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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