CT Endo Warriors

08/15/2026

08/15/2026

How endometriosis causes fibrosis? ❔️🧬🔬🔍

Gentle reminder: I’m a husband learning alongside my wife, who lives with stage IV endo, adeno, and fibro. This is not medical advice but my own research and a wish to understand. Thank you! 💛

You may hear a surgeon describe endometriosis as “fibrotic,” say that tissues were stuck together, or explain that a deep nodule felt hard and scar-like. It can sound as though fibrosis is simply another word for an adhesion or an old lesion.

It is more specific than that.

Fibrosis is the excessive build-up of connective tissue, especially collagen and other components of the tissue framework your body normally uses for repair. In endometriosis, repeated inflammation, bleeding, tissue injury and repair signals can encourage a wound-healing response that does not switch off neatly.

Over time, some lesions become increasingly fibrotic, stiff and less flexible.

That process matters because endometriosis is not only about glands and bleeding. In deep disease especially, much of a nodule can consist of fibrosis and smooth-muscle-like tissue surrounding smaller areas of endometriosis.

How normal healing becomes fibrosis?

When tissue is injured, fibroblasts help produce collagen and other structural material. Some become more active myofibroblasts that contract tissue and produce extracellular matrix. With persistent inflammatory and repair signalling, too much matrix can accumulate and tissue becomes thicker, harder and less mobile.

Researchers are studying the roles of myofibroblasts, platelets, macrophages, sensory nerves, TGF-beta, repeated bleeding, iron-related stress and hormonal signals. This is a network, not one single chemical causing the whole disease.

Fibrosis is not exactly the same as adhesions!

Fibrosis happens within or around tissue as excess scar-like matrix builds up. An adhesion is a band or sheet of tissue that connects surfaces that would normally be separate.

The two can occur together. Endometriosis may become fibrotic while also contributing to adhesions that tether an o***y, bowel, uterus or pelvic sidewall.

You may therefore hear an operation report describe both “dense fibrosis” and “adhesions.”

What fibrosis can do to anatomy?

Fibrosis can make a deep lesion firm, reduce tissue flexibility, pull structures together, distort normal tissue planes, contribute to an organ becoming fixed and make surgery more difficult. None of this means every fibrotic lesion produces severe pain. Pain still depends on location, nerves, inflammation, organ function and sensitisation.

Why deep endometriosis can feel hard?

Deep endometriosis may contain substantial fibromuscular tissue. This helps explain why surgeons sometimes describe a hard nodule rather than a soft patch of tissue.

The bowel, uterosacral ligaments, va**na, bladder or pelvic sidewall may become involved in this fibrotic response. Normal tissue planes can be distorted, especially after years of disease or previous surgery.

That is one reason complex endometriosis surgery requires anatomy to be identified carefully rather than simply “burning away spots.”

What you may notice?

Fibrosis itself cannot be diagnosed from a sensation, but altered anatomy may be associated with deep pulling, pain with pe*******on or bowel movements, bladder symptoms, movement pain or persistent pelvic aching. These symptoms also have other possible causes. Your body might be trying to tell you that movement or tissue pressure matters, not that you can feel collagen forming.

One small thing you can try today is, if you have an operation or imaging report, look for words such as:

• fibrosis
• fibrotic nodule
• adhesions
• tethering
• obliteration
• fixed o***y
• thickening
• retraction
• stenosis or narrowing
• muscular infiltration

Do not diagnose yourself from the language. Instead, write down which structure each word refers to.

For example:

“Fibrotic nodule — uterosacral ligament.”
“Adhesion — left o***y to pelvic sidewall.”
“Thickening — re**al wall.”

That turns frightening medical vocabulary into a clearer anatomical picture.

Questions to ask your clinician... You might ask:

• Is this finding fibrosis, an adhesion, active-looking endometriosis, or a mixture?
• Which structure has lost normal mobility?
• Is any organ narrowed or functionally affected?
• Does fibrosis change the surgical approach?
• What alternatives exist if surgery is not appropriate?

Can hormones remove fibrosis?

Hormonal treatments can reduce endometriosis-associated pain for many women and may suppress hormonal activity around disease, but established fibrotic tissue is not simply dissolved by lowering oestrogen.

Surgery can remove or release fibrotic disease in selected cases, but it can also lead to postoperative adhesions. That is why repeated surgery is never a trivial decision.

What about anti-fibrotic treatments?

Researchers are studying pathways involved in fibrosis, including TGF-beta signalling, platelets, macrophages, iron-related stress and other targets.

This is scientifically promising, but there is currently no simple supplement or routine anti-fibrotic medicine proven to dissolve endometriosis fibrosis safely.

Be cautious when a product claims to “break down scar tissue,” “melt adhesions,” or reverse deep endometriosis through diet or enzymes. Laboratory mechanisms and proven human treatment are not the same thing.

You did not create fibrosis by failing to stretch, eating inflammatory foods, being stressed or waiting too long to seek help.

Seek prompt medical advice for persistent urinary changes, severe flank pain, repeated vomiting, significant bowel obstruction symptoms, new neurological changes, or rapidly worsening pain. Urgent symptoms should not be watched at home because you assume fibrosis explains them.

The emotional side of scar-like disease...

The word fibrosis can make you imagine your entire pelvis slowly becoming scar tissue. That is not a fair picture of every endometriosis case.

Some disease is superficial, some ovarian, some deep and fibrotic, and severity differs greatly.

My wife’s stage IV endometriosis taught me how frightening the words “adhesions,” “frozen pelvis” and “fibrosis” can sound when you are the person imagining what is happening inside your body. Understanding the biology does not make the disease easy, but it can replace vague fear with better questions.

This does not mean you have failed because your anatomy became altered. Fibrosis is a biological repair process becoming excessive, not evidence that you did not care for yourself correctly.

You deserve to understand what is happening in your body. Here is what can help: separate fibrosis from adhesions, ask which structure is affected, ask whether function is threatened, understand the purpose of any proposed surgery, and be cautious with products promising to dissolve scar tissue.

Save this for the next time “fibrotic endometriosis” appears in a report and nobody explains what the word actually means. Share this with a woman who needs science that informs her without turning her pelvis into something she should fear.

My free 130+ page eBook, “You Did Nothing To Deserve This!”, was written for the moments when medical language becomes another source of blame or fear. Tap the link in my profile or bio to get it. The physical paperback is available on Amazon; simply type “endometriosis validation” into Amazon’s search tab.

Lucjan 🎗

08/11/2026

Why colonoscopy can be normal with bowel endometriosis? 🔎🩸🚽⁉️

GENTLE REMINDER: I’m a husband learning alongside my wife, who lives with stage IV endo, adeno, and fibro. This is not medical advice but my own research and a wish to understand. THANK YOU! 💛

You may have gone through bowel preparation, the procedure, the anxiety of waiting for results, and then been told, “Your colonoscopy is normal.” If your painful bowel movements, re**al pressure, constipation or cycle-linked bowel pain continued, that result may have left you wondering whether you imagined the connection.

A normal colonoscopy can be reassuring for many important bowel conditions, but it does not reliably rule out bowel endometriosis.

The reason becomes much easier to understand when you picture the bowel wall as several layers.

A colonoscopy places a camera inside the bowel and looks primarily at the mucosa, the innermost lining that stool passes over. Bowel endometriosis usually behaves in the opposite direction. It commonly begins on the outer surface of the bowel and may grow inward into the muscular wall. The mucosa is often spared.

So the camera can be looking at a healthy-looking inner lining while endometriosis sits within or outside the bowel wall.

This is not a failure of colonoscopy. It is simply a test designed to answer a different question.

What colonoscopy is good at?

Colonoscopy is extremely useful when a clinician needs to investigate problems inside the colon, including:

• polyps
• colore**al cancer
• inflammatory changes
• some sources of gastrointestinal bleeding
• ulcers and abnormalities of the bowel lining
• other intraluminal conditions

It can also sometimes show indirect signs of external disease, such as narrowing, stiffness or compression. Rarely, endometriosis reaches the mucosa and may be visible or biopsied. But that is not the usual pattern.

A study specifically examining colonoscopy for bowel endometriosis found that the test missed many lesions because only a small proportion reached the mucosa. This is why colonoscopy should not be used as the test that decides whether bowel endometriosis exists.

You may notice symptoms such as:

• painful bowel movements around menstruation
• deep re**al pain
• constipation or diarrhoea that changes with your cycle
• re**al pressure or incomplete emptying
• painful gas
• bloating
• deep pain during s*x
• pain that feels as though the bowel is tethered
• occasional re**al bleeding

None of these symptoms proves bowel endometriosis. IBS, inflammatory bowel disease, haemorrhoids, fissures, constipation, infection and other gastrointestinal conditions can produce overlapping symptoms. That is exactly why colonoscopy may still be important in the right situation.

The key is not to ask colonoscopy to answer a question it was never designed to answer.

Your body might be trying to tell you that a normal internal surface does not necessarily describe the tissue outside that surface.

One small thing you can try today...

If you have a colonoscopy report, look at what it actually says rather than remembering only the word “normal.” Ask yourself:

• Was the whole colon examined?
• Was the bowel preparation adequate?
• Were biopsies taken?
• Was any narrowing, fixed angulation or external compression mentioned?
• Was re**al bleeding the reason for the test?
• Did the gastroenterologist know you were being assessed for endometriosis?

Then keep the report with your pelvic imaging and operation notes. Different tests describe different layers of the same body, and seeing them together may be more useful than viewing one result in isolation.

What tests look for bowel endometriosis?

Specialist transva**nal ultrasound can assess the re**um and sigmoid colon and may show deep nodules, bowel-wall infiltration and reduced mobility. MRI can map deep disease, fibrosis and relationships with other pelvic structures. Which test is most useful depends on local expertise, your symptoms and what needs to be planned.

Imaging is not perfect either. Superficial disease may remain difficult to see, and no normal test should be interpreted without the clinical history. At the same time, symptoms alone should not be used to declare that a hidden bowel lesion definitely exists.

The goal is to combine history, examination and appropriate imaging rather than expecting one procedure to settle everything.

Why biopsy during colonoscopy can be negative?

A biopsy taken through a colonoscope samples tissue from the inner lining. If the endometriosis is outside the bowel or confined to the muscle layer, the biopsy may never reach it. A negative mucosal biopsy therefore does not necessarily contradict a deep lesion seen from outside the bowel on ultrasound, MRI or surgery.

This is one of those moments where medical words can sound contradictory when they are actually describing different tissue layers.

Here is what can help at an appointment:

• bring the actual colonoscopy report rather than saying only that it was normal
• describe how your bowel symptoms relate to menstruation
• mention deep re**al pain and painful s*x
• explain whether symptoms occur outside your period too
• ask whether the rectosigmoid bowel was assessed by specialist ultrasound or MRI
• ask whether there is evidence of bowel-wall thickening or narrowing
• ask what other gastrointestinal causes still need investigation
• ask whether gastroenterology and endometriosis specialists should review the case together
• ask what symptoms would require repeat bowel investigation

A common mistake is avoiding colonoscopy because you heard that it “cannot see endometriosis.” If you have re**al bleeding, concerning bowel changes or another indication, colonoscopy may be exactly the correct test to rule out other important conditions. Its limitation for endometriosis does not make it useless.

The opposite mistake is allowing a normal colonoscopy to erase years of cyclical bowel pain. It can rule out or reduce concern about some conditions without ruling out disease on the outer bowel wall.

Please seek prompt medical care for heavy or persistent re**al bleeding, black stool, unexplained severe anaemia, repeated vomiting, rapidly increasing abdominal swelling, severe abdominal pain, or inability to pass stool or gas. A normal colonoscopy from months or years ago should never be used to dismiss a new urgent symptom.

You deserve to understand what is happening in your body. “Normal” should mean, “This test did not find the conditions it can see,” not, “Nothing is wrong with you.” That difference can protect you from years of unnecessary self-doubt.

Save this for the next time someone tells you a normal colonoscopy rules out bowel endometriosis. Share this with a woman who went through the procedure, got a reassuring result and was then left alone with exactly the same cycle-linked bowel pain.

My FREE 130+ page eBook, “You Did Nothing To Deserve This!”, was written for the woman who has collected normal results while continuing to live with very real symptoms. Tap the link in my profile or bio to get your free copy. The physical paperback is also available on Amazon; simply type “endometriosis validation” into the Amazon search tab.

Lucjan 🎗

08/11/2026

Before 1993, women of childbearing age were routinely kept out of clinical trials because researchers worried hormonal changes would muddy the results. Even in the lab, the animals were overwhelmingly male, on the assumption that female cycling added variability, so roughly 79% of preclinical pain studies in some journals ran on males alone through around 2015.

The result is a set of painkillers built on data that reflected half the population. Women absorb, distribute and break down medicines differently, driven by body fat, hormones, gastric emptying and liver enzymes, and they're more likely to report side effects from certain drugs.

Chronic pain also lands harder on women. Fibromyalgia runs about 80 to 90% female, migraine hits women 2 to 3 times as often as men, and IBS and many autoimmune conditions skew female too.

Then there's the part that isn't biology. A 2024 study found women waited roughly 30 minutes longer in the ER, were less likely to get pain relief, and had their pain scores recorded less often. Endometriosis alone takes an average of 7 to 8 years to diagnose.

The framing comes from Dr. Amir Khan, an NHS GP who lays out five reasons women's pain is processed, treated and believed differently. His point: understanding women's pain isn't a niche corner of medicine.

08/06/2026

Since literally the start of the New Year I have been struggling through elevated pain and quality of life issues. Symptoms like severe pelvic and bladder pain. A rectocele that is sitting on nerves causing a constant pain that radiates deep into my va**na and down my leg. I figured out a piece to the puzzle with diagnosis but I am still struggling with all the and lack of options there for a better quality of life. It’s not just the financial aspect, there’s only a select few surgeons that specialize in and complex cases.

08/02/2026

When my bladder fills it hurts. I don’t have long to get to a bathroom and then the panic sets in and the nervous system goes into high gear!

08/01/2026

16 Nerves endometriosis may affect… ⚡️🧠🦵

GENTLE REMINDER: I’m a husband learning alongside my wife, who lives with stage IV endo, adeno, and fibro. This is not medical advice but my own research and a wish to understand. THANK YOU! 💛

If your endometriosis pain burns, tingles, shoots, travels, makes your leg feel heavy, or seems to follow a line through your pelvis, buttock, groin, thigh, or foot, please do not assume you are explaining it badly.

Nerve-related pain can be difficult to describe because it does not always feel like ordinary cramping. You may notice burning, electric shocks, pins and needles, deep pressure, numbness, crawling sensations, weakness, or pain that moves from one area into another.

Endometriosis does not have to grow directly inside a nerve to affect it. Disease, inflammation, fibrosis, adhesions, swollen tissue, or tight protective muscles may irritate, compress, pull on, or sensitise nearby nerve pathways.

This post cannot tell you which nerve is involved, and many spinal, muscular, vascular, and neurological conditions can cause similar symptoms. But the route your pain follows can still be valuable information.

Here are 16 nerve pathways worth understanding.

1. Pudendal nerve.

The pudendal nerve supplies areas around the v***a, perineum, re**um, and pelvic floor. You may notice burning, pressure, stabbing, or a foreign-object sensation, often made worse by sitting. Pain with s*x, bowel movements, or prolonged driving can overlap too.

2. Sciatic nerve.

Sciatic-type pain may begin in the buttock and travel down the back or side of the thigh into the lower leg or foot. It may feel electric, burning, heavy, numb, or weak. A repeated cyclical pattern can be important, but common spinal causes must also be considered.

3. Obturator nerve.

The obturator nerve travels through the pelvis towards the inner thigh and helps with bringing the legs together. Irritation may contribute to groin pain, inner-thigh pain, weakness, or discomfort when walking, climbing stairs, or opening and closing the hips.

4. Genitofemoral nerve.

This nerve supplies sensation around parts of the groin, upper front thigh, and ge***al region. You may notice burning, sensitivity, stabbing, or aching near the groin crease, labial area, or upper thigh. Tight clothing or touch may sometimes aggravate it.

5. Ilioinguinal nerve.

The ilioinguinal nerve serves the lower abdomen, groin, and parts of the labial region. Pain may feel sharp, burning, pulling, or tender near the inguinal canal, especially after surgery, movement, coughing, or stretching.

6. Iliohypogastric nerve.

This nerve travels through the lower abdominal wall. Irritation may cause pain near the lower abdomen, pelvic wall, hip line, or surgical scars. You may notice discomfort with bending, twisting, abdominal tension, or pressure over the area.

7. Femoral nerve.

The femoral nerve supplies the front of the thigh and helps with hip flexion and straightening the knee. Involvement or compression may contribute to front-thigh pain, altered sensation, weakness, or difficulty with stairs. New weakness deserves prompt assessment.

8. Lateral femoral cutaneous nerve.

This sensory nerve runs towards the outer thigh. You may notice burning, tingling, numbness, or painful sensitivity over the outer thigh without obvious muscle weakness. Tight clothing, prolonged standing, or pelvic pressure may worsen symptoms.

9. Posterior femoral cutaneous nerve.

This nerve carries sensation from the lower buttock and back of the thigh. Irritation may feel like burning, aching, numbness, or deep discomfort when sitting. It may overlap with pudendal or sciatic-type pain and can be difficult to localise.

10. Superior hypogastric plexus.

This is a network of nerves carrying pain and autonomic signals between the lower abdomen and pelvis. It may be involved in deep central pelvic pain that is hard to pinpoint, sometimes linked with uterine, bladder, bowel, or pelvic-organ symptoms.

11. Hypogastric nerves.

The hypogastric nerves help carry signals between the pelvic organs and nervous system. Irritation nearby may contribute to deep pelvic aching, pressure, bladder or bowel changes, or pain that feels internal rather than close to the skin.

12. Pelvic splanchnic nerves.

These nerves help control bladder, bowel, and s*xual function. When nearby tissues are inflamed or sensitised, you may notice urgency, incomplete emptying, bowel discomfort, pelvic floor symptoms, or pain with intimacy. These symptoms need careful investigation because many conditions can overlap.

13. Sacral nerve roots.

The sacral roots, particularly around S1 to S4, contribute to sensation and movement in the pelvis, buttocks, legs, bladder, bowel, and pelvic floor. Pain may radiate through several regions at once, making one short appointment feel far too small for the full story.

14. Tibial division of the sciatic nerve.

This pathway continues through the back of the thigh and calf towards the sole of the foot. Irritation may cause radiating pain, burning, tingling, heaviness, or altered sensation in the calf or bottom of the foot.

15. Common peroneal division.

The common peroneal pathway travels towards the outer leg and top of the foot. You may notice burning, tingling, numbness, or weakness along the outer calf or foot. Foot drop or difficulty lifting the front of the foot needs urgent neurological assessment.

16. Smaller peripheral nerve branches.

Pain may also involve smaller branches near the pelvis, abdominal wall, scars, hip, or groin. These patterns may not fit one perfect diagram, especially

07/31/2026

Why the posterior compartment is the most commonly affected by endometriosis? 🫯💢💥

GENTLE REMINDER: I’m a husband learning alongside my wife, who lives with stage IV endo, adeno, and fibro. This is not medical advice but my own research and a wish to understand. THANK YOU! 💛

You may have been told that endometriosis causes “pelvic pain,” but those words can feel painfully small when your symptoms seem to come from your bowel, re**um, lower back, va**na, hips, or somewhere deep behind your cervix. You may struggle to explain where the pain begins because it can feel like pressure, pulling, stabbing, burning, heaviness, or as though something inside your pelvis is stuck.

The posterior compartment is the area behind the uterus and cervix. In deep endometriosis, it is one of the areas most commonly involved. It includes:

• uterosacral ligaments
• torus uterinus behind the cervix
• Pouch of Douglas
• retrocervical area
• rectova**nal septum
• posterior va**nal fornix
• re**um and rectosigmoid bowel
• parare**al spaces

This does not mean every pain in these areas is endometriosis, or that everyone with endometriosis has posterior disease. No single explanation has been fully proven, and several mechanisms may be involved.

One possible reason is its position. The posterior pelvis contains some of the lowest spaces in the pelvic cavity. Fluid moves along natural pathways influenced by gravity, breathing, organ movement, and anatomy. The Pouch of Douglas, between the uterus and re**um, may be an area where fluid and cells remain in contact with nearby tissue.

Endometriosis does not simply “fall” there. Hormones, inflammation, immune responses, genetics, and tissue changes may also matter. Position is only one part of the puzzle.

Another reason is that this is a tightly packed area. The uterus, cervix, va**na, re**um, bowel, connective tissue, ligaments, muscles, and nerves sit close together. Inflammation may make tissues tender, fibrosis can make them firm, and adhesions can make surfaces stick together.

This may reduce the normal sliding that should happen when you walk, bend, empty your bowel, have s*x, exercise, or move through your cycle. A lesion does not need to be enormous to disturb movement in a sensitive location.

This is why the size of a lesion does not always match the size of your suffering. A small area of deep disease may cause severe symptoms, while more widespread disease may sometimes cause less pain. Stage is not a reliable pain score, and your experience is not disproved because a lesion is called “small” or your scan looks less dramatic than expected.

Posterior disease affects structures that move throughout the day. Your re**um, uterosacral ligaments, va**na, and cervix all move or stretch. Disease, scarring, or adhesions may make that normal movement painful.

You may notice:

• pain before, during, or after opening your bowels
• sharp or stabbing re**al pain
• constipation, diarrhoea, urgency, or incomplete emptying
• deep pain during or after s*x
• pain behind the cervix or deep inside the va**na
• lower-back, sacral, hip, or pelvic-floor pain
• re**al pressure or pelvic heaviness
• symptoms that worsen around your period
• pain with sitting, bending, walking, or exercise

None of these symptoms confirms posterior endometriosis by itself. Bowel conditions, pelvic-floor dysfunction, adenomyosis, fibroids, bladder problems, and nerve irritation can overlap. You deserve an assessment that considers your whole pattern rather than dismissing each symptom separately.

What you may not realise is that bowel symptoms do not always mean disease has grown through the inside of your bowel. Endometriosis may affect the outer surface or muscular wall rather than the inner lining viewed during a colonoscopy. A normal colonoscopy does not automatically rule out bowel endometriosis.

Specialist ultrasound and MRI can help map deep disease, but no scan finds every form of endometriosis. The examiner’s training, imaging method, preparation, and lesion location matter. A “normal” scan should be considered alongside your symptoms and history, not used as a reason to dismiss you.

Before an appointment, instead of saying only, “I have pelvic pain,” describe:

• exactly where you feel it
• what it feels like and what triggers it
• when it appears in relation to your cycle
• whether bowel emptying feels incomplete
• whether pain travels into your back, hips, va**na, or re**um
• whether it is becoming more frequent or severe
• what relieves or worsens it

One small thing you can try today is making a symptom map for one cycle. Record the date, location, trigger, sensation, intensity, and duration. Add bowel, bladder, bleeding, fatigue, nausea, and s*xual-pain symptoms when relevant. This gives your clinician a clearer picture during a rushed appointment.

You can also ask:

• Could my symptoms involve the posterior compartment?
• Was the Pouch of Douglas assessed?
• Were the uterosacral ligaments and rectosigmoid examined?
• Would specialist ultrasound or pelvic MRI be appropriate?
• Does the report mention adhesions or reduced organ movement?
• Should I be referred to an endometriosis specialist?

You are not being difficult by asking what was assessed. You are trying to understand your own care.

Another common mistake is believing you must have every classic symptom. Your pain may be cyclical or continue throughout the month. You may have bowel pain without re**al bleeding, deep pain during s*x but ordinary bowel movements, or lower-back pain stronger than pelvic pain. Endometriosis does not follow one perfect checklist.

Please seek qualified medical help when symptoms are persistent, worsening, severe, new, or worrying. Heavy bleeding, black stools, repeated vomiting, fainting, fever, severe sudden pain, bowel blockage symptoms, or difficulty emptying your bladder need prompt assessment.

Learning about the posterior compartment may finally give you language for something you have struggled to describe. Several sensitive structures sit together and affect one another. Bowel symptoms may connect with pelvic pain. Deep pain during s*x may connect with tenderness behind the cervix. Back pain may connect with ligaments, muscles, nerves, guarding, or referred pain.

This does not mean every symptom comes from one lesion, but it does mean your experience deserves to be viewed as a connected picture.

This does not mean you have failed. You are not weak, oversensitive, or paying too much attention to your body. You deserve to understand what is happening in your body, and explanations that go further than “your tests are normal” or “periods can hurt.”

Save this for the next time you need better words for an appointment. Share this with a woman who has deep bowel, re**al, va**nal, or lower-back pain but has never been told what the posterior compartment is. One useful piece of anatomy can help you feel less confused and more prepared to advocate for yourself.

If years of dismissal have made you question yourself, my FREE 130+ page eBook, “You Did Nothing To Deserve This!”, was written to give you validation and language for experiences that are too often minimised. Find it by tapping the link in my profile or bio. The physical paperback is also available on Amazon; simply type “endometriosis validation” into the Amazon search bar.

Lucjan 🎗