In this Ob/Gyn Time podcast episode, Dr. Erica Newlin speaks with minimally invasive gynecologic surgeon Dr. Megan Billow about endometriosis, a chronic inflammatory condition where endometrial-like tissue grows outside the uterus. The discussion highlights common and under-recognized symptoms such as painful periods, chronic pelvic pain, dyspareunia, gastrointestinal symptoms, and fatigue, while emphasizing that the severity of symptoms does not always correlate with imaging findings.
Diagnosis often relies on clinical suspicion, imaging, and definitive confirmation through laparoscopy , as no specific blood test currently exists. The podcast also explores individualized management strategies , including hormonal therapy, lifestyle and dietary measures to reduce inflammation, pelvic floor therapy, and excisional surgery to remove endometriotic lesions. Importantly, the experts stress…