
Ep. 7 On-Demand: Genetics, Family Ties, Bowel and Appendix Endometriosis
Two sisters. One life-changing day. Explore the genetic roots and full-body impact of endometriosis—and why collaborative care is key—in Episode 7 of The Endo Exchange.
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Two sisters. One life-changing day. Explore the genetic roots and full-body impact of endometriosis—and why collaborative care is key—in Episode 7 of The Endo Exchange.

Hysterectomies can be performed at various ages—not just at menopause. Dr. Karli Goldstein explains when and why patients may consider this procedure, including for conditions like endometriosis, adenomyosis, fibroids, or early uterine cancer.

From painful periods and chronic fatigue to pelvic pressure and bladder issues, many women are told these symptoms are “normal” or “in your head.” Dr. Goldstein and Dr. Rosen are here to set the record straight: Suffering in silence is never okay.

Although the exact science of endometriosis genes are still being settled, it’s clear that endo has a genetic component. In fact, endometriosis may be inherited in up to 50% of cases. Researchers have identified at least one gene that increases women’s risk of having endometriosis.

Devyn’s journey from uncertainty to excision surgery is a reminder that endometriosis does not always present the way people expect, and that healing begins when someone finally listens.

After years of being ignored or misunderstood, Bailey began researching endometriosis and discovered its strong genetic ties. She recognized the pattern—not only in herself but in her sister, Devyn, too.

Painful periods are common, but when they worsen over time or resist treatment, they may signal something more. This piece breaks down how we evaluate menstrual pain and why early, accurate diagnosis matters.

Dr. Karli Provost Goldstein explains how a bulky adenomyotic uterus can strain the pelvis and spine, and why full evaluation during hysterectomy ensures complete care and long-term stability.

Pregnancy doesn’t cure endometriosis or adenomyosis. As Dr. Karli Provost Goldstein shares, stage 4 disease requires real treatment, not reassurance. Learn why pain, fainting, and fertility struggles deserve comprehensive, compassionate care.

Even without a cure for endometriosis, healing is possible. With the right team, wellness, and hormone balance, many patients thrive again.
ESSE's excision specialists offer precise, compassionate care that targets the root cause of endometriosis.
We treat fibroids, uterine anomalies, polyps, and more with expertise and intention.
We address the conditions that may be interfering with your fertility while coordinating with fertility specialists.
ESSE Care offers comprehensive gynecologic care for all ages, as well as integrative therapies via our trusted partners.