What You Weren’t Told About Period Pain - Dr Karen Tang

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Published 2024-06-28
“A lot of women's health stuff - there's no easy diagnosis. So very, very often women's health things end up getting put into, you have fibromyalgia, you're a hypochondriac, or something like irritable bowel syndrome.” -Dr Karen Tang

Dr Karen Tang is a gynaecologist who specialises in the treatment of pelvic pain, endometriosis and fibroids. She also does a great service educating the public on social media, raising awareness of women’s health issues.

In this episode, I ask Karen how people can figure out what’s causing their pelvic pain, what surprising habits may be causing problems, how patients can better advocate for themselves, and how she’d reimagine sex ed.

Stay tuned to find out:
- Why “stabbing butthole pain” has gone viral, and what it actually is
- Why endometriosis is so commonly misdiagnosed as IBS
- How female anatomy, especially the uterus, does NOT look like it does in the textbooks
- Why we should teach children the proper names for their reproductive organs
- Why you should get a pelvic floor PT!

Chapters
0:00 Intro
1:24 Stabbing butthole pain
4:36 Endometriosis - more than a pelvic condition
6:43 Endo vs IBS
8:45 How much pain is too much?
10:38 The link between gynaecological conditions
13:20 Being proactive about your health
16:14 How to advocate for yourself at the doctor’s
21:56 Actionable tips for perimenopause/menopause
26:04 How to take care of your pelvic floor health
31:36 What the uterus actually looks like
34:49 Reimagining sex sed
36:53 Teaching children about sexual health
38:26 The plague of misinformation

Connect with me:
TikTok: www.instagram.com/drkaranrajan
Instagram: www.tiktok.com/@dr.karanr

For more useful science for your everyday life, grab my best selling book “This Book May Save Your Life”: geni.us/DrKaranBook

An OG Podcasts production.

All Comments (21)
  • @MJ-ed2xx
    The "normal" vs "not normal" problem with gynecological issues is so true. Even with pregnancy, I remember the doctor's face when I told her I'd been managing morning sickness by sleeping 14 hours a day, and that meant I could keep down almost half of what I ate and drank. Everyone said it was horrible, so I thought that was what they meant. She looked at me and spoke slowly, "You know that's not normal, right?" Nope, I did not know that. We have to talk more about reproductive health, and we need to be specific.
  • Another issue is when you come in with everything ready to go, they act like you're a hypochondriac
  • @097jupiter
    i love doctors who actually care about women
  • @vjnc2006
    In Kenya, we recently lost an endo warrior to thoracic endometriosis. After she created awareness, a lot of other women have been tested and diagnosed with it. We appreciate her bravery as we condole with the family.
  • @catpoke9557
    You're the reason I realized my mom was not just super unlucky with doctors, but suffering from medical misogyny. Your channel is very important for all people's health, but women's especially.
  • @emward6858
    I had severe endometriosis, with my bowel stuck to the uterus with adhesions. I have felt so much better the last few years since my hysterectomy at 37. Had to pay privately as the NHS weren't doing anything to help me
  • A radiologist at the hospital once told me that, until his wife went through menopause, that he believed hot flashes were purely psychosomatic. It wasn't until he experienced the sudden heat radiating from her body that he believed women weren't just imagining it.
  • @nullnullsjo
    My mother was debilitated for two days every time she got her period until she got a new doctor who took her pain seriously. And I seems to have inherited her inner bits, so I've learnt to 'not just live with it', and have fought more doctors I like to count. Thankfully I have now both a good GP and great gyno. Women's health is woefully neglected, but it is better than before, and people like you, talking about it helps a lot. (And after 35 years of fighting doctors about menstrual pain, PCOS and whatnot, I'm now gearing up for the menopause-fight. Yay.)
  • @magpie1492
    I had debilitating abdo pain with my periods from the age of 10, so bad that I would pass out. My mother took me to our GP. The male GP told me that I had to get used to the pain, use a hot water bottle etc and it would improve when I had children. That was it. I was 10 YEARS OLD!!🥺. I love the menopause x
  • @songbird3094
    I suffered with severe cramps and heavy bleeding for years. I was put on iron tablets a few times. In my late 30's they said I had a large fibroid, which they couldn't remove. I finally agreed to an ablation of the womb, I had no further bleeding after that. I'm so glad to hear this talked about, it was never discussed when I was young.
  • I have endometriosis and I absolutely HATE it. This stupid illness literally affects every part of my life. There are good days, bad days, and then there are really bad days where I just feel so depressed that I long for the days when I was "normal"/question why I'm not "normal" 😔
  • @lin90210
    Some doctor's misdiagnose or don't listen to people. A family member had diarrhea for many days. The GP asked them to take a blood test in A&E. A&E made him stay in hospital. The gastrointestinal doctor made them stop their GVHD medicine when my family member said they need for GVHD of the liver. Their blood test showed abnormal liver readings (because of GVHD). The gastrointestinal doctor didn't even think to call up hematology because they had no clue. They asked my family member "what is GVHD?". Well listen to your patient and look it up. Look at their medical records and history. Imprisoned in hospital for 7 days. Misunderstanding.....
  • @biosh4x
    I have endometriosis, and the only answer that was given was birth control. It helped me tho go to school, but damn, the older I got the worse it got... I have so many health issues now at 44 and some days I just don't want to get out of bed.
  • This year I got to see two doctors for my heavy periods and overall check-up. Both I payed to visit, can you guess who's price was higher?)) One was saying my uterus looks all "knotted" and I am entirely unhealthy, and I will for sure unable to get pregnant without her assistance with the organ "that bad looking". Another one was attentive and knowledgeable, but kind, she provided me with all the options for my near future and showed real care for my symptoms without judging or comments on how ugly my body parts were 😂 interestingly enough she didn't say I will need her help and wanted me to be able to be well on my own, without paying for anything extra. She also has one of a very few YouTube channels on women's health in my mother tongue. The visit to a second one was so validating. I wish every woman would have an access to a real healthCARE provider. Thanks for the video!❤
  • Well needed video! Most doctors just brush off periods cramps/pain as normal.
  • After 20 + years of tests on my uterus and ovaries and ER visits saying I am just fine just 2 years ago I find out because of rectal bleeding I have endo in my rectum and in my bowels and I am suspecting it could be in my back because of my leg issue during my cycle. 😢😢 I can name it now and I am thankful. I became a vegan because I thought I had IBS and was trying to mitigate the inflammation. I’m exhausted honestly.
  • @solarmoth4628
    The US is especially weird about teaching the correct names for body parts in school. Many people enter college with a poor understanding of sex and reproduction because their state or school isn’t required to teach them in Health class.
  • amazing podcasts but you need to tell these gynaecologist, who don't listen..... 30 years deep and they still don't know what's wrong🙄