Fertility struggles rarely exist in isolation from the rest of your health. For many women, the journey to conceive comes after years of painful periods, fatigue, digestive symptoms, brain fog, hormonal changes, metabolic issues, or simply knowing something in their body doesn’t feel right and struggling to get answers. In this episode of Beyond AMH, Dr. Marc Sklar is joined by internationally recognized hormone expert, nutrition scientist, and bestselling author Dr. Jolene Brighten for a wide-ranging conversation about endometriosis, inflammation, metabolic health, ADHD in women, hormones, and fertility. They explore why endometriosis can affect far more than periods and pelvic pain, how inflammation and metabolic health may influence reproductive function, and why body size alone tells us very little about metabolic health. They also discuss the emerging research around ADHD and women’s hormones, including how symptoms may change throughout the menstrual cycle and different hormonal stages of life. Above all, this conversation looks beyond individual symptoms and lab results to the bigger picture of women’s health and fertility. In this episode, we discuss: Why endometriosis is about much more than painful periods, and why diagnosis can take so long “Silent” endometriosis, digestive symptoms, fatigue, sleep changes, anxiety, pelvic pain, and secondary infertility Why imaging doesn’t always identify endometriosis and specialist interpretation matters Chronic inflammation, mitochondrial health, ovulation, progesterone, egg quality, and the uterine environment Histamine, endometriosis, and reproductive health Metabolic health beyond body weight, including blood sugar regulation and insulin resistance GLP-1 medications, fertility, and preconception planning Nutrition, movement, sleep, and strength training as foundations for metabolic health ADHD in women and the relationship between hormones, inflammation, and changing symptoms across the menstrual cycle and life stages Why “normal” lab results don’t always explain what someone is experiencing Myth or Truth: endometriosis, blood sugar, insulin resistance, PMS, inflammation, and hormone testing About Dr. Jolene Brighten Dr. Jolene Brighten is an internationally recognized hormone expert, nutrition scientist, and founder of Dr. Brighten Essentials. Board-certified in naturopathic endocrinology, a certified menopause specialist, and sex counselor, she is the bestselling author of Beyond the Pill, Is This Normal?, and the forthcoming ADHD and Women. Through her clinical expertise, writing, and education, Dr. Brighten helps women better understand their hormones, reproductive health, brain health, and sexual wellness. Connect with Dr. Jolene Brighten Website:https://drbrighten.com Instagram:https://www.instagram.com/drjolenebrighten/?hl=en TikTok:https://www.tiktok.com/@drjolenebrighten YouTube:https://www.youtube.com/c/drjolenebrighten Facebook: https://www.facebook.com/drbrighten/ Dr. Jolene Brighten’s Resources ADHD & Women Learn more about Dr. Brighten’s forthcoming book and access preorder bonuses: https://drbrighten.com/adhdandwomen Work With Dr. Marc Sklar Book a Free Fertility Assessment:https://bit.ly/hopebeyondamhpodcast Sponsors This episode is sponsored by Rejoova, a fertility supplement company co-founded by Dr. Marc Sklar, Dr. Zaher Merhi, and Aimee Raupp, created to simplify fertility supplementation with thoughtfully formulated support for egg quality, sperm health, and reproductive wellness. Learn more about Rejoova:getrejoova.com/beyondamh Use code BEYONDAMH for 10% off your order. This podcast is for educational and informational purposes only and is not intended as medical advice, diagnosis, or treatment. Always speak with your qualified healthcare provider about your individual circumstances.