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Mathew Leonardi: The Conversation Cannot Stop at Suspected Endometriosis
Mathew Leonardi/LinkedIn
May 26, 2026, 07:26

Mathew Leonardi: The Conversation Cannot Stop at Suspected Endometriosis

Mathew Leonardi, Associate Professor at McMaster University, shared a post on LinkedIn:

“Endometriosis is finally being discussed outside the usual gynecology echo chamber. Bryan Johnson and Kate Tolo recently made a post about it! Good.

But the conversation cannot stop at ‘she has suspected endometriosis’ or ‘190 million women have this.’

Endometriosis is not a niche pelvic pain condition, and it is not a women’s health footnote. It is a major whole-body inflammatory disease with consequences for pain, fertility, bowel and bladder function, sexual function, mental health, work, relationships, and quality of life.

We also need to be very careful about the diagnostic message.

A normal ultrasound does not rule out endometriosis. It should never be used to invalidate patients or normalize symptoms. But a dedicated endometriosis ultrasound, performed by someone trained to look for it, can diagnose many cases of ovarian endometriosis, deep endometriosis, adhesions, rectouterine pouch obliteration, and even superficial disease in many cases.

So yes, let’s look into it.

But let’s look into it properly.

That means:
more trained imaging providers
better access to expert diagnosis
serious investment in research
better medical therapies
surgical care when appropriate
and a healthcare culture that stops dismissing people until disease is advanced enough to be impossible to ignore

Endometriosis deserves more than curiosity.
It deserves infrastructure, funding, and urgency.”

Mathew Leonardi: The Conversation Cannot Stop at Suspected Endometriosis

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adhesions bladder function Bryan Johnson endometriosis expert diagnosis Fertility Fertility News funding Gynecology healthcare culture inflammatory disease infrastructure Kate Tolo Mathew Leonardi medical therapies mental health ovarian endometriosis pain pelvic pain rectouterine pouch obliteration reproductive health Reproductive Medicine sexual function surgical care urgency Women’s Health
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