Endo Battery
Welcome to Endo Battery, the podcast that's here to journey with you through Endometriosis and Adenomyosis.
In a world where silence often shrouds these challenging conditions, Endo Battery stands as a beacon of hope and a source of strength. We believe in the power of knowledge, personal stories, and expert insights to illuminate the path forward. Our mission? To walk with you, hand in hand, through the often daunting landscape of Endometriosis and Adenomyosis.
This podcast is like a warm hug for your ears, offering you a cozy space to connect, learn, and heal. Whether you're newly diagnosed, a seasoned warrior, or a curious supporter, Endo Battery is a resource for you. Here, you'll find a community that understands your struggles and a team dedicated to delivering good, accurate information you can trust.
What to expect from Endo Battery:
Personal Stories: We're all about real-life experiences – your stories, our stories – because we know that sometimes, the most profound insights come from personal journeys.
Leading Experts: Our podcast features interviews with top experts in the field. These are the individuals who light up the path with their knowledge, sharing their wisdom and expertise to empower you.
Comfort and Solace: We understand that Endometriosis can be draining – physically, emotionally, and mentally. Endo Battery is your safe space, offering comfort and solace to help you recharge and regain your strength.
Life-Charging Insights: When Endometriosis tries to drain your life, Endo Battery is here to help you recharge. We're the energy boost you've been looking for, delivering insights and strategies to help you live your best life despite the challenges.
Join us on this journey, and together, we'll light up the darkness that often surrounds Endometriosis and Adenomyosis. Your story, your strength, and your resilience are at the heart of Endo Battery. Tune in, listen, share, and lets charge forward together.
Endo Battery
Does Birth Control Actually Shrink Endo Lesions? (Spoiler: Probably Not), Timing Surgery with Your Cycle, & Cyclical Nose Bleeds
Send us a text with a question or thought on this episode
Expert endometriosis surgeon Dr. Abhishek Mangeshikar debunks common myths and provides clear answers to pressing questions about endometriosis management. Drawing from his extensive experience at the Indian Center for Endometriosis, he offers evidence-based insights on treatments, surgical approaches, and unusual symptoms.
• No conclusive data supports the claim that birth control or Lupron causes regression of endometriosis lesions
• Shrinking endometriomas may actually indicate worsening disease as contents leak into the pelvis causing adhesions
• The timing of surgery relative to menstrual cycle generally doesn't matter for experienced excision specialists
• Operating during a patient's period may require additional cleaning of the surgical field but doesn't affect excision outcomes
• Cyclical nosebleeds might be connected to thoracic endometriosis, but medical data remains limited
• Hysteroscopy procedures are the main exception where avoiding menstruation is beneficial for visualization
Got a question? Send it in by using the link in the top of the description of this podcast episode, emailing contact@endobattery.com, or visiting the endobattery.com contact page.
Website endobattery.com
Life moves fast and so should the answers to your biggest questions. Welcome to EndoBattery's Quick Connect, your direct line to expert insights Short, powerful and right to the point. You send in the questions, I bring in the experts and in just five minutes you get the knowledge you need. No long episodes, no extra time needed, and just remember expert opinions shared here are for general information and not for personalized medical advice. Always consult your provider for your case-specific guidance. Got a question? Send it in and let's quickly get you the answers. I'm your host, alana, and it's time to connect.
Speaker 1:Today we're honored to have Dr Abhishek Mingashigar join us. Today we're honored to have Dr Abhishek Mingashigar join us. Dr Ming's is a leading endometriosis specialist and minimally invasive gynecological surgeon, known for his groundbreaking work at Indian Center for Endometriosis in Mumbai. With expertise in advanced laparoscopic and robotic surgeries, he's dedicated to improving care for those battling this complex disease. Let's dive in and get answers to the questions that matter most to you. Does taking birth control or Lupron drugs stop the endolesion stimulation, therefore reducing the amount of lesions created, or shrink endolesions?
Speaker 2:That's really a good question. So there's no data to support that. There is some circumstantial evidence which I don't really believe too much, that there is some circumstantial evidence which I don't really believe too much could be industry-sponsored papers. But there is no conclusive data to say that any medication causes regression of the lesions or the disease magically vaporizes or disappears. So I always tell patients they would tell me okay, I had a cyst diagnosed and the doctor put me on progesterone or something. My cyst went from eight centimeters to six centimeters. And I said, first of all, there is no protocol to measure disease progression or regression by measuring just the size of the cyst. And a cyst decreasing in size is worse than it's increasing in size, which just means that it's linking into the pelvis and making things more stuck and worse than they already are. There's not a good sign, it's a bad sign.
Speaker 1:I can be a testament to the fact that it doesn't do that. After being on it for so long, the disease definitely progressed. Is it better or worse to be on your period before surgery or during surgery?
Speaker 2:It doesn't matter. I think an experienced surgeon who can identify all subtypes of the disease can kind of pick it up. So most women have retrograde menstruation, believe it or not. Not all of them have endometriosis. So usually if you will operate on someone during that period, there will be blood in the pelvis. Now if somebody has a lot of menstrual blood for whatever reason it could be adenomyosis or whatnot then you're going to have a lot of blood in the pelvis and then you have to spend that extra couple of minutes washing and sucking that out. It's not a deal breaker.
Speaker 2:I still operate on patients during their period, before their period, after their period. It doesn't really make a difference to the excision of the endometriosis part of it. You only try to avoid it. If you're doing a hysteroscopy, which is where you put a telescope into the uterus to look at the cavity, when you're doing an evaluation for fertility, or if you're looking for a fibroid or a polyp or something inside the uterine cavity that may be causing good liver, then obviously you don't want her to be on a period. Then you do it post-menstrual.
Speaker 1:Okay, and then if they don't ever go post-menstrual?
Speaker 2:You give them medication to stop it.
Speaker 1:How do endo-excision specialists address cyclical nosebleeds?
Speaker 2:That's a tough one, yeah. Yeah, I've had a couple of patients with cyclical nosebleeds. One of them had thoracic endometriosis, but we also did a bronchoscopy. We had the pulmonology team come in and they looked through the nasal passages and through the respiratory system to look for any endometriosis there. They did biopsies but they didn't come up with anything specific. So I'm not sure on how to proceed with that, because the data is very limited. So you have to kind of investigate what's causing it and then come up with a plan on how to treat it.
Speaker 1:Can cyclical nosebleeds occur, even if it's not necessarily endometriosis in the nasal passages, because you know that's been found. But I for one have not had a nosebleed since my excision surgery and hysterectomy, which I used to have all the time.
Speaker 2:I don't know. There are many causes for nosebleeds. I'm not exactly sure if it's specifically endometriosis in the nasal tract that would cause it. It could be a matter of things. We don't have enough information about that kind of endometriosis. I would assume some kind of thoracic endometriosis could also present that way, because it is linked to coughing up blood so it can easily get into the nasal passages that way too.
Speaker 1:That's a wrap for this Quick Connect. I hope today's insights helped you move forward with more clarity and confidence. Do you have more questions? Keep them coming, send them in and I'll bring you the expert answers. You can send them in by using the link in the top of the description of this podcast episode or by emailing contact at endobatterycom or visiting the endobatterycom contact page. Until next time, keep feeling empowered through knowledge.