The Endometriosis Podcast

Nicholas Fogelson and Shanti Mohling
  • 5.0 (2)
  • MEDICINE
  • UPDATED BI-MONTHLY

The Endometriosis Podcast is a monthly discussion of what's new in the world of endometriosis research, new discoveries, surgical techniques, and anything else of interest in the endometriosis world. Hosted by Nicholas Fogelson, MD and Shanti Mohling, MD of Northwest Endometriosis and Pelvic Surgery. For clinical consultation, call Northwest Endometriosis and Pelvic Surgery in Portland, OR at 503-715-1377 or email: newpatients@nwendometriosis.com

  1. 28 APR

    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 receiving dismissive medical advice, to eventually undergoing surgery in the middle of an elite track career, Brittany shares what it took to advocate for herself and what recovery actually looked like. They discuss the physical toll of endometriosis, the mental challenge of adjusting expectations after surgery, and why more honest conversations are needed about diagnosis, treatment, and life after "pushing through." Episode Highlights: Brittany shares how endometriosis symptoms began in college and gradually intensified during her rise as an elite sprinter How chronic pain, fatigue, and inflammation affected Brittany's body on and off the track Her medical journey and experience with medical dismissal, including being told to consider a hysterectomy or having a baby as a solution What surgery and recovery looked like for a professional athlete trying to return to high-intensity competition Brittany reflects on advocacy, visibility, and supporting other athletes navigating endometriosis and surgery For clinical consultations: contact Northwest Endometriosis and Pelvic Surgery in Portland, OR at (503) 715-1377 or email us at newpatients@nwendometriosis.com  Follow us on Instagram: @Nicholasfogelson and @drshantimohling Download a transcript of this episode.

    33 min

  2. 4 APR

    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 from around the world come together to expand access to endometriosis care in Africa. Through a series of on-the-ground conversations, the episode explores what it means to deliver complex surgical care in a low-resource setting, why patient advocacy and education matter so deeply, and how collaboration across borders is helping change the future of endometriosis treatment.  Highlights: Dr. Joe Njagi shares the vision behind Healing Mama Africa and how one ambitious idea grew into a groundbreaking conference bringing expert training, complex surgery, and long-overdue care to patients across the continent. Endometriosis advocate Arti Shah reflects on her decades-long journey with endometriosis in Kenya and explains why patient empowerment, better information, and tools like her educational game Endo Quest are essential for changing the landscape. Dr. Myriam En Nosse discusses her highly specialized work in female genital mutilation reconstruction and brings a broader global women's health perspective to the conversation, centered on dignity, healing, and surgical restoration. Dr. Ahmed Al Minawi brings a regional surgeon's perspective from Egypt, reflecting on healthcare in Egypt broadly, the unusually severe and fibrotic endometriosis cases seen at Healing Mama Africa, and the extraordinary dedication behind offering these surgeries free of charge. For clinical consultations: contact Northwest Endometriosis and Pelvic Surgery in Portland, OR at (503) 715-1377 or email us at newpatients@nwendometriosis.com  Follow us on Instagram: @Nicholasfogelson and @drshantimohling Download a transcript of this episode.

    1hr 5min

  3. 15 FEB

    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 inflammation—and Chris Jackson, CEO of Cicero Diagnostics, the company that brought his discovery to market as the ReceptivaDx test. Together, they explore how a gene first studied in lymphoma research became a tool for detecting progesterone resistance and inflammation linked to endometriosis. The conversation covers how the test works, who it's most useful for, how accurate it is, what its limitations are, and where non-invasive diagnostics for endometriosis may be heading next. Highlights: What BCL6 is and how it disrupts progesterone signaling and implantation How Dr. Lessey's research became the ReceptivaDX clinical test When this test is most helpful in infertility and recurrent pregnancy loss What a positive result does—and doesn't—mean Why earlier, less invasive diagnosis could change endometriosis care For clinical consultations: contact Northwest Endometriosis and Pelvic Surgery in Portland, OR at (503) 715-1377 or email us at newpatients@nwendometriosis.com  Follow us on Instagram: @Nicholasfogelson and @drshantimohling Download a transcript of this episode.

    41 min

  4. 31/12/2025

    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. Drawing on decades of surgical experience, they unpack common myths, clarify confusing terminology, and explain when hysterectomy may—or may not—be an appropriate part of endometriosis treatment. This thoughtful, nuanced conversation emphasizes individualized care, informed consent, and the importance of excision surgery alongside any uterine decision  Highlights: Why hysterectomy does not cure endometriosis—and why it can still be helpful for some patients with pelvic pain The difference between hysterectomy, ovary removal, and fallopian tube removal (and why the distinctions matter) Adenomyosis, fibroids, and other uterine pain sources that can influence surgical decisions Effects of hysterectomy on hormones, menopause timing, sexual function, and pelvic organ support How surgical technique, experience, and thorough excision impact long-term outcomes and recurrence risk For clinical consultations: contact Northwest Endometriosis and Pelvic Surgery in Portland, OR at (503) 715-1377 or email us at newpatients@nwendometriosis.com  Follow us on Instagram: @Nicholasfogelson and @drshantimohling Download a transcript of this episode.

    48 min

  5. 20/10/2025

    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  Follow us on Instagram: @Nicholasfogelson and @drshantimohling   Download a transcript of this episode.

    49 min

  6. 15/09/2025

    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 proposed subtypes of adenomyosis— from interna and externa to intramural and adenomyomas— and discuss how these patterns may arise from childbirth, uterine surgery, or molecular changes shared with endometriosis. Along the way, they revisit century-old theories, weigh the evidence for different pathways of disease development, and explore what this means for treatment decisions, fertility preservation, and patient pain. Highlights: Defining adenomyosis and how it differs from—and overlaps with—endometriosis Subtypes of adenomyosis: interna, externa, intramural, and adenomyomas Theories of origin: tissue injury and repair, retrograde menstruation, embryonic remnants, and genetic mutations Why hysterectomy can sometimes relieve pain when conservative surgery cannot Understanding why patients with minimal disease may have severe pain while others with advanced disease experience little or none For clinical consultations: contact Northwest Endometriosis and Pelvic Surgery in Portland, OR at (503) 715-1377 or email us at newpatients@nwendometriosis.com  Follow us on Instagram: @Nicholasfogelson and @drshantimohling Download a transcript of this episode.

    43 min

  7. 08/08/2025

    Functional Medicine and Endometriosis: What the Research Really Says

    In this illuminating episode, Dr. Shanti Mohling and Dr. Nicholas Fogelson dive into the science behind supplements and functional medicine approaches to managing endometriosis. From NAC and curcumin to the role of Vitamin D and the gut microbiome, they explore which anti-inflammatory tools hold real promise—and which ones may not. They also tackle a listener's question about persistent post-op symptoms and break down why the term "IBS" isn't always the end of the diagnostic road. Highlights: The anti-inflammatory mechanisms of NAC, alpha-lipoic acid, curcumin, and fish oil Why Vitamin D deficiency may worsen endometriosis—and how much to take Discussing the limits of zinc and resveratrol in treating symptoms The role of probiotics and gut health in managing "endo belly" Why supplement research is underfunded and how politics shapes what gets studied For clinical consultations: contact Northwest Endometriosis and Pelvic Surgery in Portland, OR at (503) 715-1377 or email us at newpatients@nwendometriosis.com  Follow us on Instagram: @Nicholasfogelson and @drshantimohling Download a transcript of this episode.

    39 min

  8. 06/07/2025

    Endometriosis and Sciatica: Pioneering Research on Nerve Entrapment, Vascular Compression, and Surgical Solutions

    In this episode, Dr. Nicholas Fogelson and Dr. Shanti Mohling dive deep into the complex overlap between endometriosis and nerve-related pelvic pain. They discuss a pivotal paper by Dr. Marc Possover on laparoscopic treatment for endometriosis and vascular entrapment of the sacral plexus — groundbreaking work that opened new paths for addressing sciatica caused by pelvic disease. The conversation explores how nerve irritation and compression can manifest, why menstrual cycle patterns matter, and how careful patient selection guides surgical decisions. If you or someone you know has unexplained sciatic or pelvic pain that worsens cyclically, this episode is essential listening. For clinical consultations: contact Northwest Endometriosis and Pelvic Surgery in Portland, OR at (503) 715-1377 or email us at newpatients@nwendometriosis.com  Follow us on Instagram: @Nicholasfogelson and @drshantimohling Highlights: Why "sciatica" describes symptoms — not a standalone diagnosis — and how to trace its true source. The critical differences between sciatic nerve endometriosis, sacral nerve root involvement, and vascular compression. How menstrual cycle timing can provide vital clues to nerve-related pain origins. The role of neuropelveology in surgically addressing complex pelvic nerve pain What patients can realistically expect from surgery — and why improvement, not perfection, is the goal.   Download a transcript of this episode.

    48 min
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Ratings & Reviews

5
out of 5
2 Ratings

About

The Endometriosis Podcast is a monthly discussion of what's new in the world of endometriosis research, new discoveries, surgical techniques, and anything else of interest in the endometriosis world. Hosted by Nicholas Fogelson, MD and Shanti Mohling, MD of Northwest Endometriosis and Pelvic Surgery. For clinical consultation, call Northwest Endometriosis and Pelvic Surgery in Portland, OR at 503-715-1377 or email: newpatients@nwendometriosis.com

Information

  • Creator
    Nicholas Fogelson and Shanti Mohling
  • Years Active
    2019 - 2026
  • Episodes
    14
  • Rating
    Clean
  • Copyright
    © Copyright 2025 Nicholas Fogelson, MD and Northwest Endometriosis and Pelvic Surgery
  • Show Website
    The Endometriosis Podcast

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