Endo Untangled

Dr Alecia Macrow GP with Cherie Noble EP

Unravels the complexities of endometriosis and persistent pelvic pain – one conversation at a time. Join Dr Alecia Macrow, GP and founder of Thrive Family Practice, and Exercise Physiologist Cherie Noble, as they explore the tangled threads of pelvic pain with compassion, curiosity, and clinical insight. From hormones to hypermobility, trauma to treatment gaps, Endo Untangled dives into the real-life experiences and science behind one of the most misunderstood conditions in women’s health. We talk to experts, share stories, and challenge outdated thinking.

  1. 4 DAYS AGO

    Ep 15: Self Care, Minus the BS. Some raw reflections with our Cherie, EP

    Forget the candles and face masks. This episode gets real about what self-care actually looks like when you live with endometriosis or chronic pelvic pain. Dr Alecia Macrow and exercise physiologist Cherie Noble break down the Circle of Control and why so much energy gets wasted on things you can’t change. They explore how pain, sleep, work stress, and relationships all feed into each other, and share practical ways to take back a sense of control. You’ll learn why “no” is a complete sentence, why most people are either in turbo mode or wiped out, and how to take small, meaningful steps without piling on pressure. If you’re navigating chronic illness, invisible symptoms, or just the overwhelm of life, this episode offers real, practical strategies that actually work.

    56 min

  2. 6 JAN · BONUS

    Ep 14: What this Physio Educator Wishes You Knew About Pain: with Emma Kirkaldy; Summer Series

    Next in our Summer Series - Interviews from the 2025 Pelvic Pain Foundation of Australia Annual Practitioner Seminar. *we'll be back with our long form eps in late Jan* What does a physio educator wish you knew about pain? In this episode of Endo Untangled, Alecia and Cherie sit down with Emma, a physiotherapist and pelvic pain educator, to break down the complexities of pain, especially pelvic pain. Discover the different types of pain, why pain isn’t always a sign of damage, and how understanding your body can help you manage discomfort. Emma shares practical tips, movement strategies, and resources to empower young people and anyone living with ongoing pain. Emma Kirkaldy is an educator with PPEP Talk, the Periods, Pain and Endometriosis Program run by the Pelvic Pain Foundation of Australia. PPEP Talk: https://www.pelvicpain.org.au/ppep-talk-schools-program Easy Stretches to Relax the Pelvis; an excellent resource from the Pelvic Pain Foundation of Australia: https://www.pelvicpain.org.au/wp-content/uploads/dlm_uploads/2024/07/Easy-Stretches-to-Relax-the-Pelvis-5_5_2023.pdf Thrive Endo Clinic's endo yoga series, presented by Endo Untangled's Cherie Noble: https://thriveendoclinic.com.au/endo-yoga

    14 min

  3. 22/12/2025 · BONUS

    Ep 13: When Period Pain Stops Kids Going to School - PPEP Talk with Michelle Nielsen: Summer Series

    In this Fast and Curious episode from the Pelvic Pain Foundation annual seminar, Michelle Nielsen talks about PPEP Talk, the Periods, Pain and Endometriosis Program. PPEP Talk is an engaging, medically accurate education session for secondary students that helps young people understand what normal period pain looks like, when pain is concerning, what endometriosis is, and practical strategies to manage pain and seek help. It has been delivered to more than 65,000 students across Australia, with data showing that before PPEP Talk many students did not know what endometriosis was but that knowledge rises dramatically after the session, empowering young people with new understanding. A high proportion of students report severe period pain and many miss school or work because of it, and there are marked differences in impact between regional, rural and metropolitan students. Michelle discusses what schools and clinicians find valuable about the program, how it supports students in sport and study, and why early education like this matters for long term health and wellbeing. Find out more about the PPEP talk program: https://www.pelvicpain.org.au/ppep-talk-schools-program/ PPEP talk Menstrual Education Video: https://www.youtube.com/watch?v=EF2K7luhGPk QENDO app: https://www.qendo.org.au/the-app PIPPA tool: https://www.canberrahealthservices.act.gov.au/services-and-clinics/services/canberra-endometriosis-centre/period-impact-and-pain-assessment-pippa/period-impact-and-pain-assessment-pippa-online-screening-tool

    14 min

  4. 08/12/2025

    Ep 12: Endometriosis and fertility; expert insights with Professor Louise Hull

    TW: Fertility is discussed here, and we know this can be a painful subject for those with endo and pelvic pain. If this raises concerns for you, give yourself permission to skip this episode. In this episode, we talk with Professor Louise Hull, a reproductive medicine specialist and world-leading researcher in endometriosis. Louise shares her story, from IVF training at Cambridge to leading national research and policy here in Australia. She gives one of the clearest explanations of how endo causes pain, inflammation and damage, and how this links to fertility. We explore: Prof Louise's take on how endo actually causes pain The link between endo and infertility, and what patients should know earlyWhen surgery helps fertility, and when it might reduce ovarian reserveEgg and embryo freezing, and how to make that decisionImpact of hormone treatments on long term fertilityWhat GPs and other health professionals often get wrong about fertility and endoThe myths, the gaps, and what Louise wishes every patient understoodThis is a grounded and compassionate conversation that will be useful for patients, GPs, and anyone supporting someone with endo. Louise is also the lead investigator behind EndoZone, a national digital platform that gives patients and clinicians access to evidence-based, user-friendly information about endometriosis. Check out this excellent resource at www.endozone.com.au

    1h 9m

  5. 24/11/2025

    Ep 11: Insights from an Excision Specialist - talking endo lesions, ultrasound, ovarian cysts and a new gold standard with A/Prof Mathew Leonardi

    In this episode we sit down with world class excision surgeon and leading pelvic sonologist Dr Matthew Leonardi to explore how high quality pelvic ultrasound transforms the way we understand endometriosis. Matthew explains how advanced ultrasound maps disease in three dimensions, reveals deep lesions that laparoscopy can miss, and helps patients build a clearer, more accurate story of what is happening in their pelvis. We break down the full spectrum of ovarian cysts, from follicular and haemorrhagic cysts to dermoids and endometrioma, and unpack why the term “complex cyst” causes unnecessary fear and needs to disappear. Matthew shares how recognising an endometrioma is often just the start, and how detailed ultrasound guides safer, more precise surgical planning. Dr Leonardi also takes us through his thoughts and insights on modern excision surgery. We finish with his interdisciplinary Endometriosis 360 model, where imaging, pelvic physio, dietetics and psychology work together to support better long term endo care.

    59 min

  6. 11/11/2025

    Ep 10: Why One Good Endo Ultrasound Beats The Ten Crap Ones You’ve Already Had. With Ali Deslandes.

    If you’ve been told your ultrasound was normal but your pain isn’t, this episode is for you. Join us on Endo Untangled as Dr Alecia Macrow and Cherie Noble sit down with Alison Deslandes – clinical academic sonographer, endometriosis researcher and founder of Astute Ultrasound Education – to explore how advanced imaging is reshaping the diagnostic landscape for people living with endometriosis and pelvic pain. In this episode you’ll hear: ​Why a “normal” scan doesn’t always mean everything’s fine – and what to ask if the standard ultrasound isn’t giving you answers​How specialised transvaginal ultrasound protocols and the “sliding sign” technique help detect deep-disease and posterior pouch involvement that many imaging pathways miss. ​Who the hell is Douglas and why is he in my pelvis? and other anatomy including where to find the uterosacal ligaments and where exactly is the peritoneum in the pelvis.​The real-world impact of Australia’s new Medicare rebate for endometriosis imaging, and why access still hinges on finding ultrasound services with the right training and expertise. ​The emerging role of artificial intelligence in sonographer training – and what that could mean for future scans, reporting and surgical planning. Alison DeslandesWhether you’re a healthcare practitioner committed to improving care, a patient seeking better diagnostic clarity, or a partner navigating the care journey together – this episode offers practical insight, nuance and hope. Tune in, open your mind and equip yourself with the language and questions to get the ultrasound conversations you deserve.

    56 min

  7. 27/10/2025

    Ep 09: The science of pain, and what *actually* helps pelvic pain, with scientist Dr Millie Mardon

    In this episode of Endo Untangled, Dr Millie Mardon PhD shares how her long trips from Port Augusta to Adelaide as a teenager shaped her work in pain science. She explains how understanding what pain really is can help us change it, slowly but surely. We talk about where pain discussions go wrong, how what we think, feel and see can shift the way pain shows up, and why personal stories matter in research and recovery. This one will change how you think about pain.

    52 min

  8. 15/10/2025

    Ep 08: A Pain in the Bum! When pelvic pain hits the bowels, with Dr Chris Gillespie

    In Episode 08, we dive deep (no pun intended) with specialist colorectal and pelvic floor surgeon Dr. Chris Gillespie as he lifts the lid on everything your bowels don’t want you to ask. From the anatomy and reflexes behind a good poop, to what’s going on when your colonoscopy is “normal” but symptoms persist, we cover it all. We unravel the role of anorectal manometry, bust common myths (do laxatives really make your bowel “lazy”?), and get his go-to strategies for managing bowel dysfunction in real life. Whether you’re a clinician, patient, or just poop-curious — this one’s for you. Tune in, flush away the stigma, and get the inside track on what your gut’s been trying to tell you.

    1h 4m
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Trailer

About

Unravels the complexities of endometriosis and persistent pelvic pain – one conversation at a time. Join Dr Alecia Macrow, GP and founder of Thrive Family Practice, and Exercise Physiologist Cherie Noble, as they explore the tangled threads of pelvic pain with compassion, curiosity, and clinical insight. From hormones to hypermobility, trauma to treatment gaps, Endo Untangled dives into the real-life experiences and science behind one of the most misunderstood conditions in women’s health. We talk to experts, share stories, and challenge outdated thinking.

Information

  • Creator
    Dr Alecia Macrow GP with Cherie Noble EP
  • Years Active
    2025 - 2026
  • Episodes
    17
  • Rating
    Explicit
  • Copyright
    © Dr Alecia Macrow GP with Cherie Noble EP
  • Show Website
    Endo Untangled

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