Fix Your Period
The Period Party Podcast · EP. 273 · March 26, 2023

Using Advanced Ultrasound Techniques to Diagnose Endometriosis

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podcast guest

Listen on: Apple Podcasts Spotify

Dr. Mathew Leonardi is an advanced gynecological surgeon and sonologist (ultrasound specialist) at McMaster University Medical Centre in Hamilton, Canada. He is an expert in endometriosis excision surgery and gynecological ultrasound, and his focus is on using ultrasound in the diagnosis and surgical management of endometriosis.

In this episode, we talk about how Dr. Leonardi became interested in endometriosis research and patient care, the patient-led endometriosis revolution, theories on the causes of endometriosis, why endometriosis is often left undiagnosed, Dr. Leonardi’s unique approach to diagnosis and treatment, gaps in the standard care model for endometriosis, and so much more.

Dr. Leonardi has taken a lot of heat for his stance, which goes against the traditional idea that we can only diagnose endometriosis via laparoscopic surgery. He’s an absolute wealth of knowledge on all things endo, and I can’t wait for you to hear what he has to say!

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Episode Highlights

Watch on YouTube

Resources Mentioned

Fix Your Period

How Fix Your Period Helps Women with Endometriosis

Endometriosis is a whole-body, inflammatory condition that requires a whole-body approach. Fix Your Period is built on the root-cause methodology discussed in this episode — here's how it supports women with endometriosis.

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Cycle & Pain Tracking

Track period pain severity, pelvic pain, blood flow, clotting, and cycle length — the key metrics for understanding your endometriosis symptom patterns over time.

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Hormone Health Assessment

Take Nicole's free Hormone Health Assessment and get personalised results that reflect your symptom picture — including the patterns most associated with endometriosis and estrogen dominance.

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Endometriosis Protocol

Fix Your Period Premium includes Nicole's step-by-step protocol for endometriosis, covering anti-inflammatory nutrition, gut health, liver support, and nervous system regulation.

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Period Pillars Education

Nicole's signature Period Pillars cover the hormonal drivers behind endometriosis — estrogen dominance, gut health, inflammation, and immune function — with practical steps.

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Nicole.AI

Fix Your Period Premium includes Nicole.AI — trained on Nicole's complete methodology — giving you personalised guidance on managing endometriosis symptoms day-to-day.

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Personalised Protocol

Fix Your Period Premium unlocks your personalised protocol based on your assessment results — a targeted starting point for addressing the root causes behind your endometriosis symptoms.

Explore the App — It's Free to Start

Frequently Asked Questions

Common questions from this episode — and how Fix Your Period can help.

What is endometriosis?
Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus — on the ovaries, fallopian tubes, bowel, or bladder. It affects approximately 1 in 10 women and is a leading cause of chronic pelvic pain and fertility challenges.
Why does endometriosis take so long to diagnose?
Endometriosis takes an average of 7–10 years to diagnose. This is due to widespread normalisation of period pain, lack of awareness among healthcare providers, and the fact that symptom severity doesn't always correlate with disease severity.
What drives endometriosis?
Endometriosis is driven by estrogen dominance and chronic inflammation. Key contributing factors include impaired liver detoxification, gut microbiome disruption (which affects estrogen clearance), immune dysfunction, and exposure to endocrine-disrupting chemicals.
Is there an app to help women with endometriosis?
Yes. Fix Your Period supports women with endometriosis through cycle and symptom tracking and a free Hormone Health Assessment. Fix Your Period Premium unlocks Nicole's endometriosis protocol, Period Pillars education, and Nicole.AI for ongoing support.
Do I still need a specialist if I use Fix Your Period?
Yes. Endometriosis is a complex condition that requires qualified medical support, particularly for diagnosis and surgical decisions. Fix Your Period works best as a complement to your medical care — not a replacement for it.
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