The Endometriosis Podcast20 Okt 2025

Beyond Estrogen Myths: Rethinking Hormone Therapy and Endometriosis

In this episode, Dr. Nick Fogelson and Dr. Shanti Mohling take on one of the most persistent gray zones in gynecology: how to safely use hormone replacement therapy in patients with current or past endometriosis. Moving beyond the simplistic "estrogen bad" narrative, they explore what the data actually show about recurrence, cancer risk, and quality of life. The discussion weaves clinical insight with case studies, examining how progesterone's protective role, surgical completeness, and individualized dosing all shape outcomes.

Highlights:

The lingering misconceptions from the Women's Health Initiative study and what modern research now shows about the safety of hormone replacement.
Why bioidentical progesterone should often accompany estrogen—even in hysterectomized patients with prior endometriosis.
Real-world case studies revealing how residual disease and incomplete excision affect postmenopausal pain and risk.
The broader benefits of HRT—stronger bones, cardiovascular protection, cognitive support—and how fear-based medicine often obscures them.
Updates from the surgical front: robotic excision of endometriosis in outpatient centers, plus a preview of the next episode on MyReceptiva's diagnostic test for endometriosis.

For clinical consultations: contact Northwest Endometriosis and Pelvic Surgery in Portland, OR at (503) 715-1377 or email us at newpatients@nwendometriosis.com

Download a transcript of this episode.

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Avsnitt(16)

Recovering from Endometriosis Surgery: What to Expect and How to Heal Well

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11 Sep 40min

Could GLP-1s Shape the Future of Endometriosis Care?

In this episode, Dr. Shanti Mohling and Dr. Nicholas Fogelson explore one of the most intriguing emerging questions in endometriosis care: could GLP-1 receptor agonists, such as Ozempic and Zepbound, ...

2 Juli 44min

Olympian Brittany Brown on Endometriosis as an Elite Athlete

Olympic sprinter Brittany Brown joins Dr. Nicholas Fogelson to talk candidly about living, training, and competing with endometriosis at the highest level. From years of painful and heavy periods, to ...

28 Apr 32min

Inside Healing Mama Africa: Endometriosis Care, Advocacy, and Surgical Innovation in Kenya

In this special episode of The Endometriosis Podcast, Dr. Nicholas Fogelson travels to Kerugoya, Kenya, for the Healing Mama Africa Bootcamp and Conference, where surgeons, advocates, and educators fr...

4 Apr 1h 4min

ReceptivaDx: What the BCL6 Test Reveals About Endometriosis

In this sponsored episode of The Endometriosis Podcast, Dr. Nicholas Fogelson and Dr. Shanti Mohling are joined by Dr. Bruce Lessey—the researcher who identified BCL6 as a marker of endometrial inflam...

15 Feb 41min

Hysterectomy & Endometriosis: Myths, Realities, and When It Actually Helps

In this episode of The Endometriosis Podcast, Dr. Nicholas Fogelson and Dr. Shanti Mohling take on one of the most emotionally charged and misunderstood topics in pelvic pain care: hysterectomy. Drawi...

31 Dec 202548min

Are Adenomyosis and Endometriosis the Same Disease?

In this thought-provoking episode, Dr. Nicholas Fogelson and Dr. Shanti Mohling delve into new research that challenges how we understand adenomyosis in relation to endometriosis. They break down the ...

15 Sep 202542min