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Ever wondered about the magic trio of hormones – estrogen, progesterone, and testosterone – and their role in our bodies? What about the often under-discussed impacts of undergoing a hysterectomy and oophorectomy? Join us as we unravel these complexities with our insightful guests, Sallie Sarrel and Inge. This episode promises to shed light on the incredible synergy between these hormones, their significance for our bone, muscle, and joint health, bladder and cardiovascular systems, and the hurdles in acquiring them.
Brace yourself for a deep dive into the effects of trauma, endometriosis and hysterectomies on hormonal balance. Our guests share their advice on how hormones can be optimally utilized to maintain health. We candidly discuss the implications of patriarchal biases on hormone replacement, highlighting the much-needed role of organizations like AHA in fostering change. From the importance of regular blood work, the intricacies of progesterone use, to the potential impacts of endometriosis on hormonal balance, this episode promises to be a treasure-trove of enlightening conversation and empowering narratives. Don’t miss this engaging episode!
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Discussion on Hormone Replacement and Endometriosis
Speaker 1
0:03
Welcome
to
Endo
Battery
,
where
we
are
sharing
our
endometriosis
journey
and
learning
along
the
way
.
This
podcast
is
in
no
way
meant
to
diagnose
or
give
medical
advice
,
but
a
place
where
you
can
gain
knowledge
and
information
that
can
help
you
to
not
feel
alone
,
as
well
as
become
your
best
advocate
.
We
want
to
learn
with
you
and
support
you
wherever
you
are
in
your
journey
.
Thanks
for
joining
us
as
we
navigate
the
ups
and
downs
and
share
stories
of
strength
,
resilience
and
hope
.
Come
with
us
as
we
dive
deep
into
the
world
of
endometriosis
,
from
personal
experiences
to
expert
insights
.
This
is
Endo
Battery
charging
our
life
when
Endo
drains
us
.
Welcome
back
to
Endo
Battery
.
Join
us
as
we
continue
with
our
part
two
with
Sally
Surrell
and
Inga
.
This
is
where
we
left
off
.
Speaker 2
0:48
So
on
your
last
podcast
I
told
you
I
listened
to
this
a
number
of
times
,
the
other
thing
that
sort
of
struck
me
.
So
you're
probably
fine
if
I
say
this
,
but
both
Alana
and
I
ufrectomy
,
hysterectomy
none
of
that
left
.
And
so
now
we're
on
this
hormone
journey
,
with
not
a
lot
of
literature
out
there
to
support
replacement
with
testosterone
and
I
know
you
specifically
talked
about
estrogen
replacement
and
the
importance
in
that
for
joints
and
ligaments
.
Do
you
have
any
words
of
wisdom
or
any
sort
of
thought
process
,
right
or
wrong
,
when
it
comes
to
testosterone
and
the
role
it
plays
with
that
,
or
is
it
just
specifically
estrogen
?
Speaker 3
1:32
So
it's
not
.
I'm
not
a
hormone
replacement
doctor
,
so
anything
that
I'm
saying
is
just
discussion
.
But
we
are
not
meant
to
be
creatures
without
estrogen
,
progesterone
and
testosterone
like
I
believe
really
ever
,
but
certainly
at
the
young
age
that
many
are
forced
to
go
through
that
with
endometriosis
and
in
terms
of
you
know
,
we
don't
want
to
be
again
,
we're
going
to
get
old
one
day
and
we
don't
want
to
be
osteopenic
,
so
we
don't
want
to
lack
bone
and
to
not
lack
bone
.
You
need
muscle
development
and
you
do
need
many
need
some
testosterone
supplementation
for
that
.
If
it's
done
,
if
your
endometriosis
was
fully
excised
,
then
you
should
be
able
to
find
the
combination
of
testosterone
that
won't
aromatize
,
which
means
transfer
into
estrogen
.
It
may
take
a
couple
of
different
brands
,
it
may
.
You
know
most
people
.
If
they
go
into
early
menopause
,
the
minute
you
get
them
the
right
combo
,
they
like
it's
like
drinking
a
Celsius
.
Speaker 1
2:51
They
think
they're
like
amazing
Right
.
Speaker 3
2:55
I
would
not
.
So
I
told
my
story
on
the
last
podcast
.
But
having
had
that
overtaken
without
consent
and
then
,
given
my
history
with
PCOS
as
well
,
I
went
into
menopause
very
,
very
young
.
I
would
not
have
won
a
national
tennis
championship
had
I
not
been
given
testosterone
.
But
let's
not
negate
the
effects
of
progesterone
as
well
,
and
not
to
mention
bladder
health
and
estrogen
,
as
well
as
cardiovascular
health
and
estrogen
,
because
I
point
out
that
the
Harvard
nurses
study
was
completely
retracted
,
right
.
So
that
study
,
everybody
stopped
giving
it
,
but
they
should
be
giving
it
.
Speaker 3
3:39
And
there
are
studies
about
breast
cancer
,
actually
estrogen
being
protective
,
except
for
one
particular
type
which
you
can
be
tested
for
,
and
as
well
as
neurodegenerative
health
.
And
you're
not
going
to
update
estrogen
the
way
your
system
should
without
testosterone
and
progesterone
.
You
know
we
started
and
I
put
Dolly
in
the
other
room
and
but
Dolly
was
just
hysterectomized
because
she's
a
dog
,
right
,
right
,
you
know
it's
not
a
human
.
I
have
spoken
to
hormone
specialists
who
say
if
she
gets
incontinent
when
she's
older
,
you
might
have
to
smear
a
little
estrogen
on
her
belly
,
and
that
we
see
in
humans
also
.
So
I
had
this
with
a
patient
.
Speaker 3
4:26
She's
has
very
light
bleeding
after
sex
.
Light
bleeding
after
sex
.
You
definitely
have
to
go
to
the
doctor
,
right
?
Right
.
She
goes
to
the
doctor
,
tested
and
she
has
the
hysterectomies
.
So
no
pap
smear
.
But
they
do
everything
they
can
do
.
They
determine
it's
not
cancer
,
right
,
because
you
want
to
rule
that
out
.
And
then
they
send
her
home
and
she's
like
wait
,
sally
says
I
might
need
estrogen
.
Can
we
talk
about
that
?
And
first
of
all
,
it
was
who
is
Sally
?
Speaker 3
4:52
And
second
of
all
,
it
was
no
,
your
tests
are
normal
,
but
you
have
to
be
like
you
can
have
.
That
range
is
not
necessarily
what's
right
for
your
body
and
the
tissue
definitely
fins
without
the
presence
of
testosterone
or
estrogen
or
progesterone
.
So
you
feel
like
you've
had
your
oophorectomy
and
hysterectomy
,
but
your
boobs
are
still
sore
.
That's
usually
absence
of
progesterone
,
not
to
mention
and
this
is
taking
a
little
bit
of
a
whole
other
thing
.
Your
insulin
metabolism
is
going
to
suck
without
these
hormones
and
either
you're
going
to
drink
water
and
eat
a
vegetable
that
isn't
a
carrot
,
because
that's
due
high
in
carbs
,
or
you're
going
to
have
to
supplement
with
something
,
and
if
your
progesterone
,
esterine
testosterone
,
are
off
,
that's
also
going
to
contribute
to
cravings
.
So
now
you
have
all
these
cravings
and
your
insulin
metabolism
sucks
,
you're
just
talking
about
this
,
literally
right
before
this
man
.
Speaker 1
5:55
We
crave
the
sweets
and
I
was
telling
Inga
,
the
minute
I
got
out
of
surgery
from
having
my
excision
hysterectomy
,
opherectomy
,
I
wanted
that
chocolate
chip
cookie
.
And
if
anyone
took
that
chocolate
chip
cookie
away
from
me
I
was
like
what
are
you
thinking
Like
?
I
went
on
a
whole
tirade
because
I
craved
the
sweet
and
I
had
never
done
that
before
.
Speaker 3
6:17
Yeah
,
I
would
never
.
I
don't
want
to
say
never
,
but
unless
I
100%
knew
that
the
ovary
was
diseased
through
and
through
,
I
would
be
really
hesitant
to
take
it
over
.
Speaker 2
6:34
And
most
.
Speaker 3
6:34
MDs
are
that
I
work
with
?
Certainly
not
most
MDs
.
They
just
do
.
They
think
they're
starving
the
endo
and
what
they
are
is
starving
your
elderly
future
.
Yes
,
and
I
think
there's
an
organization
advancing
health
after
hysterectomy
Aha
,
and
they
really
tried
it
.
The
plaques
and
Alzheimer's
they're
showing
our
estrogen
depleted
brains
in
many
people
,
and
so
we
have
to
be
proactive
,
we
have
to
take
the
reins
of
this
,
and
you
have
to
be
careful
who
you
go
to
.
Speaker 3
7:13
First
of
all
,
a
lot
of
people
are
trying
to
take
advantage
of
you
.
Yes
,
I
called
the
state
medical
board
on
someone
,
and
when
I
called
the
state
medical
board
,
it
turned
out
their
medical
license
was
in
Pennsylvania
.
It
wasn't
even
in
New
Jersey
.
I
mean
that
.
But
the
other
thing
is
like
I
had
this
.
Now
I
have
someone
I
really
work
with
.
You
think
I'm
annoying
,
but
we
really
work
together
and
he
you
know
,
and
it
helps
.
But
last
year
,
if
your
testosterone
is
too
high
and
you
have
Hashimoto's
,
you're
going
to
change
the
way
your
thyroid
works
and
that
in
itself
will
raise
your
insulin
,
and
then
you're
not
losing
First
of
all
,
you're
not
losing
anyway
.
Speaker 3
7:54
Right
but
it's
not
what's
right
.
It's
you
have
to
work
with
someone
who's
constantly
taking
levels
and
who's
constantly
working
on
you
,
and
it's
it's
expensive
.
Well
,
and
I
think
the
new
frontier
is
going
to
be
ozembic
,
because
,
instead
of
normalizing
their
hormones
,
a
lot
of
people
are
going
to
turn
to
ozembic
because
they're
getting
this
insulin
response
and
they're
not
going
to
,
you
know
,
and
ozembic
can
do
wonders
.
But
should
we
really
be
normalizing
the
hormones
and
then
using
the
ozembic
if
you
need
it
or
the
manjarro
if
we
need
it
?
Because
I'm
not
against
ozembic
or
manjarro
,
but
it's
like
what
,
what
?
What
is
the
order
that
people
are
doing
?
Because
just
because
you're
thin
doesn't
mean
you're
not
going
to
break
every
bone
in
your
body
when
you're
older
.
Speaker 2
8:42
Right
,
well
,
and
I
think
you
know
,
I
was
listening
to
a
pretty
interesting
podcast
about
the
different
hormones
,
but
that's
also
along
with
this
,
like
peeling
back
the
onions
and
doing
all
of
this
with
the
pelvis
and
trying
to
figure
out
,
like
,
what
generator
is
this
?
Or
you
know
,
what
pain
generator
is
this
?
I've
gone
to
six
different
doctors
,
probably
for
hormone
stuff
,
and
each
one
tells
me
something
different
.
One
is
like
testosterone
for
a
woman
,
like
we
wouldn't
do
that
unless
you
were
trying
to
.
You
know
,
transition
,
transition
,
transition
,
but
that's
very
not
true
.
Speaker 3
9:17
I
know
and
then
.
But
then
At
Yale
they
do
a
lot
of
work
with
they
actually
do
a
lot
of
work
with
testosterone
.
I
think
you
can
get
both
hair
loss
and
hair
growth
in
places
you
don't
want
from
testosterone
,
right
,
but
I
think
,
like
another
industry
,
that
isn't
regulated
.
Speaker 2
9:36
And
well
,
no
studies
for
women
.
And
it's
just
so
frustrating
and
it's
,
you
know
,
I
always
tell
.
I
mean
I
said
to
Alana
I
mean
we
have
how
many
drugs
for
erectile
dysfunction
for
a
man
,
but
like
a
woman's
sexual
desire
,
we
don't
have
anything
for
that
.
There's
no
studies
for
women
for
that
.
And
there's
one
drug
,
but
it's
for
women
who
are
.
Speaker 3
9:57
Yeah
,
I
was
going
to
say
there
is
one
drug
.
Speaker 2
9:58
Who
are
pre
menopausal
and
it's
really
expensive
and
if
you
look
at
the
data
on
it
,
it
was
almost
no
different
from
the
placebo
,
so
it's
just
frustrating
.
It's
it's
frustrating
to
find
somebody
.
Speaker 3
10:12
And
also
like
is
sexual
dysfunction
?
That's
its
own
podcast
,
but
is
sexual
dysfunction
happening
?
Also
,
I
don't
like
the
word
dysfunction
,
but
are
there
issues
?
Because
there
are
issues
within
the
vaginal
wall
tissue
itself
.
Are
there
issues
because
of
the
lack
of
the
hormone
circulating
in
the
system
?
Is
sex
painful
?
Is
there
a
history
of
sex
being
only
for
procreation
because
it's
painful
and
then
that's
impacting
desire
Is
?
Are
all
of
these
things
going
on
at
once
?
And
also
,
are
we
talking
about
all
and
any
of
them
?
Speaker 3
10:51
You
know
I
,
like
Dr
Rachel
Rubin
,
who's
a
urologist
,
is
trying
to
,
you
know
,
really
further
that
conversation
,
Dr
.
There's
another
doctor
in
Florida
who's
furthering
that
conversation
as
well
,
Because
we
shouldn't
be
like
whispering
in
the
shadows
about
what's
going
on
here
.
And
then
the
real
crazy
part
of
the
conversation
is
and
I've
sat
with
leading
experts
in
the
world
about
hormone
replacement
and
why
we
don't
typically
present
a
section
on
it
is
what
is
the
efficacy
of
hormone
replacement
in
endometriosis
patients
If
the
research
is
so
grounded
in
this
estrogenic
backflow
of
menstrual
blood
?
You
know
,
does
it
?
You
know
,
whatever
.
So
I
think
,
by
the
way
,
you
can
make
your
own
decision
,
which
is
what
I
did
,
and
if
you
have
a
full
excision
,
then
you
should
be
able
to
take
hormones
,
but
there's
no
data
on
it
,
I
know
.
Speaker 1
11:55
It's
infuriating
to
me
Don't
put
your
doctor
on
,
say
Sally
says
you
say
Sally
says
I'm
going
to
have
walked
through
this
for
like
the
last
six
months
and
you
know
.
That's
why
having
and
we're
going
to
talk
about
this
in
another
podcast
but
why
having
community
is
so
important
,
because
we
feed
off
of
each
other
and
being
able
to
bounce
ideas
off
of
hey
,
are
you
feeling
this
or
are
you
feeling
that
?
But
we've
been
talking
about
this
for
the
last
six
months
and
trying
to
navigate
all
this
.
Speaker 3
12:22
All
you
have
to
do
is
see
ah-ha
,
is
research
on
how
bad
it
is
not
to
have
estrogen
,
to
have
like
a
moment
in
your
life
where
you're
like
,
do
I
want
to
?
I
mean
,
somebody
with
endometriosis
like
you
could
literally
be
going
60
years
.
Do
you
want
that
on
your
brain
?
Do
you
want
that
on
your
vaginal
tissue
?
I
just
had
lunch
for
the
holiday
with
somebody
who
has
chronic
bladder
infections
.
Do
you
want
that
?
Do
you
want
to
do
that
too
,
to
yourself
?
So
are
you
willing
to
?
And
it's
not
a
risk
of
cancer
anymore
?
Are
you
willing
to
risk
that
your
endometriosis
wasn't
fully
excised
?
And
the
other
issues
we
have
Dr
Gargiulo
talking
about
this
the
,
if
you
still
have
a
uterus
,
progesterones
actually
a
little
protective
against
adenomyosis
.
So
for
those
,
I
went
in
very
early
but
I
had
natural
menopause
and
I'm
not
willing
to
not
have
any
bone
either
,
you
know
.
Speaker 2
13:28
Right
,
I
think
a
lot
of
women
are
scared
to
take
estrogen
and
I
think
a
lot
of
that
stemmed
from
that
.
Like
women's
health
initiative
study
that
was
done
,
that
was
like
just
so
flawed
with
the
group
of
women
that
they
chose
.
They
were
much
older
,
I
think
it
was
like
67-year-olds
.
Speaker 3
13:47
And
they
admitted
the
study
was
flawed
and
they
retracted
everything
and
it
never
took
.
Speaker 2
13:52
But
that's
still
there
.
No
,
it's
.
That
stigma
is
still
there
,
unfortunately
,
right
.
Speaker 3
13:58
And
what's
worse
is
it's
still
there
in
the
medical
population
.
So
most
people
who
are
seeking
hormones
are
going
to
be
.
I
have
to
go
out
of
pocket
.
Speaker 2
14:08
Mm-hmm
.
Speaker 3
14:09
Same
.
I
have
to
go
out
of
pocket
.
Now
I
have
one
.
They
were
living
abroad
,
but
in
France
it's
very
common
hormone
replacement
and
there
,
you
know
,
it
was
a
whole
different
ballgame
than
we're
getting
there
and
all
I
have
to
say
is
it's
a
very
different
society
sexually
and
look
at
what
they're
accepting
.
But
I
think
it's
so
damaging
that
Harvard's
Women's
initiative
and
the
type
of
breast
cancer
can
be
typed
out
.
It's
like
one
you
can
test
for
to
see
if
you're
at
more
risk
and
obviously
then
you
can't
have
a
certain
kind
of
estrogen
.
But
yeah
,
you
should
meet
the
other
serral
.
Does
this
,
the
other
serral
?
Does
this
the
other
serral
,
does
this
my
uncle
?
Like
invented
hormone
replacement
.
Speaker 1
14:54
Get
out
?
Wow
,
no
way
.
That's
why
you're
so
smart
,
sally
it's
genetic
.
Speaker 3
15:00
No
,
but
like
my
uncle's
,
totally
badass
like
,
trained
by
Masters
and
Johnson
and
not
great
with
endometriosis
.
But
hormone
replacement
,
that's
your
guy
.
Well
,
I
probably
won't
do
a
podcast
.
Speaker 1
15:16
But
let's
just
,
inga
and
I
are
trying
really
hard
over
here
to
figure
out
this
hormone
thing
,
because
it
is
and
that's
the
other
frustrating
thing
about
this
is
like
we're
talking
about
all
these
anatomical
things
or
and
we're
talking
about
frozen
pelvis
,
hernias
and
all
of
the
other
avenues
,
but
how
much
of
that
and
how
much
of
the
hormone
and
how
much
of
the
endometriosis
are
all
tied
together
?
That's
what's
really
hard
to
navigate
,
because
we
don't
know
and
we
don't
know
.
Speaker 3
15:45
But
like
,
don't
forget
,
like
carpal
tunnel
is
tied
to
menopause
and
so
,
like
I
think
at
some
point
my
friend
,
when
she
first
said
it
to
me
,
she
was
,
like
you
got
to
look
at
menopause
like
now
it's
its
own
animal
and
you
have
to
check
out
of
the
,
not
that
endometriosis
is
ended
at
menopause
,
but
that
to
get
menopause
care
you're
going
to
have
to
stop
telling
people
you
had
endometriosis
and
just
count
on
how
good
that
excision
was
,
because
otherwise
you're
not
getting
anything
right
.
And
I've
been
looking
at
this
summer
because
I'm
the
only
one
who
plays
tennis
three
hours
a
day
and
gains
weight
right
,
how
we
work
out
changes
based
on
our
hormones
too
,
and
you
do
need
more
weightlifting
after
menopause
.
But
you're
not
going
to
get
any
results
or
even
feel
very
good
doing
it
without
testosterone
.
Right
,
and
I'm
not
talking
about
steroids
and
jacking
yourself
up
.
Speaker 3
16:44
I'm
talking
about
being
able
to
turn
on
a
toning
video
and
do
30
minutes
with
a
five
pound
weight
.
I
mean
like
,
just
like
basic
weightlifting
and
that's
.
Speaker 1
16:52
it's
Hormonal Dysfunction and Healthcare Challenges
Speaker 1
16:53
interesting
.
You
say
that
because
when
I
finally
in
and
I
were
talking
about
this
,
I
was
like
she's
like
,
did
you
get
your
testosterone
tested
?
I
was
like
no
,
she
goes
,
you
need
to
go
get
it
tested
.
I
said
okay
.
So
I
went
and
got
it
tested
and
it
was
low
,
not
as
low
as
yours
,
yours
was
,
mine
was
two
.
Speaker 1
17:09
Yeah
,
it's
stupid
low
,
but
then
.
So
I
was
like
oh
so
I
started
to
form
,
I
started
testosterone
and
I
put
this
out
there
before
and
I
strongly
believe
that
we
need
to
talk
about
it
more
.
But
I
started
the
testosterone
within
two
weeks
.
The
trainer
my
trainer
looked
at
me
and
he
goes
you
are
worlds
different
than
what
you
were
two
weeks
ago
.
Speaker 3
17:31
Yeah
,
but
it's
not
just
muscle
,
it's
insulin
metabolism
,
it's
thyroid
health
,
like
it's
very
sensitive
with
that
thyroid
Fatigue
.
It's
too
high
,
then
it'll
.
It's
fatigue
and
it's
sense
of
self
.
It's
very
interesting
.
You
know
.
You
should
try
their
Lethos
L-I-T-H-O-S
and
Snowden
S-N-O-D-E-N
.
They're
physical
therapists
that
work
only
in
this
realm
.
But
then
again
you
have
to
conduct
the
interview
as
if
that
endometriosis
doesn't
exist
anymore
because
,
if
?
Speaker 3
18:08
because
,
based
on
our
lousy
history
,
if
you
mentioned
the
word
endometriosis
,
everybody
thinks
like
you
can't
give
any
estrogen
,
which
is
,
but
I
feel
like
they
should
go
try
to
live
it
,
because
I'm
not
on
a
fun
trip
.
Speaker 1
18:21
Both
of
us
,
we've
all
been
in
that
way
.
We
and
the
thing
is
is
like
why
do
we
feel
like
it's
okay
to
deplete
our
body
of
something
that
is
so
necessary
?
Like
okay
,
well
,
that's
a
whole
other
conversation
We'll
have
.
Speaker 3
18:35
Dr
Maria
Rivolo
will
be
speaking
at
the
summit
about
the
history
of
patriarchy
in
endometriosis
,
and
the
reason
,
ultimately
,
why
we
think
it's
okay
is
because
women's
job
in
life
is
to
have
babies
and
we
might
as
well
throw
you
away
once
you're
done
.
So
why
should
we
do
any
decent
research
?
Speaker 3
19:00
And
you
think
I'm
just
being
bitter
but
this
is
actually
a
history
that
impacts
us
every
single
day
,
and
I
think
it's
so
bad
.
You
know
,
when
you're
looking
at
decent
studies
about
plaque
in
the
brain
and
Alzheimer's
and
estrogen
,
and
yet
somebody
can't
get
any
,
yeah
,
yep
,
yeah
.
I
heard
,
though
,
that
there
is
an
online
,
a
concierge
service
,
that
does
the
vaginal
estrogen
for
bladder
infections
,
because
I
had
a
patient
need
it
and
the
doctor
wouldn't
give
,
and
she
was
just
convinced
that
she
needed
it
because
the
bladder
pain
started
after
the
hysterectomy
and
her
tissues
,
even
though
she
had
rolled
out
cancer
,
her
tissues
were
thin
and
bloody
,
so
not
bloody
like
a
period
,
but
like
a
little
bit
of
blood
,
and
she
used
the
vaginal
,
as
she
tried
it
within
the
first
,
like
two
days
.
Speaker 2
20:04
The
problem
the
one
which
is
shocking
is
for
so
many
people
,
the
vaginal
estrogen
is
stupid
,
expensive
and
that's
so
sad
.
Welcome
,
that's
so
sad
.
Yeah
,
like
why
.
Speaker 3
20:16
Well
,
I'm
working
with
AUA
and
,
like
you
know
,
when
you
talk
about
diversity
,
equity
,
inclusion
,
everybody
should
be
able
to
get
progesterone
and
estrogen
.
Speaker 2
20:24
Right
.
Speaker 3
20:25
You
know
,
it
shouldn't
be
that
hard
.
But
I'm
telling
you
what's
going
to
happen
is
it's
going
to
be
a
lot
easier
Eventually
.
Right
now
it's
expensive
,
but
it's
going
to
be
a
lot
easier
.
To
prescribe
someone
with
manjarra
,
which
all
for
the
drug
.
I'm
not
saying
that
the
drug
is
bad
,
but
then
to
fix
their
hormonal
dysfunction
and
let
them
metabolize
through
it
on
their
own
.
Speaker 1
20:46
Yeah
,
and
we
have
to
be
careful
.
As
people
that
have
gone
through
a
lot
of
trauma
and
our
body
has
had
endometriosis
and
now
we
don't
have
our
own
supply
of
hormones
,
we
have
to
be
careful
of
what
we're
putting
in
our
body
and
how
we're
navigating
health
of
our
body
.
It's
not
,
we
can't
just
throw
everything
to
it
or
we're
not
solving
the
problem
.
It's
like
having
an
ablation
surgery
you
just
put
a
bandaid
on
it
,
right
.
Speaker 3
21:13
Well
,
I
mean
,
I
tried
like
three
or
four
different
types
of
progesterone
before
I
found
one
and
I
don't
always
love
the
doctor
that
prescribes
that
,
but
I
know
I
can't
go
anywhere
else
because
that's
the
only
one
that
I
didn't
get
sick
from
,
and
a
lot
of
times
somebody
who
does
have
a
history
of
endometriosis
will
get
sick
from
progesterone
because
the
receptor
site
sensitivity
is
different
,
so
I
needed
just
a
very
specific
one
.
Interesting
,
yeah
.
So
like
you
were
fine
on
the
testosterone
they
give
you
right
off
.
I
need
to
try
three
of
them
.
Speaker 1
21:48
Well
,
and
we
,
yeah
,
we
have
a
.
They
compound
it
at
one
pharmacy
.
We
can
only
get
it
at
one
pharmacy
here
and
they
compound
it
on
site
and
that
is
,
and
it's
a
,
the
interleague
cream
.
You've
had
a
different
experience
with
it
than
I
have
.
Speaker 2
22:05
Mine
is
just
like
this
I
can't
get
like
a
nice
.
I
did
trokies
,
then
they
were
having
me
inject
and
I
was
like
man
,
I
feel
fantastic
.
And
then
I
went
and
had
my
levels
done
and
it
was
like
230
,
whatever
.
Speaker 1
22:21
And
now
I
did
the
cream
and
I'm
up
again
Like
I
can't
.
Speaker 3
22:25
I've
been
told
the
cream
can
only
be
used
vaginally
and
so
that
you
really
have
to
take
it
,
swipe
the
top
and
put
it
vaginally
and
not
clitorally
,
by
the
way
.
Speaker 2
22:35
No
,
they
.
The
way
they
have
us
do
it
now
is
on
the
inside
of
our
leg
.
But
then
I
was
listening
that
there's
this
like
1%
and
the
tube
should
last
you
10
days
,
where
,
like
a
guy
,
it's
like
one
tube
for
one
day
and
I'm
like
,
well
,
what
is
this
?
Speaker 3
22:50
No
,
so
I've
heard
a
lot
,
from
more
than
one
source
,
that
if
you're
putting
it
on
the
inside
of
your
leg
,
you're
not
going
to
be
getting
enough
of
it
to
make
a
difference
,
so
you
could
even
be
using
less
of
it
,
but
that
you
have
to
put
it
badging
the
testosterone
has
to
be
done
.
Badging
Interesting
,
or
so
.
The
other
one
is
inside
of
the
elbow
,
but
it's
funny
.
Endometriosis and Hormone Replacement Journey
Speaker 3
23:13
So
like
talk
about
patriarchy
,
the
doctors
like
explaining
this
to
me
and
he's
like
he
goes
like
this
can
you
put
it
vaginally
?
Like
what
are
?
Speaker 2
23:21
you
whispering
?
Speaker 3
23:23
I'm
basically
like
do
you
know
what
I
do
with
my
life
?
Like
what
are
you
whispering
?
Speaker 1
23:26
about
.
Speaker 3
23:30
Yeah
,
I've
heard
the
story
.
We
went
out
to
dinner
like
we
were
traveling
somewhere
and
some
woman
recognized
me
and
she
started
to
ask
me
questions
.
I
can't
take
my
dad's
like
.
Really
,
you're
more
dad
.
So
I
think
,
like
that's
the
thing
.
We're
like
guinea
pigs
.
I
think
a
lot
of
women
,
at
least
with
hormone
replacement
,
a
lot
of
women
are
guinea
pigs
,
which
is
disgusting
as
it
,
but
it's
still
not
a
great
situation
.
Speaker 1
23:59
No
,
but
I
do
feel
like
we
are
smart
enough
to
continue
pushing
and
advocate
for
it
to
be
better
for
future
generations
.
It's
going
to
have
to
happen
at
some
point
.
We
can't
not
try
this
out
,
otherwise
we
would
be
stagnant
and
any
health
benefits
of
it
,
and
so
I
think
that
we
need
to
be
able
to
push
harder
for
future
generations
so
that
this
doesn't
perpetuate
,
but
that
again
.
Speaker 3
24:25
Well
,
I
think
AHA
is
a
great
and
well
funded
organization
.
Well
funded
because
they
train
primary
care
physicians
and
physicians
.
They
have
massive
training
programs
and
that's
where
it's
at
.
That's
one
of
the
reasons
why
we're
doing
the
imaging
course
for
physicians
.
You
have
to
start
training
so
that
those
people
can
go
out
in
the
field
and
train
the
next
part
.
That's
a
huge
part
of
change
.
I
think
,
like
if
you
talk
about
is
this
my
hernia
or
is
this
hormone
replacement
?
You're
not
going
to
testosterone
away
a
hernia
.
Speaker 1
25:02
No
,
no
.
But
does
it
hold
structure
?
Because
does
a
testosterone
help
with
joint
and
ligament
and
muscle
?
Speaker 3
25:11
We're
talking
about
all
of
that
.
Right
,
you
know
that
whole
thing
that
in
pregnancy
they're
relaxing
,
and
that
was
all
proven
to
be
not
true
,
Really
,
Really
,
that's
not
what
triggers
ligament
laxity
and
pregnancy
.
What
is
it
?
It's
a
structural
trigger
.
It's
not
triggered
by
your
hormones
.
That
another
way
,
some
male
,
somewhere
,
decided
to
blame
something
on
a
hormone
In
terms
of
testosterone
and
stability
,
because
you're
able
to
maintain
muscle
mass
probably
not
put
on
muscle
mass
,
but
at
least
maintain
muscle
mass
and
then
that
muscle
mass
will
pull
at
the
tendon
better
.
That
could
be
some
of
your
joint
stability
with
testosterone
.
That
is
a
proven
thing
to
provide
joint
stability
.
Right
,
I
would
have
to
look
up
.
The
progesterone
is
like
.
You
know
who
gets
anxiety
now
that
they're
in
menopause
?
You
know
that's
a
little
bit
of
a
progesterone
deficiency
,
bloating
anxiety
.
It's
sort
of
like
your
,
your
counteract
or
your
progesterone
.
Speaker 3
26:22
Well
and
then
when
Progesterone's
a
hard
one
,
and
people
with
a
history
of
endometriosis
.
Speaker 2
26:26
Well
with
progesterone
.
So
I'm
getting
back
to
like
getting
different
information
from
different
doctors
.
The
first
person
I
saw
was
like
,
yes
,
you
absolutely
need
to
be
on
a
progesterone
even
though
you
don't
have
a
uterus
.
The
next
one
was
like
why
are
you
taking
progesterone
?
You
don't
have
a
uterus
?
Like
we're
not
trying
to
prevent
,
you
know
,
uterine
cancer
.
Speaker 3
26:45
But
you're
not
taking
it
to
prevent
uterine
cancer
.
You're
taking
it
for
brain
and
physical
wellness
and
the
you
know
.
The
issue
with
progesterone
for
people
that
don't
know
is
that
endometriosis
is
proven
to
,
in
many
people
,
have
an
absence
of
the
receptor
sensitivity
for
progesterone
.
So
this
is
Sader
Ballon's
work
,
which
is
sponsored
by
pharma
,
by
the
way
,
but
I
don't
want
to
discount
his
work
.
He's
a
great
guy
.
Speaker 3
27:16
So
we
can't
uptake
progesterone
the
way
somebody
else
can
,
and
so
many
times
.
That's
why
,
like
,
they
put
you
on
a
progesterone
only
pill
and
you
feel
like
you
want
to
kill
yourself
because
you're
so
bloated
,
because
just
throwing
more
at
you
didn't
actually
make
the
receptor
more
sensitive
so
you
could
take
it
in
.
And
even
though
endometriosis
has
been
excised
,
that
receptor
sensitivity
likely
there's
no
research
on
that
,
but
it
likely
hasn't
changed
,
and
so
it
becomes
a
game
on
how
much
progesterone
you
can
really
get
in
Some
people
.
I
can
only
do
the
trochies
and
I
can
only
do
a
certain
amount
.
It
took
me
two
years
to
build
up
to
the
right
dosage
and
what
typically
happens
is
the
person
goes
to
a
hormone
specialist
,
they
give
them
a
pill
,
they
feel
sick
and
can't
do
math
the
next
day
because
they're
so
foggy
,
and
then
they
never
try
it
again
.
Speaker 2
28:17
So
you
know
it's
back
to
that
kidney
pain
syndrome
.
They're
like
here's
100
milligrams
,
take
it
to
help
you
sleep
,
and
I
was
like
,
well
,
I
don't
feel
anything
at
all
from
this
.
Speaker 3
28:27
Is
it
raising
your
levels
?
I
don't
know
,
nobody
ever
checked
it
and
I
asked
the
doctor
about
that
?
Speaker 2
28:33
We
don't
have
to
check
it
.
It's
based
on
how
you
feel
and
I'm
like
,
well
,
how
?
Speaker 1
28:36
am
I
supposed
to
know
how
to
feel
?
Speaker 3
28:38
Yeah
,
it's
just
interesting
.
You
know
you
could
my
guy's
a
little
odd
,
but
we
certainly
could
have
.
You
certainly
could
have
him
on
.
Speaker 2
28:45
I
love
odd
people
.
Speaker 3
28:47
I
can
do
odd
,
we
can
do
odd
We'll
talk
about
it
off
air
,
but
I
really
hesitated
,
especially
during
COVID
,
because
I
didn't
want
to
have
blood
work
done
Right
,
but
you
need
,
like
every
three
to
six
months
you
need
to
be
checking
if
you're
,
and
a
lot
of
that
is
because
it
affects
your
thyroid
and
it
affects
your
insulin
metabolism
.
Speaker 1
29:06
It's
so
like
we've
been
on
this
for
a
while
because
I
think
both
Inga
and
I
not
that
we're
not
looking
at
endometriosis
being
,
oh
,
I
think
,
anyone
with
endometriosis
.
We're
always
looking
to
see
if
,
like
,
even
if
we've
had
a
great
excision
doesn't
mean
that
we
can't
have
a
presence
of
endometriosis
still
there
.
But
we're
still
looking
at
other
pain
factors
,
hormone
factors
.
We're
on
this
whole
new
kick
now
.
Speaker 2
29:31
It's
like
how
can
we
optimize
ourselves
as
best
as
possible
after
all
of
this
?
Speaker 3
29:36
I
don't
understand
.
You
mean
you
can't
optimize
yourself
as
best
as
possible
by
purchasing
a
$2,500
coaching
system
from
Instagram
?
Yeah
,
what
that's
the
issue
is
that
we
need
to
be
well
as
a
person
and
because
there's
no
true
roadmap
and
there
isn't
even
a
rope
.
So
we
try
to
teach
you
with
the
endometriosis
summit
how
to
analyze
the
options
,
but
you
become
fodder
for
somebody
else's
profits
.
You
know
,
and
yeah
,
it's
really
,
really
hard
.
Now
people
accuse
the
excisionist
of
that
,
but
I
don't
agree
that
the
coaching
is
like
unreal
.
Yeah
,
not
all
.
I'm
not
saying
everyone
,
no
,
I'm
just
saying
there
are
some
out
there
and
now
they
know
exactly
what
they
say
to
get
their
numbers
high
.
And
then
there's
,
before
you
know
it
,
they're
selling
you
like
I
don't
know
what
they're
saying
because
I
don't
buy
it
.
Speaker 1
30:31
Yeah
,
there's
a
lot
out
there
and
I
think
we
have
to
be
really
careful
about
this
pill
and
everything
will
be
okay
.
Speaker 3
30:39
And
you
know
you'd
have
to
like
go
swimming
in
a
vat
of
curcumin
to
get
it
strong
enough
,
and
it
dies
.
Everything
yellow
.
So
I
don't
know
.
Is
that
you
know
,
then
,
the
world's
?
Speaker 1
30:49
yellow
,
I
don't
know
yeah
.
Speaker 3
30:52
And
when
I
remember
somebody
was
trying
to
before
I
had
surgery
or
diagnosis
,
they
were
trying
to
make
me
feel
better
and
they
gave
me
fish
oil
and
it
was
like
a
bottle
,
like
you
know
,
a
bottle
of
fish
oil
and
I
had
to
take
it
was
like
crazy
expensive
.
Speaker 1
31:06
And
they
were
like
it's
a
delicious
tasting
lemon
oil
.
Speaker 3
31:09
to
this
day
I
live
on
the
beach
.
Sometimes
I
have
trouble
going
to
the
beach
because
I
remember
that
.
Speaker 2
31:14
I
was
gagging
.
Speaker 3
31:16
And
then
you
know
the
Chinese
herbs
that
you
grew
yourself
.
My
family
was
like
we're
gonna
ask
him
move
out
and
that's
gonna
solve
it
all
.
And
I
must
.
Speaker 2
31:26
those
herbs
were
like
$250
a
week
,
but
you're
willing
to
try
anything
to
feel
better
,
and
I
think
that's
that's
the
hard
part
.
And
then
they
prey
on
you
because
they
know
sort
of
like
you
said
,
and
you're
just
like
,
I
just
want
to
feel
good
and
so
I'll
do
anything
.
I
will
take
the
fish
oil
and
burp
it
up
all
day
,
I
will
brew
the
herbs
,
I
will
do
all
the
things
like
just
I
just
want
to
feel
good
and
I
had
somebody
move
.
Speaker 3
31:53
They
decided
it
was
mold
in
their
house
,
which
I'm
not
saying
mold
in
your
house
is
good
,
right
?
Or
that
it's
Candida
,
and
they're
doing
months
and
months
of
Candida
detoxes
.
It's
like
if
we
got
diagnosis
in
the
first
place
,
if
we
were
valued
in
society
as
being
worthy
of
research
,
both
for
the
disease
of
endometriosis
and
for
the
after
effects
of
experiencing
life
with
endometriosis
,
we
would
be
totally
dead
.
It
would
be
totally
different
.
But
instead
we're
like
preyed
upon
.
Yeah
for
sure
.
Speaker 3
32:27
And
then
I
get
accused
of
preying
upon
people
because
I
have
to
charge
for
the
conference
,
and
you
know
what
.
I
can't
put
it
on
without
charging
no
because
then
I
have
to
ask
pharma
for
money
,
and
if
I
ask
for
money
,
then
we're
being
preyed
upon
again
.
You
see
,
it's
not
good
.
Speaker 1
32:41
No
,
I
mean
,
we
have
to
be
mindful
of
that
and
we
felt
that
at
so
many
levels
of
trying
to
figure
this
out
,
and
I
think
it's
so
easy
for
us
to
be
like
we
will
just
do
anything
,
you
say
,
just
to
feel
an
ounce
better
,
and
that's
not
okay
.
Speaker 1
32:55
We
we've
talked
a
lot
about
that
because
it
is
expensive
.
This
disease
is
expensive
.
The
pot
,
the
after
effects
of
the
disease
are
very
expensive
,
and
so
you
want
to
get
it
right
.
And
that's
why
I
think
there's
so
many
questions
of
how
can
we
not
shortcut
treatment
to
getting
better
,
but
how
can
we
analyze
and
effectively
look
at
all
the
scenarios
without
having
to
spend
years
doing
it
?
And
I
think
the
hernia
has
been
a
huge
game
changer
for
us
to
look
at
instead
of
jumping
straight
to
oh
,
this
is
endometriosis
,
or
this
is
herniated
,
this
,
or
or
not
herniated
that
,
or
it's
wrong
pelvis
position
,
frozen
pelvis
you
can
go
in
so
many
different
directions
,
but
having
the
knowledge
to
say
,
okay
,
we've
taken
this
step
,
I'm
not
going
to
spend
six
more
years
looking
at
that
step
,
I'm
going
to
look
at
the
next
step
.
And
how
can
I
effectively
find
care
that's
going
to
give
me
a
better
quality
of
life
?
Bottom
line
right
.
Speaker 3
33:59
So
I
always
say
you
rule
out
endometriosis
,
pelvic
floor
dysfunction
,
hernia
,
bladder
up
regulation
.
I
probably
would
do
bladder
up
regulation
like
endometriosis
,
bladder
up
regulation
,
pelvic
floor
herni
,
right
?
I
also
think
so
many
doctors
have
patient
blamed
that
when
someone
comes
along
and
starts
to
talk
about
these
things
,
it's
not
another
way
of
patient
blaming
,
it's
a
very
,
very
important
thing
.
It's
not
a
way
of
blaming
,
it's
a
way
of
trying
that
help
and
that's
also
very
hard
and
people's
resources
,
mentally
and
financially
are
usually
gone
and
and
that's
why
something
like
this
podcast
is
important
.
Something
like
the
summit
is
important
,
right
?
Something
like
Dr
Molling
and
Dr
Fogelsen
and
Dr
Vidalis
work
on
is
super
important
.
The
amount
of
information
center
for
endometriosis
care
puts
out
there
,
somebody
like
Endo
Girls
blog
that's
why
those
free
are
YouTube
we
have
a
fabulous
YouTube
the
endometriosis
summit
and
that
free
stuff
I
feel
like
could
cut
down
on
somebody's
journey
for
like
a
good
you
know
,
a
good
shave
,
like
four
to
five
years
off
of
somebody's
journey
,
yeah
.
Speaker 1
35:08
Yeah
,
it's
so
valuable
and
that's
why
we
adore
you
for
so
many
reasons
,
not
only
because
you're
wise
,
but
because
you
care
so
much
about
it
and
or
always
like
it
is
,
I
think
.
Speaker 2
35:20
I
appreciate
that
and
I
was
,
I
feel
,
super
fortunate
to
have
met
you
today
.
I
am
so
excited
to
meet
you
next
year
and
learn
and
become
a
better
advocate
,
and
I
thank
you
for
today
.
Speaker 3
35:33
Yeah
,
thank
you
,
sally
,
wonderful
,
wonderful
.
Speaker 1
35:36
And
I'm
,
and
you
know
,
you're
always
welcome
here
.
Speaker 3
35:39
Well
,
we'll
come
back
again
.
Can't
wait
what
.
I
don't
know
what
we're
doing
next
.
Speaker 1
35:44
You
know
what
?
I
don't
even
think
we
always
need
direction
,
because
we
just
,
we
can
just
talk
for
hours
.
Speaker 3
35:49
I
know
,
I
know
,
I
know
We'll
see
what
happens
,
but
yes
,
it's
wonderful
to
come
with
you
guys
.
Speaker 1
35:56
Yeah
,
well
,
and
until
next
time
,
everyone
,
remember
to
advocate
for
you
and
for
those
that
you
love
.