
,

and

it's

so

true
,

because

just

the

way

that

our

bodies

are

formed
,

it

doesn't

make

sense

to

just

cut

out

the

uterus
,

like

just

here

we

are
,

extra

piece

of

black

market

material
,

like

it

doesn't

make

any

sense

and

it's

always

talked

about

so

flippantly

as

well
,

like

before

mine
.

Speaker 2
10:44

The

surgeon

hadn't

noted

it

on

the

sort

of

what

they

were

going

to

do

the

plan

and

so

I

called

and

I

said
,

oh
,

I've

noticed

the

hysterectomy

is

missing
.

And

he

was

like

oh
,

it's

fine
,

don't

worry

about

it
.

Three

cuts

straight

out

20

minutes
.

Don't

you

worry

about

it
,

we

can

add

that
.

And

I

was

like

you're

talking

about

my

organ
,

not

just

my

organ
,

but

my

like
.

Have

a

little

bit

of

compassion

or

respect

or

something

like

I

was
.

So

about

it
,

and

so

many

people

have

said

the

same

that

it's

just

kind

of

like

oh
,

yeah
,

we'll

just

get

rid

of

that
,

that's

fine
.

Like

it's

a

piece

of

you

know
,

I

don't

know
,

like

junk

mail

or

something
.

Speaker 1
11:21

Right
.

It's

treated

that

way

a

lot

of

times

and

yet

they

will

be

so

ready

to

get

rid

of

that

organ
,

which

means

a

lot

to

us
,

but

not

the

disease
.

It

just

doesn't

compute

for

me

on

why

that's

the

case
.

But

again
,

I

mean
,

I

think

I

look

back

at

my

journey

and

the

misinformation

I

was

given

and

it

came

from

a

place

of

wanting

to

help

me

but

with

the

lack

of

information

or

knowledgeable
,

accurate

information
,

and

it

is

an

issue
.

It's

a

huge

issue

and

I

think

just

in

our

conversation

we're

realizing

it

is

everywhere
.

Speaker 1
11:58

It

doesn't

matter

where

you

live
,

it

doesn't

matter

what

healthcare

system

you

live

in
.

It

is

a

very
,

very

big

deal
.

This

is

hard

for

everyone
,

and

then

you

add

additional

components

to

that
,

whether

it's

race
,

religion
,

sexual

orientation
,

all

of

that

and

that

makes

it

increasingly

harder

to

get

good
,

proper

care
,

and

along

the

way
,

it's

not

hard

to

gain

more

medical

trauma
.

Speaker 2
12:26

So

yeah
,

collecting

it
.

I

think

yeah
.

My

husband

always

says
,

like

you're

collecting

it
,

like

pokemon
,

you

need

to

stop
.

But

I

don't

want

to

collect

it

though

they

just

keep

throwing

it

at

me

yeah
,

it's

the

gift

I'll

give

back
.

Speaker 1
12:41

Can

I

re-gift

this
?

Speaker 2
12:43

yeah
,

yeah
,

definitely

Leave

the

label
.

Speaker 1
12:46

Right
,

yeah
,

it's

the

one

thing

I

don't

want

to

take

the

price

tag

off

of

and

pay
.

Speaker 2
12:50

Yes
,

yes
,

you

have

the

receipt
,

please

For

sure
.

Speaker 1
12:55

Which

is

true
.

I

mean
,

like

it's

so

funny

that

we're

joking

around

about

that
,

but

at

the

same

time
,

you're

like

you

should

get

a

receipt
,

aka

your

medical

records
,

from

your

providers

and

be

able

to

look

back

and

understand

what

was

done

and

what

wasn't

done

and

have

a

better

picture

of

your

overall

health
.

So

if

you

need

to

see

another

provider
,

you

do

have

that

to

say

look
,

I've

already

gone

down

the

road

that

you're

telling

me

to

go

down
.

You

need

to

come

up

with

a

better

solution

and

better

knowledge

around

care

so

that

we

don't

have

to

go

down

this

road

again
,

because

I

do

think

that

a

lot

of

us

are

confronting

more

and

more

practitioners
.

It's

whether

they're

open

to

that

confrontation

and

learning

A

hundred

percent

yes
,

and

we

are

fully

within

our

rights

to

do

so
.

Speaker 2
13:38

I

mean
,

there

are

bodies
,

at

the

end

of

the

day
,

and

if

we're

not

being

the

proudest

advocate

of

our

own

bodies
,

then

we

can't

really

expect

anyone

else

to

be

either
.

But

there

it

has

to

be

met

with

a

decent

level

of

education

on

the

other

side

as

well
.

It's

kind

of

like

a

two-way

arrangement
.

We

should

be

able

to

go

in

and

say

what

we

want

and

what

we

think

is

going

on

and

all

these

kind

of

things
,

but

they

should

be

bringing

up-to-date

education

to

the

party

you
.

It

shouldn't

be

a

one

way

street

in

either

respect
.

Yeah
,

so

I

do

like

you

say
.

Speaker 2
14:08

I

think

we

are

getting

to

a

point

where

we've

just

had

enough

and

we're

just

refusing

to

internalize

it

anymore
.

You

know
,

with

medical

misogyny
,

for

example
,

we're

just

expected

to

put

up

with

it
,

to

access

care

half

the

time
.

We're

just

expected

to

be

told

you

know
,

you

know
,

oh
,

it's

just

a

bad

period

and

it's

just

that

we're

just

continually

absorbing

this

and

internalizing

it

and

normalizing

it

and

we

have

to

reach

a

point

where

we

say

no
,

enough's

enough
.

Yeah
,

and

for

me

that

point

was

before

my

hysterectomy

and

the

surgeon

who

thankfully

did

not

perform
.

It

said

to

me

me
,

jen
,

I've

got

three

kids
.

Maybe

the

fact

that

you

can't

have

any

will

balance

out

the

environmental

impact

of

mine
.

Speaker 2
14:49

Wow

no

yeah
,

this

was

shortly

before

my

hysterics
,

me
.

So

I

just

I

focused

on

healing

and

I

focused

on

getting

through

that

surgery

and

that

recovery
.

But

the

whole

time

that

that

interaction

just

kept

circling

back

into

the

front

of

my

brain

and

I
,

just

when

I

was

strong

enough
,

I

just

said

no
,

I'm

not

internalizing

that

one

anymore
.

And

I

thought

for

a

while

I

was

like
,

how
,

what

do

I

do

with

that
?

Do

I

go

to

pals
,

which

is

like

our

NHS

complaint

sort

of

system
?

Um
,

but

he

has

openly

mocked

that

procedure

to

me
,

the

pals

procedure
,

so

I'm

not

going

to

do

that

because

that

obviously

means

nothing

to

him
.

And

I

kept

going

around
,

what

do

I

do

with

this
?

And

in

the

end

I

did

what
?

The

only

thing

I

know

how

to

do
.

I

set

up

an

Instagram

account
.

Um

called

both
,

said

what
,

and

I

thought

do

you

know

what
?

This

is

bigger

than

me
,

it's

bigger

than

that

one

man
,

it's

bigger

than

that

one

comment
.

Speaker 2
15:45

So

I

started

a

project

to

collate

and

bring

into

the

light

this

phenomena

of

medical

dismissal

and

gaslighting

across

women's

health

care
,

not

just

random

metriosis

and

the

response

has

been

humbling

and

harrowing

and

enraging

it's
.

We've

had

hundreds

and

hundreds

of

submissions

already
,

and

the

idea

with

it

is

that

we

will

then

compile

them

and

take

them

to

the

people

in

charge

and

try

and

get

them

to

wake

up

and

realize

what's

happening
,

because

it

isn't

about

just

a

sexist

surgeon
.

It's

something

that

is

so

ingrained

into

our

medical

system

that

they

think

it's

okay

or

they

don't

even

realize

that

they're

doing

it
.

But

that's

worse
,

in

my

opinion
,

if

you

don't

even

realizing

that

you're

being

like

that
.

I

mean

some

of

them
,

though

it

sounds

really

awful

when

I

say

this
,

but

some

of

them

make

you

laugh
,

not

because

they're

actually

funny
,

but

because

they

are

just

so

ludicrous
.

There

was

one

woman

who

went

to

her

GP

because

she

was

having

adenomyosis

symptoms
,

really

suffering

with

them
,

and

he

said

to

her

have

you

ever

considered

that

they

could

be
?

You

know

symptoms

from

a

past

life
.

Speaker 1
16:55

Yep
,

that

tracks

right
.

Speaker 2
16:58

Right

and

it's

kind

of

it's

so

ridiculous

until

you

think

that

was

actually

the

level

of

care

this

woman

received
.

She

was

then

sent

away

and

told

to

research

regression

therapists
.

Now
,

no

matter

what

your

beliefs

are

in

terms

of

past

lives

and

all

that

kind

of

thing
,

that

is

not

appropriate

care

for

a

very

real

disease

that

she

needed

help

with
.

It's

yeah
,

it
.

It's

just

we

are

getting

to

a

point

where

enough's

enough
,

it's

just
.

What

do

we

do

with

that
?

What

do

we

do

with

that

level

of

emotion
,

that

level

of

frustration

and

anger

and

motivation
,

and

the

best

way

that

I

know

to

handle

it

is

to

try

and

channel

it
.

I'm

not

saying

that's

for

everybody
.

Some

people

just

want

to

go

to

a

rage

room

and

smash

things

up
.

I

have

days

like

that

too
,

yeah
,

but

for

me
,

if

I

can

make

a

difference

to

like

the

lives

of

my

nieces

growing

up
,

so

that

they

don't

have

to

go

through

that
.

Speaker 2
17:58

If

I

could

do

that
,

or

at

least

be

part

of

a

society

that

tried

to

do

that
,

then

I

think

I

would

have

done

something

good

from

my

journey
,

yeah
.

Speaker 1
18:07

What

is

your

project
?

Can

you

explain

that

a

little

bit

as

far

as

the

name

and

where

people

can

get

involved

in

this

project

if

they

want

to
?

Speaker 2
18:17

so

it's

called
.

They

said

what's

project

and

that's

the

handle

on

instagram

and

tiktok

although

I

haven't

actually

done

anything

with

tiktok

yet

um
,

and

then

you

can

also

access

it

on

my

website
,

which

is

genmore

forward

slash

dot
.

Co

dot
.

Uk

forward

slash
.

Speaker 2
18:30

They

said

what

project

and

it's

at

the

moment

we're

in

collation

stage
,

so

we

are

gathering

all

of

these

experiences

of

women's

health

dismissal
,

gaslighting
,

just

anything

across

all

of

women's

health
,

so

menopause
,

menstruation
,

anything
,

and

uh

yeah
.

So

then

when

we've

done

that
,

we

will

collate

it

all
,

make

it

into

a

report
.

We're

also

working

with

psychologists

to

create

resources

for

people

that

are

going

through

medical

gaslighting

because
,

like

we

said

earlier
,

it's

just

trauma

upon

trauma

upon

trauma

upon

trauma

and

everybody

has

their

breaking

point
.

So

it

was

really

important

to

us

that

we

um
,

we

created

some

resources

as

well

for

people

that

are

going

through

this
,

and

then

we

will

also

create

recommendations

of

how

we

can

hopefully

start

to

chip

away

at

that

in

the

future

Dealing With Desperation in Endometriosis

Speaker 2
19:12

.

Speaker 2
19:12

But

yeah
,

the

name

actually

came

from

my

friend

because

when

I

told

her
,

I

sent

her

a

voice

note

about

the

comment

I

told

you

a

minute

ago

about

the

environmental

impact

and

she

literally

sent

one

back

to

me

being

like

hey
,

sen

what
.

And

then
,

like

she

was

so

like

angry

about

it

and

I

was

like

that's

a

really

cool

name
,

yeah
.

So

yeah
,

she's

a

graphic

designer
,

so

she

designed

it

all

for

me

and

stuff
.

Um
.

So

yeah
,

it

came

from

my

friend's

outrage
.

Speaker 1
19:37

I

don't

know

anyone

who

has

done

advocacy

that

hasn't

said

they
.

They've

said
,

they

said

what

like
?

That's

so

brilliant
,

it's

so

brilliant

actually

this

is

brilliant

it

is

great
.

Speaker 1
19:50

Yes
,

it's

so

wonderful
.

I

that's

such

a

great

idea
.

It
,

I

mean
,

I

hear

it

all

the

time
.

I

think

much

like

anyone

who

is

really

ingrained

and

embedded

within

the

endometriosis

community
.

We

hear

some

of

the

most

asinine

things
.

Sometimes

I

sit

back

and

say

how

do

these

people

think

up

those

things
?

To

say

Like

that

is

not

a

normal

thing

to

even

consider

for

most

people
.

Why

did

that

come

out

of

your

mouth
?

What

made

you

think

that
?

You

know
?

It

just

is

appalling
.

Speaker 2
20:22

Well
,

a

friend

of

mine
.

She

submitted

one

of

her

experiences

and

she

suffers

horrendously

with

bowel

and

bladder

endometriosis
,

along

with

others
.

Speaker 2
20:33

And

surgeon

said

to

her

if

you

were

a

horse
,

you'd

have

been

put

down

by

now

they

said

what

yeah
,

again
,

kind

of

one

of

those

things

of

on

what

planet

did

you

think

that

was

an

appropriate

thing

to

say

to

somebody
?

Yeah
,

especially

somebody

who

have

gone

through

so

much

and

who

was

facing

a

second

um

stoma
.

She's

had

to

have

two

stomas
,

so

she's

come

through

so

much

and

you

think

that's

an

appropriate

thing

to

say

to

her

no
,

it's

not
.

Speaker 1
21:13

in

case

you

were

wondering
.

It

is

not

okay

to

say

to

someone

like

that

yeah
,

oh

my

gosh
.

Speaker 1
21:19

Oh
,

I

can't

even
.

I

mean
,

I

want

to

come

back

a

little

ways
,

because

we

were

talking

about

the

time

it

takes

to

get

into

proper

care

or

even

any

care

for

endometriosis
,

and

I

think

that

when

we

get

answers

like

this

and

then

we

have

to

go

sit

on

another

waiting

list

and

we

have

to

find

someone

else
,

that's

going

to

take

us

serious

and

we're

trying

to

navigate

the

next

part

of

our

journey
,

and

then

again

it's

another

year

to

two

years

out

potentially
.

What

are

you

seeing

people

do

in

desperation

Because

I

feel

like

this

is

a

big

component

of

endometriosis

and

how

we

struggle

so

bad

because

we

are

desperate
.

We

are

desperate

for

some

relief
,

we

are

desperate

for

answers
,

we

are

desperate

for

just

being

able

to

function

and

have

a

quality
,

some

quality

of

life

for

some

people
.

What

have

you

experienced

over

there

as

far

as

the

desperation

piece

goes
?

What

are

people

doing

Because

they

have

to

become

so

desperate

at

this

point
?

Speaker 2
22:19

Yeah
,

so

the

average

diagnosis

time

over

here

has

just

gone

up
.

So
,

depending

on

which

nation

of

the

UK

you're

in
,

it's

either

just

under

nine

years

or

just

under

10

years
,

and

that's

the

average
.

I

did

a

poll

on

my

Instagram

and

actually

it's

looking

much
,

much

higher

than

that
.

I

think

those

are

vastly

under

underestimated
.

And

then
,

like

you

say
,

that's

only

one

half

of

the

picture
,

because

okay
,

you've

got

your

diagnosis
,

but

now

you've

got

to

wait

again

for

treatment
,

and

is

that

treatment

good
?

So

you

know
,

we

there's

a

lot

of

media

and

government

focus

on

this

diagnosis

time
,

but

and

reducing

that
,

which

is

hugely

needed
,

but

we

also

need

to

reduce

the

other

piece

too
,

and

we

can't

forget

about

that
.

End

of

it
.

But

in

terms

of

what

people

are

turning

to
,

there's

a

big

thing

online
.

Speaker 2
23:07

I

love

online

advocacy

and

whenever

people

say

to

me
,

oh
,

what

about

the

misinformation

online
?

I

say
,

well
,

hold

up

a

minute
.

You

have

to

ask

why

are

people

going

online

in

the

first

place
?

And

that's

because

they're

getting

misinformation

from

trusted

sources
.

Whether

that's

a

charity
,

whether

that's

a

government

body
,

whether

that's

the

NHS

or

the

GP
,

you

know

they're

getting

misinformation

from

these

sources
.

So

they're

turning

to

social

media

first
.

So

again
,

you've

got

to

take

a

step

back

and

see

it

from

a

little

bit

higher

above
.

But

once

you

get

onto

social

media
,

there

is

a

lot

of

misinformation

and

there's

a

lot

of

people

unfortunately

targeting

those

with

chronic

illness

and

obviously

the

algorithm

sends

me

a

lot

of

endometriosis

related

stuff
.

So

right

when

I

say

and

I'm

not

just

talking

about

endometriosis
,

but

I

will

just

talk

about

endometriosis

if

that

makes

sense

and

there

is

a

lot

of

people

trying

to

sell

supplements

or

programs

or

all

diets
,

all

sorts

of

things

aiming

at

targeting

people

with

endometriosis

or

PCOS

or

adeno

or

fibroids
,

no

matter

what

it

is
.

I

saw

one

and

she

was

selling

a

program

and

it

was

thousands

of

pounds
,

um
,

and

it

was

about

healing

your

womb

and

that

would

help

your

endometriosis
,

because

our

womb

energy

was

hurt

by

past

traumas

or

you

know
,

I

couldn't

even

make

sense

of

it
.

I'm

quite

an

educated

girl
.

But

basically
,

if

you

did

this

magical

thing

with

your

womb

then

you

would

heal

your

endometriosis
.

And

I

actually

messaged

her

and

I

said

would

it

work

for

me
,

because

I

haven't

got

one
,

I've

just

got

a

void
,

does

it

work
?

But

she

didn't

reply
.

Add
,

I

know
.

So

there

is

this

danger

of

people

I

mean

I

assume

they

genuinely

believe

these

things
,

they're

not

just

that

much

of

a

snake

oil

salesman

but

there

is

this

risk

of

people

that

are

willing

to

take

advantage

of

people

who

are

desperate

and

in

desperate

need

of

relief
.

And

I've

been

there

where

I

have

been

so

desperate

for

relief

that

I

will

try

anything
.

And

some

things

are

great

for

symptomatic

relief
,

some

things

can

be

brilliant
,

but

they're

not

going

to

treat

the

disease
.

Speaker 2
25:18

And

that's

always

the

little

caveat

that

seems

to

be

missing

from

all

of

this

stuff
.

You

know

it's

not

actually

going

to

stop

the

disease

growing
.

It's

not

going

to

stop

it

affecting

your

organs
.

For

example
,

and

the

one

I

see

a

lot

at

the

minute

in

the

UK

is

diet

related
.

There

is

no

endometriosis

diet
.

There

is

not

one

that

is

going

to

work

for

everybody
.

It

is

an

exceptionally

individual

disease

and

our

triggers

will

all

be
.

You

know

there

might

be

some

overlaps

and

some

common

ones
,

but

generally

they're

all

going

to

be

unique

to

us

and

our

symptoms

and

where

our

disease

is

growing

and

what

type

of

endometriosis

it

is

and

what

you

know

all

these

things

I

mean
.

Speaker 2
25:57

Yeah
,

there

are

some

guidelines

that

a

lower

inflammatory

diet

is

can

be

helpful

to

lower

the

inflammation

in

the

body
,

but
,

again
,

it's

not

going

to

reduce

your

disease

right
,

and

that

always

seems

to

be

the

piece

that's

missing
.

And

I

think
,

particularly

with

social

media
,

it

can

get

dangerous

quite

quickly

and

we

can

get

into

a

state

of

frenzy

almost

like
,

oh
,

this

is

going

to

help
,

this

is

going

to

be

amazing
,

and

we
,

especially

with

food
,

it

can

create

a

bit

of

disordered

eating

in

an

already

very

vulnerable

group

of

people
.

Yeah
,

so

yeah
,

it's
.

It's

something

to

be

really

aware

of
.

I

think

if

you

are

spending

a

lot

of

time

online
,

especially

in

chronic

illness

communities
,

is

fact

checking
,

source

checking
,

making

sure

you

know

that

if

something

is

giving

you

symptom

relief
,

that's

fantastic
.

Keep

doing

it

if

it's

not

harming

you

or

anyone

else
,

but

it

isn't

treating

the

disease

and

there

always

needs

to

be

that

element

of

getting

to

the

root

of

the

disease
.

Yeah
,

but

yeah
,

we're

just
.

We're

all

so

desperate

for

relief
,

haven't

we
?

We've

all

been

there

with

this

disease

that

we

will

try

anything
.

And

and

then

you

see

something

pop

up

on

your

algorithm

that's

promising

you

balance

in

your

body

and

all

these

buzzwords
,

and

it's

yeah
.

Speaker 2
27:13

It

took

me

a

while
.

Quite

a

few

times

I

was

like

to

my

husband
.

I

was

like
,

oh

babe
,

do

you

think

shall

I

try

this
,

or

should

I

do

that
?

Or
,

and

he

is

like
,

why
,

why

would

you

right
?

Because

it

might

work
.

And

he's

like
,

yeah
,

but

look

how

much

it

costs
,

right
?

So
,

yeah
,

it's
.

It

is

difficult
.

I

think
.

Yeah
,

diet

and

supplements

seem

to

be

the

real

ones

doing

the

rounds

at

the

minute

over

here
.

Everybody

seems

to

be

bringing

out

a

supplement

that's

targeted

at

endometriosis
,

that's

meant

to

deal

with

various

aspects
,

and

if

they're

good

for

symptom

management
,

then

cool
.

You

know

they

work

for

that
.

But

there

was

one

that

said

it

reduces

lesion

size

and

I

was

thinking

that

is

a

bold

claim
.

No
,

kidding
,

I

mean
,

if

it's

going

to

be

see

that

I

want

to

see

the

research

on

that

one

right
.

Speaker 2
28:02

It's

a

bit

nefarious
,

and

I

mean

I'm

looking

on

my

desk

because

I

actually

ordered

some
,

not

because

I

was

going

to

try

them
,

but

because

I

wanted

to

see

what

it

was

like
.

There's

a

lot

of

unsubstantiated

claims

going

on

right

now
,

unfortunately
,

and

they

always

seem

to

be

attached

to

a

product
.

Speaker 1
28:19

My

thing

about

this

is

and

this

is

maybe

just

some

of

my

advice

to

those

who

are

looking

for
,

maybe
,

symptomatic

relief
,

and

I

don't

know

how

like

your

physiotherapy

is

there

and

how

long

you

have

to

wait

or

how

accessible

it

is

to

you

over

there

that's

always

to

me

that

should

go

hand

in

hand

with

endometriosis

care
.

Speaker 1
28:41

Every

single

time

I

wish

Right
,

but

that's

even

hard

to

come

by
,

even

here

in

the

States
,

I

think

I
.

Speaker 1
28:47

I

mean
,

I

know

in

our

little

community

here

there's

pelvic

floor

physical

therapists
,

but

how

well

do

they

know

endometriosis

Like

I

have

one

in

the

area

that

I'm

in

that

I

know

of
,

not

to

say

there

aren't

more
.

So

it

is

challenging
,

right
,

but

then

when

you're

talking

nutrition
,

when

you're

talking

supplementation
,

when

you're

talking

all

these

things

that

either

you're

going

to

put

in

your

body

or

you're

going

to

spend

money

on
,

it

should

be

an

individualized

plan

for

you
,

because

you

are

an

individual

person

dealing

with

individual

needs

Somebody

and

you

and

here's

the

other

part

of

that

too

that

I

think

maybe

we

should

consider

is

the

fact

that

most

of

us

have

other

co-challenges

or
,

as

some

say
,

comorbidities

that

could

affect

our

diet
.

So

it

is

not

a

one

size

fits

all

approach

and

unless

they

can

prove

to

me

the

research

that

says

this

diet

is

going

to

eliminate

lesions

or

shrink

them
,

then

really

it's

kind

of

a

red

flag
.

They

cannot

back

that

up

with

actual
,

good
,

validated

research
.

Speaker 2
29:52

Yeah
,

definitely
,

and

I

think
,

with

the

diet

thing

as

well
,

if

it's

coming

from

somebody

who

has

no

background

in

this

stuff
,

then

do

your

research

before

going

on

it
.

Endometriosis Treatment and Recovery Discussions

Speaker 2
30:03

Some

of

these

diets

can

be

really

quite

extreme

and

they

aren't

designed

to

be

done

long

term
,

especially
,

you

know
,

anything

kind

of

an

elimination

based

diet
.

They're

not

designed

to

be

done

long

term
.

They're

designed

to

be

done

under

the

guidance

of

somebody

who

actually

knows

what

they're

talking

about
.

Whereas

you

know

social

media
,

I

feel

like

sometimes

followers
,

the

number

of

followers
,

gives

this

false

air

of

credibility

sometimes

and

it

just

can

be

be

dangerous
.

It

can

be

very

dangerous

and

it

can

create

this

sense

of
,

oh
,

I

can't

eat

that

or

I

must

eat

this

and

it
.

It's

just

another

form

of

disordered

eating

in
.

In

essence
,

yes
,

um
,

it's
,

yeah
,

it

can

get

out

of

hand

pretty

quickly
,

for

sure

yeah
,

and

I

think

too
,

like

we

shouldn't

be

living

in

fear
.

Speaker 1
30:47

No
,

right
,

and

if

we

can't

follow

a

diet

or

a

plan
,

we

shouldn't

live

in

fear

because

we

can't

do

it
,

that

our

symptoms

are

going

to

come

back

or

that

the

endometriosis

is

going

to

get

worse
.

Speaker 2
31:00

Endometriosis

is

never

your

fault
,

never
.

There

is

nothing

that

you

have

done

or

not

done
,

or

eaten

or

not

eaten
,

or

taken

or

not

taken
,

or

said

or

not

said

or

whatever

it

is

endometriosis

or

endometriosis

recurrence

never

your

fault
,

like

end

up
,

and

I

feel

like

sometimes

that's

the

line
,

this

very

fine

line
,

but

a

lot

of

these

things

are

treading

is

that

they're

edging

on

saying

if

you

don't

do

this
,

then

you

know
,

are

you

taking

it

seriously
?

I've

actually

seen

one

pretty

much

say

that

um
,

yeah
,

it's

just

no
,

no
,

no
,

endometriosis

is

never

your

fault
,

never

your

fault

and

it

also

these

supplements
.

Speaker 1
31:45

If

you

take

supplements
,

I

know

for

myself

I

have

adverse

effects

of

supplements

like

reactions

to

supplements

is

very

real
,

specifically

in

the

endometriosis

community
,

we

tend

to

be

pretty

sensitive

to

certain

foods

and

certain

supplements
,

and

although

some

people

are

like
,

well
,

they're

meant

for

good
,

that

doesn't

necessarily

mean

they're

good

for

you
,

and

so

you

have

to

keep

that

in

mind
,

and

that's

why

it

does

need

to

be

individualized

and

personalized
.

I

don't

that
,

just

as

someone

who's

very

sensitive

to

those

things
,

I'm

very

aware

of

them
,

and

so

I

think

it's

important

to

keep

that

in

mind
.

Although

it's

a

supplement

or

an

herb
,

it

can

still

have

an

adverse

effect

for

your

health
.

Speaker 2
32:26

And

again
,

that's

not

your

fault

if

it

does
.

No
,

no
,

never

your

fault
,

never
,

never
,

never
.

But

you're

right
.

Right
,

I

think

any

blanket

approach

treatment

to

endometriosis

is

a

little

bit

destined

to

fail
,

to

be

honest
,

because

it

is

so

individualized
,

um
,

and

that

includes

a

medical

approach
.

I

don't

think

you

can

say

that

what

works

for

one

person

will

work

for

another

person
,

and

you

know
,

you

can't

say

that

because

they

might

react

very
,

very

differently
.

Speaker 2
32:52

They

might

have

different

goals
.

They

might

there
.

Could

you

know

a

thousand

and

one

reasons

why
?

But

yeah
,

it

needs

to

be

an

individual

approach
.

Speaker 2
32:59

And

going

back

to

what

you

said

about

physio
,

yes
,

pelvic

floor

physios
,

I

wish

they

were

more

readily

available

here
.

They

just

aren't
.

You

can

sometimes

ask

and

they're

like
,

oh

okay
,

you

want

that

and

then

they'll

refer

you
,

but

they're

always

kind

of

surprised
,

um
,

it's

quite

rare

that

it

will

be

included

as

part

of

your

kind

of

recovery
,

despite

the

fact

that

those

vsge

endometriosis

centers

that

I

mentioned
,

they're

meant

to

be

multidisciplinary
,

they're

meant

to

be

this

great
,

in

theory
,

multidisciplinary

team
,

um
,

but

very
,

very
,

very

few

of

them

have

any

kind

of

physio

attached

to

them
,

despite

all

we

know

about

how

much

that

helps
,

not

just

endo
,

but

I

don't

know

any

kind

of

issues

in

the

pelvic

area
.

But

yeah
,

I

wish

they

were

more

readily

available
.

They're

mostly

private

over

here
,

especially

if

there's

any

kind

of

real

focus

on

any

condition
.

They

do

tend

to

be

private

and

geographically

located

in

london

or

big
,

bigger

cities
.

I

think

it's

becoming

slightly

more

known
.

Speaker 2
34:01

The

benefit

of

it

uh
,

but

it's

again

it

doesn't

seem

to

be

coming

from

the

doctors

telling

us

or

the

medical

group

you

know

institutions

telling

us
.

It

seems

to

be

what

we're

telling

each

other
,

right
,

um
,

and

that's

where

the

information

is

coming

from
.

So

it

would

be

nicer

if

they

acknowledged

that

and

pushed

that

as

part

of

endometriosis

recovery
,

because

it

does

make

a

huge

difference
,

massive

difference
.

Speaker 1
34:24

It's

definitely

changed

my

quality

of

life

and

that's

even

like

post-operatively

I've

had

good

excision

and
,

you

know
,

I

don't

have

the

endometriosis

pain
.

I've

had

a

hysterectomy

but

my

body

went

through

years

of

growing

something

that

shouldn't

have

been

in

there

and

forming

around

what

shouldn't

have

been

in

there
,

and

so

everything's

kind

of

been

rearranged

rearranged
.

And

that's

why

I

think

that

it's

so

important

that

we

see

providers

that

can

help

us

kind

of

navigate
,

rearranging

our

body

in

a

way
,

you

know
,

and

pain

for

so

long
,

right
,

so

when

you're

in

pain
,

your

muscles

clench

and

then

they're

designed

to

release

when

your

body

is

no

longer

in

pain
.

Speaker 2
35:10

But

if

you're

in

chronic

pain

for

example
,

22

years

in

my

case

like
,

your

muscles

are

never

going

to

release
,

they're

just

going

to

be

permanently

clenched

and

that

has

huge

impacts

in

your

pelvic

area

and

the

muscles

in

that

area
,

your

pelvic

floor
,

your

hips
,

you

know

all

of

these

things

are

hugely

affected

by

it

and

yeah
,

like

you

say
,

then

they

have

the

thing

growing

in

there

as

well

and

rearranging

around

it
.

That's

hugely

affected

and

that

doesn't

stop

after

surgery
.

Like

you

say
,

it's

the

next

step

and

I

think

um

Ray
,

great

advocate
,

yeah

as

well
,

she
,

she

always

says

you

know
,

surgery

is

step

one
,

excision

surgery

is

step

one
,

and

I

think

that's

where

physio

comes

in

then

as

well
.

It's

like

doing

what

we

can

do

after

that

surgery

to

to

really

continue

it

going
.

Speaker 1
35:56

And

I

actually

would

counter

that

by

saying

physiotherapy

is

step

one

to

help

recover

from

step

two
,

excision
.

And

the

only

reason

I

say

that

is

that

if

you
,

by

and

large
,

look

at

patients

who

have

started

pelvic

floor

PT

prior

to

surgery
,

their

recovery

tends

to

be

a

lot

better

and

you're

already

in

with

a

pelvic

floor

PT

who

can

help

with

adhesion
,

like

breaking

up

adhesions

post-surgery
,

and

so

I

would

even

counter

that

a

little

bit
.

I

mean
,

I

think

for
,

um
,

maybe

for

like

treatment

of

the

actual

endometriosis
,

I

would

say

surgery
,

excision

is

step

one
,

but

I

would

say

overall

treatment
,

physio

might

be

step

one

in

my

opinion
.

Speaker 2
36:44

Oh
,

I

like

that

yeah
.

Speaker 1
36:47

Because

that's

a

support

tool
.

Speaker 2
36:49

Yeah
,

makes

a

lot

of

sense
.

For

sure
,

I

had

the

opposite
,

and

so

this

is

why

I'm

agreeing

with

you

so

much
.

Actually

is

because

I

was
.

They

called

it

a

pelvic

physio
,

but

it

was

definitely

a

physio

who

was

just

working

on

my

pelvis
,

if

that

makes

sense
.

It

wasn't

a

specialist
,

um
.

And

I

said
,

oh
,

I'm

due

to

have

surgery

pretty

soon
.

It

was

the

second

surgery
,

so

quite

a

major

surgery

and

she

basically

discharged

me

from

the

service

and

said

well
,

there's

no

point

us

doing

anything
,

then

come

back

when

you've

had

your

surgery
.

And

so

now

you're

saying

that

I'm

like
,

yes
,

actually

I

agree

with

that

like

yeah
,

that

should

not

have

been

what

happened

at

all
,

should

have

been

the

other

way

completely
.

I

mean
,

she

should

have

been

a

specialist

to

start
,

but

I

wasn't

sent

to

a

specialist
,

unfortunately
.

Yeah
,

um
,

yeah
,

physio

is

definitely

a

big

tick

in

my

book
.

Speaker 1
37:38

Yeah
,

and

I

do

think

that

there's

room

and

space

for

getting

mental

health

therapies
.

I

think

we

all

need

that

and

I

think

it

will

help

us

even

downregulate

our

bodies

a

little

bit

better

from

holding

on

to

the

tension

and

the

pain

and

everything

else

that

kind

of

comes

with

endometriosis
.

It's

a

whole

body

disease

and

that

includes

your

mental

state
,

like

it

takes

a

toll

on

us

so

much

and

it's

hard

to

break

out

of

some

of

those

traumas

that

we've

experienced

or

even

processing

what's

been

said

to

us

before

and

when

we

internalize

a

lot

of

that

said

to

us

before

and

when

we

internalize

a

lot

of

that
,

our

overall

health

is

not

as

great

either
,

and

so

I

mean
,

I

think

there's

room

and

space

for

it
,

and

I

think

we

need

to

acknowledge

that

a

little

bit

more
.

Speaker 2
38:25

I

had

therapy

last

year

and

it

was

brilliant
,

but

it

was

my

choice

to

go
,

so

I

didn't
.

It

wasn't

because

the

surgeon

said

I

think

you

need

some

therapy
.

It

was

my

choice
.

Speaker 2
38:36

I

couldn't

see

my

life

beyond

the

pain

that

I

was

in

at

that

point

and

it

got

to

the

point

where

my

husband

said
,

like

you

know
,

I

love

you
,

but

I

don't

know

how

to

help

you

any

like

beyond

this
.

He

was

like

maybe

we

could

look

into

that
.

So

we

did

and
,

um
,

you

can

self-refer

here
.

So

I

self-referred

and

it

was

so
,

so

helpful
.

I

mean

it

what
.

Speaker 2
38:54

I

wasn't

necessarily

there

because

of

endometriosis
.

I

was

there

because

of

the

effect

it

had

had

on

my

life
.

I'd

given

up

my

career
,

that

I'd

lost

all

my

confidence
,

that

my

body

had

changed

so

much

that

I

felt

like

I

was

missing

out

and

that

all

my

friends

were

overtaking

me

like

it

was

all

these

things

and

they

weren't

because

of
.

You

know
,

the

endometriosis

wasn't

what

we

discussed
,

it

was

all

of

these

different

effects

and
,

yeah
,

it

was

a

huge
,

huge

help
.

Speaker 2
39:20

And

I

say

as

well

that

the

symptoms

of

endometriosis

aren't

all

physical

and

that

a

lot

of

them

are

emotional

and

mental
,

and

I

think

it's

hugely

important

that

we

recognize

that

and

are

able

to

access

help

and

support

for

that
.

But

what's

not

good

is

when

we're

told

that

those

treatments
,

those

therapies
,

will

solve

our

physical

issues
.

They

won't
.

Stress

can

be

a

huge

trigger

and

a

huge

inflammatory

trigger

which

can

then

trigger

all

sorts

of

other

things

as

well
,

but

it's

not

going

to

get

rid

of

the

disease

right
.

And

I

think

when

it's

it's

pushed

as

that

which

it

can

be

a

lot

here

in

the

UK
,

I

know

it

that's

when

it's

not

cool
,

it's

it's

not

meant

to

do

that

either
,

you

know
,

and

I

think

that's

when

it

almost

gives

the

mental

health

therapy

and

mental

health

service

almost

like

a

bit

of

a

bad

crap
,

because

it's

like
,

oh

well
,

I

tried

that

they

didn't

work

and

it's

like
,

yeah
,

but

you

weren't

actually

given

the

right

tools

to

help

with

what

you

needed
.

Speaker 1
40:19

If

that

makes

sense
,

yeah
,

absolutely

yeah

you're

not

crazy
,

but

it

this

is

the

way

that

I've

kind

of

explained

this

to

people
,

because

I've

experienced

it

myself

it

helps

you

identify

what's

actually

hurting

and

what's

a

what's

a

trauma

response

in

your

body
.

So
,

because

I

think

pain

is

it's

your

brain's

way

of

and

what's

a

trauma

response

in

your

body
?

So

because

I

think

pain

is

it's

your

brain's

way

of

saying

something's

wrong
.

So

they're

all

connected
.

So

if

you

are

upregulated

within

your

system
,

you're

at

a

heightened

state
.

Everything's

going

to

hurt
,

it's

going

to

radiate
.

Speaker 1
40:49

But

when

you

walk

through

the

process

of

what

experience

did

this

have

on

you

mentally
?

Where

were

you

able

to

find

relief

when

this

happened
?

Then

it

allows

your

body

to

release

a

little

bit

of

that

fight

or

flight

and

identify

what

is

actually

hurting
,

not

if

you

are

hurting
,

but

what

is

actually

hurting
.

Understanding and Managing Chronic Pain

Speaker 1
41:12

And

I

think

that

might

be

the

biggest

help

for

some

of

us

as

patients

who

live

with

pain

all

the

time
,

because

pain

is

a

memory

too
.

We

remember

the

pain
.

Like

you

do

something
,

say
,

you're

riding

your

bike

and

you

hit

your

knee

on

something
.

Anytime

you

go

to

ride

your

bike
,

certain

past
,

certain

areas
,

it's

going

to

automatically

trigger

your

brain

to

feel

pain
,

because

it's

a

memory
.

So

it's

interesting

how

a

lot

of

this

does

correlate
.

But

again
,

it

doesn't

mean

that

you're

not

having

pain

and

that

it's

not

severe
.

It's

how

do

we

isolate

what

is

actually

hurting
?

Speaker 2
41:49

And

for

me
,

I'm

a

massive

overthinker
,

especially

when

I'm

stressed
,

and

so

for

me
,

when

I

was

in

having

a

really

bad

flare

before

my

hysterectomy
,

I'd

be

like

is

that

my

endometriosis

pain

or

is

that

my

adenomyosis

pain
?

And

I

would

actually

try

and

isolate

it

right

down

to

like

areas

of

my

body
,

organs
,

even

like

a

cellular

level
.

My

brain

was

trying

to

visualize

this

pain

and

actually

what

I

learned

was

that

doesn't

matter

in

that

moment
.

What

matters

in

that

moment

is

what

type

of

pain

is

it

and

what

do

you

need

to

do

to

soothe

that

pain

or

get

yourself

comfortable

or

as

most

comfortable

as

you

can

be

in

that

moment
,

because

all

I'm

doing

by

doing

what

I

was

doing
,

is

just

creating

this

cycle

of

stress

pain
,

stress
,

pain
,

stress
,

pain
,

stress
,

pain
,

stress

and

it

was

just

like

spiraling
.

Speaker 2
42:34

And

so

that

was

like

a

really

key

thing

for

me
.

It

was

learning

almost

to

take

a

step

back

and

be

like
,

okay
,

I'm

in

pain
,

it's

that

type

of

pain
.

I

know

that

that

helps

with

that

type

of

pain
.

Right
,

and

it

wasn't

until

therapy

that

I

was

able

to

kind

of

have

that

clarity

of

thought

over

it
.

Before

that

it

was

just

like

I'm

in

pain

and

my

husband

would

be

like
,

okay
,

what

kind

of

pain
,

I

don't

know
,

it's

just

painful
.

And

it

was
,

you

know
,

between

us
.

We

were

in

a

cycle

and

just

kind

of

like
,

what

do

I

do
?

What

do

I

do
?

But

yeah
,

it

was

learning

to

kind

of

like

I

say
,

take

a

step

back

and

and

think
,

okay
,

but

what

can

I

do

for

myself

in

that

moment
?

Speaker 2
43:13

and

that's

not

always

easy

to

do
.

I've

actually

taught

my

husband

the

same

thing
.

So

I'm

like
,

if

it's

this

pain
,

this

helps
.

So

if

I

can't

verbalize

it

because

the

flare

is

particularly

bad

or

whatever
,

then

he's

like
,

okay
,

I

know

I

need

to

go

and

get

this

and

help

her

in

this

way
,

which

has

been

such

a

support
.

But

yeah
,

it's

definitely

not

to

be

underestimated
,

the

power

of

therapy
.

I

just

wish

that

it

wasn't

used

so

dismissively

or

as

a

tool

to

dismiss
,

which

it

often

is

here

and

I'm

sure

is

the

case

over

there

too
.

Yep
.

Speaker 1
43:41

I

would

agree

with

that
,

I

think
,

if

it

said

to

you

there's

nothing

else

I

can

do

for

you
.

Your

pain

is

in

your

head
.

Speaker 1
43:48

That

is

dismissive
,

that

is

the

number

one

red

flag

that

you

need

to

see

someone

else

because

it

is

not

in

your

head

all

the

time

and

that

is

dismissive
.

If

someone

were

to

say

to

you

you

know

I'm

not

dismissing
,

that

you

have

pain
,

but

maybe

let's

try

to

find

a

way

that

we

can

help

identify

when

this

pain

is

happening

and

how

it's

happening
,

and

that

might

help

our

treatment

plan

moving

forward
.

Speaker 2
44:15

Yeah
,

totally

different

If

it's

multidisciplinary

is

that

even

a

word
?

As

part

of

a

multidisciplinary

team
,

then

yeah
,

fantastic
.

But

what

it

can't

be

is

that

it

closes

the

door

to

your

treatment

pathway

because

they're

just

shunting

you

off

into

the

kind

of

emotional
,

mental

side

of

it
.

It

has

to

be

like

this

unified

response
.

Speaker 2
44:36

Um
,

because

our

medicine

and

our

medical

system

has

become

so

siloed
,

the

more

we've

learned

over

the

last

however

many

hundreds
,

thousands

of

years
,

right
,

we
,

it's

become

impossible

for

one

person

to

be

the

doctor
.

Speaker 2
44:49

Right
,

it

used

to

be

that

one

person

was

the

physician

for

everything
,

because

they

didn't

know

as

much

about

the

body

as

we

did
.

And

as

we've

learned

so

much

more
,

we've

had

to

split

them

off

into

all

these

different

specialists

because

we

know

so

much

more

and

that

means

we

can

treat

people

so

much

better
.

But

what's

happened

is

that

we've

created

these

silos

that

mean

that

a

multidisciplinary

disease

such

as

endometriosis

had

nowhere

really

to

sit
,

so

we've

had

to

put

it

into

the

kind

of

the

closest

fit
,

and

it's

kind

of
.

It's

still

then

shut

off

from

all

these

other

specialisms

and

knowledge

and

treatment

approaches

and

it's

kind

of

how

do

we

approach

that
?

Because

one

person

can't

know

everything

about

everything
.

So

the

closest

way

that

we

can

do

that

is

a

multidisciplinary

team

and

a

multidisciplinary

center
,

but

it's

then

making

sure

that

those

are

up

to

scratch

and

that

the

bar

is

set

high

enough

and

held

high

enough
.

Speaker 1
45:44

So

yeah
,

a

long

way

to

go
,

unfortunately
,

but

I

do

think

there

are

moves

in

the

right

direction

we

just

need

to

keep

the

momentum

you

know
,

where

I

see

the

most

impact

is

within

the

advocacy

and

in

the

support

arena
,

because

that

is

honestly

where

you're

going

to

get

a

lot

more

well-rounded

information
,

because

you're

hearing

it

from

people

who

have

experienced

it

firsthand
.

Speaker 1
46:07

And

that's

where

I

think

we

underestimate

the

value

of

community

and

community

support
,

because

more

than

likely
,

you're

not

the

only

one

that's

experienced

this

specific

thing
,

maybe

in

a

different

manner
.

But

if

you

reach

out

to

people

within

the

community

and

advocates
,

I

can

almost

guarantee

that

you're

going

to

have

a

better

outcome

of

the

next

direction
,

because

a

lot

of

us

have

been

in

that

position
.

So

that's

why

I

love

what

you're

doing
.

I

love

that

you

are

present

and

you

are

visible

and

you

are

helping

so

many

people

navigate

their

journey

in

a

positive

way
,

but

in

a

realistic

way
.

It's

not

the

toxic

positivity
,

it's

the

honest
,

real

way
.

But

there's

hope

within

the

community

and

here's

how

we

can

improve

endometriosis

care
.

Speaker 2
46:57

Yeah
,

yeah
,

thank

you
,

that

means

so

much
.

Speaker 1
47:01

Yeah
,

I

mean
,

it's

patient

driven

at

this

point
,

and

and

patients

are

starting

to

demand

better

care
,

and

I

think

we

should
.

Oh
,

yeah
,

for

sure
.

Speaker 2
47:11

And

so

yeah
,

exactly
,

and

most

of

these

providers

have

never

experienced

what

we're

experiencing
,

that's

true
,

I

always

see

those

ones

where

they

stimulate

those

little

things

that's

meant

to

stimulate

period

cramps
.

Have

you

seen

those
?

Speaker 1
47:26

videos
.

Speaker 2
47:28

And

I'm

like

how

do

I

get

one

of

those

Right

so

I

can

whack

them

on

all

the

like

future

doctors

and

get

them

to

feel

a

fraction

of

what

it
?

Speaker 1
47:37

is

A

very

strong

TENS

machine
.

Speaker 2
47:40

Is

that

all

it

is
?

Yes
,

oh
,

oh
,

future

doctors
,

watch

out
,

watch

out
,

jen's

coming

for

you
.

I'll

just

be

outside

in

Cambridge

just

like

flapping

TENS

machines
.

Speaker 1
47:56

It's

for

research

purposes
,

educational

research
.

I

recently

enjoyment

yeah
,

exactly
,

I

recently

saw

where

they

did

this
.

It

was

like

a

I

think

it

was

eight

or

ten

year

old

boy

did

this

and

he

wanted

to

because

his

mom

had

endometriosis
.

He's

like

well

I

want

to

do
,

and

he

wanted

to

because

his

mom

had

endometriosis
.

He's

like

well
,

I

want

to

do

it
.

Speaker 2
48:21

He

got

to

a

10
.

Speaker 1
48:21

I

was

shocked
,

okay
,

and

I

was

like

that's

torture
.

He

goes

I

don't

like

this
.

He

goes

this

is

what

you

go

through

every

month
.

And

she's

like
,

yeah
,

can

we

turn

it

off

now
?

And

he

didn't

cry
,

but

he

was

like

that

was

too

much
.

He's

like

you

can't

work

like

that
.

And

it

was

interesting

to

see

it

from

a

young

child's

perspective

and

a

boy

who

clearly

loved

his

mother
.

But

I've

also

seen

it

with

like

law

enforcement
,

where

they

put

it

on
.

Speaker 2
48:46

They

got

to

like

a

four

yeah
,

yeah
,

I

think

I

saw

one

and

it

was

like

an

army

couple

of

army

guys

tried

it

on

and

you

could

see

they

were

trying

so

hard

to

be

like

I

can

do

this
,

I

can

do

this
,

I

can

do

this

and

like

outdo

each

other
,

but

in

the

end

they

were

just

like

I

think

they

got

to

like

six
,

I

think
,

um
,

but

yeah

it

was
.

It

was

very
,

very

amusing
,

all

that

poor

little

boy
,

though

I

know

special

ops

training

Apparently

Endometriosis Advocacy and Heartfelt Stories

Speaker 2
49:14

that's

all

you

need
.

Speaker 2
49:14

That's

all

you

need
.

Speaker 1
49:16

That's

great
,

oh
,

my

goodness
.

Well
,

jen
,

thank

you

so

much

for

joining

me

today

and

just

sharing

your

story

and

your

advocacy

and

your

heart

behind

endometriosis

and

allowing

your

experience

to

help

guide

you

through

helping

others
,

and

that's

so

impactful

and

it

will

be

impactful

for

years

to

come
.

So

thank

you

for

sharing

your

heart

and

your

journey

and

so

much

of

your

time
.

Thank

you
,

I

was

happy

to

have

you

and

you
,

of

course
,

are

welcome

to

come

back

anytime

and

update

us

on

everything
.

Speaker 2
49:44

Thank

you
,

I'd

love

to

yes
.

Speaker 1
49:48

Well
,

until

next

time
,

everyone

continue

advocating

for

you

and

for

those

that

you

love
.

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