Dr Jill Ingenito

04/30/2026

Those moments will humble you every single time.

It does not always happen instantly in the recovery room, and healing is rarely one-size-fits-all. Sometimes relief is immediate. Sometimes nerves, inflammation, pelvic floor dysfunction, and central sensitization mean recovery takes weeks or months.

But never lose hope.

I give God the glory for every gift He’s given me, and I never take these moments lightly.

If your pain is not all gone right away, please do not feel discouraged. Healing can be layered, gradual, and deeply personal.

For some, it is the recovery room. For others, it is the slow rebuilding of a life over time.

Watch, follow, and discover more trending content.

04/29/2026

with

“Tell me more.”

Three of the most powerful words in medicine.

Early in my career, I often thought my job was to quickly figure out what had been tried, what had failed, and move straight to solutions.

But over time, I learned that patients are often telling you the diagnosis… if you give them the space.

Tell me more about your pain. Tell me more about your symptoms. Tell me more about how this is affecting your life.

Because before treatment plans, prescriptions, or next steps, many patients with chronic illness or chronic pain still haven’t truly been heard.

“Wow, that sounds incredibly hard.”

“How is this impacting your day to day life?”

These moments matter, and build trust.

Chronic pain is rarely just pain. It can affect careers, relationships, parenting, mental health, and identity.

When we rush too quickly to solutions, we can miss not only critical details… but the human experience behind them.

One of the greatest lessons in medicine is this: Understanding comes before intervention. And because we are limited, as doctors, with time, this may mean a second or a third visit.

Sometimes the most important thing you can do first… is simply listen.👂

Watch, follow, and discover more trending content.

04/28/2026

As a doctor, surgeon, content creator, mom, and wife, I need to stay focused and fully present, especially with my patients. When you are telling me your story, you deserve someone who is truly listening.

That is why I’ve added Avantera Elevate gummies into my routine to support focus, clarity, and steady energy on chaotic days.

Because my patients deserve my best. My family deserves my best. And honestly, so do I.

Watch, follow, and discover more trending content.

04/28/2026

The endometriosis merry go round: Are you truly being treated or just kept on the ride? 🤡

Endometriosis can feel like a never ending merry go round. Pain. Temporary relief. New doctor. More hormones. Another surgery. More dismissal. Repeat.

You are told this is normal. You are told to just manage it. You are told to keep riding.

But the goal should not be endless circles. The goal is to get off the ride.

Real answers mean understanding the full picture including excision when appropriate, adenomyosis, pelvic floor dysfunction, nervous system sensitization, bowel or bladder involvement, and individualized long term care.

Endometriosis is not a one size fits all quick fix. And you deserve more than symptom masking while the ride keeps spinning.

If your journey feels like the same loop over and over, it may be time to ask whether you are truly being treated… or just kept on the ride. 🎗️

04/27/2026

with . Zac Spiritos

Very suspicious 👀

I keep seeing this overlap too: patients with endometriosis who also have MCAS symptoms, hypermobility, dysautonomia, GI symptoms, bladder symptoms, migraines, flushing, hives, food sensitivities, or “random” allergic reactions that no one can fully explain.

And no, I do not think that is a coincidence.

Endometriosis is not just “bad periods.” It is an inflammatory, immune driven disease that can affect the whole body. Mast cells are part of the immune system, and when they are overactive, they can amplify inflammation, pain signaling, nerve irritation, bowel symptoms, bladder symptoms, and pelvic pain.

Do we know exactly which one comes first? No.

Do we have all the answers yet? Also no.

But what we do know is that these conditions do not always live in separate boxes. The body is connected. The immune system, nervous system, hormones, pain pathways, gut, bladder, and pelvis are all talking to each other.

So if you have endometriosis and also feel like your body reacts to everything, it may be worth asking whether mast cell activation, dysautonomia, hypermobility, or another overlapping condition is part of your bigger picture.

Because honestly… it’s suspicious.

Watch, follow, and discover more trending content.

04/27/2026

The real horror isn’t always the pain. Sometimes it’s the years spent being dismissed.

Because chronic pelvic pain is rarely simple and you were never supposed to navigate this like a horror movie.

Watch, follow, and discover more trending content.

04/26/2026

Nausea is one of the most common and most under discussed symptoms of endometriosis.

Endo is not just a pelvic disease. It can affect inflammation pathways, nerve signaling, hormones, mast cells, and the gut brain connection.

Inflammatory chemicals like prostaglandins, cytokines, and histamine can trigger nausea, bloating, diarrhea, reflux, and gut spasms, especially during flares or around your period.

Severe pain can also activate the nervous system and vagus nerve, causing sweating, dizziness, nausea, or even vomiting.

And yes, this can happen even if you do not have endometriosis on your bowel.

You do not need bowel lesions for endometriosis to disrupt your gut. Inflammation, pelvic nerve irritation, hormonal shifts, and the brain gut connection alone can create very real GI symptoms.

This is why so many people with endometriosis feel sick, not just in pain.

Credit: .official.au

04/25/2026

Getting a period after endometriosis surgery does not mean the surgery failed🎗️

Endometriosis surgery removes disease. It does not shut down the ovaries, stop ovulation, or automatically stop your menstrual cycle.

But here’s the part I want patients to understand: if you are not actively trying to get pregnant, I usually recommend finding a safe option that keeps the bleeding from coming back.

Why? Because for many people with endometriosis, periods can mean more inflammation, more pain signaling, more pelvic floor guarding, more GI/bladder flares, and a higher chance of symptoms returning.

That does not mean there is one perfect option for everyone. It may be a progestin IUD, continuous birth control, oral progesterone, suppression medication, or another individualized plan.

But the goal is not just “you had surgery, good luck.”

The goal is: remove the disease, calm the system down, and keep your body from cycling back into the same inflammatory pain pattern every month.

If your periods are back after surgery and your symptoms are creeping back in, it is worth talking about suppression options with an endometriosis specialist.

04/25/2026

Getting a period after endometriosis surgery does not mean the surgery failed.

Endometriosis surgery removes disease. It does not shut down the ovaries, stop ovulation, or automatically stop your menstrual cycle.

But here’s the part I want patients to understand: if you are not actively trying to get pregnant, I usually recommend finding a safe option that keeps the bleeding from coming back.

Why? Because for many people with endometriosis, periods can mean more inflammation, more pain signaling, more pelvic floor guarding, more GI/bladder flares, and a higher chance of symptoms returning.

That does not mean there is one perfect option for everyone. It may be a progestin IUD, continuous birth control, oral progesterone, suppression medication, or another individualized plan.

But the goal is not just “you had surgery, good luck.”

The goal is: remove the disease, calm the system down, and keep your body from cycling back into the same inflammatory pain pattern every month.

If your periods are back after surgery and your symptoms are creeping back in, it is worth talking about suppression options with an endometriosis specialist.



with ZYLYK

Watch, follow, and discover more trending content.

04/24/2026

GLP-1 medications are not a cure for endometriosis, and they do not remove disease.

But the science behind GLP-1s is becoming really interesting when we talk about inflammation.

Endometriosis is a chronic inflammatory disease. It is associated with immune system activation, inflammatory cytokines, oxidative stress, pain signaling, and in some patients, metabolic dysfunction or insulin resistance.

GLP-1 receptor signaling may help reduce systemic inflammation, improve insulin resistance, decrease inflammatory signals from fat tissue, and may even influence immune pathways like mast cell activity and neuroinflammation.

That matters because endometriosis pain is not always just about the lesion itself. It can also involve the inflammatory environment around the disease, the nervous system, pelvic floor dysfunction, and whole-body inflammatory signaling.

So no, GLP-1s do not replace excision surgery, pelvic floor therapy, hormonal suppression, or individualized endometriosis care.

But for the right patient, they may be one tool that helps calm the inflammatory burden that can make endometriosis symptoms worse.

This is not medical advice. Talk to your doctor about whether GLP-1 medications are appropriate for you. 🎗️

https://trimrx.com/vsl/?catalog=bundle&discount=bundle200

Watch, follow, and discover more trending content.