80. Not Just Bad Periods: What Every Woman Needs to Know About Endometriosis With Dr. Nicholas Leyland

If you’ve ever been told that debilitating period pain is “normal,” this episode is for you.

Endometriosis affects an estimated 1 in 10 women and people assigned female at birth, yet it remains one of the most misunderstood, underdiagnosed, and undertreated conditions in women’s health. It can impact fertility, work, relationships, mental health, and overall quality of life — often for years before a diagnosis is made.

Today, I sit down with one of Canada’s leading experts in women’s health, Dr. Nicholas Leyland, to cut through the myths, the confusion, and the medical gaslighting with clear, evidence-based answers.

Dr. Leyland is a renowned gynecologic surgeon, researcher, educator, and incoming President of the Society of Obstetricians and Gynaecologists of Canada (SOGC). With decades of experience treating complex gynecologic conditions, he offers trusted insight into what endometriosis really is, how it’s treated, and how women can advocate for the care they deserve.

In this episode, we discuss:

• What endometriosis actually is — and why it hurts so much
• The most common (and often overlooked) symptoms
• Who is at risk and how many Canadians are affected
• Why diagnosis is often delayed for years
• Treatment options: medications, surgery, and what actually works
• Whether endometriosis is a lifelong condition
• Fertility considerations
• Barriers to getting proper care in Canada
• Midlife, menopause, and hormone therapy considerations
• Health-care inequities affecting women
• How to advocate for yourself at medical appointments
• Rapid-fire myths and misconceptions

Resources & Support:

• Society of Obstetricians and Gynaecologists of Canada (SOGC): sogc.org
• The Endometriosis Network Canada: endometriosisnetwork.com
• Talk to your primary care provider if you suspect endometriosis

Tech and Audio Producer: Drew Garner

Producer: Melissa Grelo (@melissagrelo, @agingpowerfullywithmelissagrelo)

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