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Ep. 5 On-Demand: Hormonal Headaches, Fatigue & the Overlooked Neurology of Chronic Pain

What if your migraines, fatigue, and brain fog aren’t separate from endometriosis—but part of the same story? This session dives into how hormones, inflammation, and chronic pain interact in the brain—and what to do when standard care overlooks the connection.

The Endo Exchange Ep. 5 On-Demand

At ESSE Care, we know that pain, fatigue, brain fog, and migraine aren’t “just hormonal”—they’re signals from the nervous system asking for deeper care. That’s why we created The Endo Exchange, a webinar series that brings patients and clinicians together to explore the full-body dimensions of complex conditions like endometriosis. 

In this conversation, Dr. Karli Provost Goldstein is joined by two exceptional voices: 

  • Audrey Craven, International Migraine Advocate & Patient Leader 

Together, they explore how migraine, cognitive symptoms, and fatigue are often dismissed in gynecologic care—and what happens when we start connecting the dots between hormones, brain health, and inflammation. 

What You’ll Learn 

This isn’t a one-note conversation about “hormonal headaches.” It’s a meaningful, multidisciplinary discussion about how your brain and body interact—and what care looks like when both are considered together. 

  • Why migraine is a neurologic disease—and how it overlaps with endometriosis 
  • How estrogen withdrawal, serotonin changes, and inflammation impact brain sensitivity 
  • What “migraine with aura” means, and how it changes your options for hormone therapy 
  • How perimenopause and the post-IVF period can trigger neurologic symptoms 
  • What a neurologist looks for when brain fog and fatigue don’t improve—even after surgery 
  • What to track in a symptom diary, and how to ask for a neurology referral when needed 

Why This Matters 

Patients with migraine and endometriosis are still being told “it’s just hormones” or “your labs are fine.” But at ESSE, we believe your lived experience matters—and your brain is part of your body. 

This webinar bridges the gap between gynecology and neurology. It’s a thoughtful, compassionate conversation rooted in real clinical insight and shared patient stories.

What Integrated, Collaborative Care Can Look Like 

  • Dr. Goldstein shares how endometriosis affects the entire body—not just the pelvis—and why surgery, while important, is often not enough to fully resolve brain-driven symptoms. 
  • Dr. Begasse de Dhaem brings deep expertise in hormonal migraine and neurologic pain—offering clear explanations on why estrogen matters in the brain, and how to approach migraine safely across life stages. 
  • Audrey Craven offers her powerful story of being dismissed, misunderstood, and finally finding the right care. Her journey—from patient to international advocate—reminds us all that you’re not alone, and your voice has power. 

🧠 Want to understand your symptoms better? Explore the Q&A with Dr. Olivia 
💛 Need a story that sounds like your own? Read Audrey’s Story 
💬 Ready to feel seen in your care? Learn more about our whole-body approach at ESSE Care 

Whether you live with endo, migraine, PMDD, or unexplained fatigue—you don’t have to choose between your brain and your hormones. We’re here to help.

Watch now to feel more prepared, more confident, and more seen—no matter what your body throws at you. 

Don’t have time to watch the full webinar? Read the key insights from our conversation.
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