Endometriosis and Fibroids Don’t Stop at Menopause with Dr. Karen Tang

In this episode of unPAUSED, Dr. Mary Claire Haver sits down with Dr. Karen Tang, a board certified gynecologist and minimally invasive gynecologic surgeon, and author of It's Not Hysteria: Everything You Need to Know About Your Reproductive Health But Were Never Told. This is part one of a two part conversation. Together they take on a question that most women entering perimenopause have never been given the tools to answer: what happens to the gynecologic conditions you have been managing for years when your hormones start to shift?

Dr. Tang opens with endometriosis, dismantling two of the most persistent myths in gynecology: that it goes away after menopause, and that it is cured by pregnancy or hysterectomy. She explains what endometriosis actually is, why it so often goes undiagnosed for an average of seven years, why imaging studies frequently miss it, and what the full range of treatment options looks like for perimenopausal women dealing with painful periods, pelvic pain, and chronic inflammation, including when surgery is the right next step.

Guest links

Karen Tang, MD (Instagram)

Karen Tang, MD (Facebook)

Karen Tang, MD (YouTube)

Karen Tang, MD (LinkedIn)

Karen Tang, MD (TikTok)

GynoMight with Karen Tang, MD (Substack)

Thrive Gynecology

Books

“It's Not Hysteria: Everything You Need to Know About Your Reproductive Health (but Were Never Told),” by Dr. Karen Tang

“The New Perimenopause: An Evidence-Based Guide to Surviving the Zone of Chaos and Feeling Like Yourself Again,” by Dr. Mary Claire Haver

“The New Menopause"⁠ by Dr. Mary Claire Haver

For full show notes, please click here.

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