Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
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Every single ophthalmologist knows about cataract.
Yes, most common form of blindness.
So it would be rare for you to go to an ophthalmologist with cataract and not get diagnosed, correct? Correct. So why is it that the leading cause of infertility on this planet, 90% of women are not diagnosed? Women's health is very different than other fields of medicine. It's a different monster. It's that cataract patient that goes to 20% ophthalmologist, and she keeps saying, I can't see. And the ophthalmologist says, you're crazy. There's nothing wrong with you.
Welcome to the Huberman Lab Podcast, where we discuss science and science-based tools for everyday life. I'm Andrew Huberman, and I'm a professor of neurobiology and ophthalmology at Stanford School of Medicine. My guest today is Dr. Thais Aliabadi, an obstetrician, gynecologist, and surgeon, and one of the most sought-after experts and trusted voices in women's health. Today, we discuss crucial topics in women's reproductive and general health, including PCOS, endometriosis, breast cancer, perimenopause, and menopause. Dr. Ali Abadi explains why so many cases of PCOS and endometriosis go undiagnosed and how many physicians unfortunately write off things like pain, hair thinning, mood changes, and other symptoms as normal, when in fact they reflect larger underlying issues that can impair fertility and lead to body-wide health complications.
And she explains the key things to do to diagnose and treat PCOS and endometriosis, everything from how to adjust insulin sensitivity to hormone replacement, over-the-counter, and prescription-based protocols. As you'll soon hear, Dr. Ali Abadi is incredibly passionate about women's health and has developed various zero cost online tools that women of any age can use to assess their risk for things like breast cancer, PCOS and endometriosis. I should also emphasize that today's discussion is relevant to women of all ages. Many of the conditions we discuss are starting to show up in women, even in their mid teens and twenties, and can carry serious health risks. Dr. Ali Abadi makes very clear that often these issues can be resolved, but that it requires knowing the telltale signs and taking the appropriate steps.
She explains that, alas, many doctors and even OBGYNs are unaware of those telltale markers. So what you're about to hear is an extremely eye opening conversation that, thanks to Dr. Ali Abadi's passion for and expertise in women's health, could very well save someone's mental and physical health, their fertility and in the case of breast cancer screening, even their life. Before we begin, I'd like to emphasize that this podcast is separate from my teaching and research roles at Stanford. It is, however, part of my desire and effort to bring zero-cost-to-consumer information about science and science-related tools to the general public. In keeping with that theme, today's episode does include sponsors.
And now for my discussion with Dr. Thais Aliabadi. Dr. Thais Aliabadi, welcome.
Thank you for having me.
Super excited to talk about today's topics. And there are a lot of them because I think these days we hear a tremendous amount about how fertility rates are dropping. We hear that sperm counts are dropping. We hear that things like PCOS, which he'll explain to us, are on the rise. I'm curious if they're on the rise or they're just being detected or not detected as much. Let's start off quite simply and just bracket for people what the sort of standard trajectory of fertility looks like for the quote-unquote average woman. I realize there's no such thing as an average woman, but I think we hear so much these days about people are waiting to have kids. Some people are freezing eggs early, all this. If we were to just march through and say,
You know, what fraction of healthy women are fertile in their, say, 20 to 25, 25 to 30, and march that forward just to give people a sense of what the data and your experience really tell us.
First of all, before I go there, I want to tell you something.
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