DiscoverTMI Talk with Dr. MaryEpisode 46: Why Endometriosis Is Still Mismanaged & How We Can Do Better as Clinicians w Heather Guidone
Episode 46: Why Endometriosis Is Still Mismanaged & How We Can Do Better as Clinicians w Heather Guidone

Episode 46: Why Endometriosis Is Still Mismanaged & How We Can Do Better as Clinicians w Heather Guidone

Update: 2025-04-28
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Heather Guidone joins us to help work through all of the noise surrounding endometrosis. 

She the Program Director of the Center for Endometriosis Care and a Board Certified professional health Advocate. She has focused on 'bench to beltway to bedside' efforts in endometriosis research funding and facilitation, legislation and policy reform, education, advocacy and activism, patient-centric care, and more for over thirty years; importantly, she is also someone who has struggled with the disease. 


What we will discuss: 


-Why the "retrograde menstruation" theory falls short


-Why birth control, pregnancy, and hysterectomy aren't  cures


-The key differences between ablation and excision surgery


-Why diagnosis requires skilled listening, imaging, and sometimes biopsy


-How trauma, chronic stress, and nervous system dysregulation can influence symptoms


-The critical role of patient autonomy, informed consent, and individualized care


-How to find a skilled excision surgeon and what questions to ask


-Non-surgical ways to manage endo symptoms (like PT, stress regulation, and nutrition)


Timeline:


00:00 Introduction to Endometriosis Mismanagement

00:28 Meet Heather Guidon: Advocate and Expert

00:59 Debunking Myths: Retrograde Menstruation and More

03:55 Understanding Endometriosis: Beyond Painful Periods

13:03 The Role of Trauma and Stress in Endometriosis

15:09 Patient-Centric Care and Informed Consent

28:18 Diagnosis and Treatment Options

40:05 Understanding Excision and Ablation

42:31 Challenges in Accessing Quality Care

46:09 Questions to Ask Your Provider

49:16 The Importance of Compassionate Care

54:05 Surgical and Non-Surgical Treatments

59:27 The Role of Hormonal Treatments

01:07:01 Endometriosis: A Multifactorial Approach

01:09:35 How to Reach Out for Help

01:13:40 Conclusion and Final Thoughts


You can learn more about Heather at:

https://www.centerforendo.com/


Want support for perimenopause that goes beyond hormones?

Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.

I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.

If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.

Subscribe to my email list here

I’ll see you in 2 weeks!

PS:

If you are interested in being a guest on the show, please fill out the form here.


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Episode 46: Why Endometriosis Is Still Mismanaged & How We Can Do Better as Clinicians w Heather Guidone

Episode 46: Why Endometriosis Is Still Mismanaged & How We Can Do Better as Clinicians w Heather Guidone

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