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What if the most powerful shift in endometriosis care isn’t choosing sides, but connecting them? We sit down with Dr. Iris Kerin Orbuch—board-certified OBGYN, excision specialist, and co-author of Beating Endo—to chart a practical, compassionate path that blends surgical excellence with functional medicine, gut repair, pelvic floor therapy, and trauma-informed care. The goal: reduce inflammation, calm the nervous system, and help you trust your body again.

We unpack how endometriosis implants act like tiny inflammation engines, fueling fatigue, pain, gut issues, and autoimmune patterns. Dr. Kerin Orbuch explains why excision remains the gold standard for removing disease—and why it’s only one part of recovery. Through “prehab,” patients address SIBO, dysbiosis, sleep, pelvic floor dysfunction, and stress before surgery, often improving 20 to 80 percent and needing far fewer narcotics afterward. We cover the why and how of microbiome testing (breath tests and stool panels), building a supplement plan without overwhelm, and cycling protocols for lasting results.

The conversation moves beyond the abdomen to the brain-gut-pelvis loop. Stress and trauma can lock the body in sympathetic overdrive, tighten muscles, slow digestion, and amplify pain. You’ll hear concrete strategies: meditation habits that stick, pairing pelvic floor sessions with therapy to process memories safely, exploring low-dose naltrexone, and using sleep and nutrition as daily anti-inflammatory tools. We also address the systemic barriers—short visits, insurance limits—and how to build a team that truly collaborates.

If you’ve felt stuck between “just manage it” and “have another surgery,” this episode offers a third way: precise excision plus whole-body repair. Learn about the Iris Wings Sanctuary model and Forella, a new app co-founded by Dr. Kerin Orbuch to deliver trauma-informed, multidisciplinary guidance and real-world insights. Subscribe, share with someone who needs hope, and tell us: what’s the next piece of your healing puzzle?

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