Episode Details

Endometriosis and adenomyosis are common, painful, and often missed for years—and Peter Attia and guest Renato Tomioka explain why. In this condensed recap of the full episode, you’ll hear how these conditions differ, the hallmark symptoms of the “six Ds,” why diagnosis can take 5–12 years, and how specialized ultrasound and MRI are changing detection. The discussion also covers treatment options like hormonal therapy, surgery, and GnRH suppression, plus what endometriosis and adenomyosis mean for fertility, IVF, ovarian reserve, and reproductive aging. You’ll learn why age remains the biggest factor in fertility, what egg freezing can and can’t do, and how earlier evaluation can reduce pain and protect reproductive options. Listen now to get the key ideas in minutes.