Endometriosis Imaging: Why Your "Normal" Results Don't Rule Out Endometriosis

I'm hosting a live PMDD Relief Workshop on June 10th, free when you pre-order ADHD and Women. Get your spot at https://drbrighten.com/pmdd Most women with endometriosis are told their imaging is "normal" — sometimes for years, sometimes for decades — while the disease silently progresses through their body. When Bryan Johnson posted a viral photo of his girlfriend Kate Tollo undergoing a transvaginal ultrasound, it exposed more than just one couple's private medical moment. It exposed how little most people — including those with enormous platforms — understand about what proper endometriosis imaging and diagnosis actually require. In this episode, I respond to that viral post and use it as a teaching moment. I walk through why normal imaging can never rule out endometriosis, how most radiologists miss the disease entirely, and what the right diagnostic pathway actually looks like. I also share my own story of being dismissed as "attention-seeking" by a radiologist — only to be diagnosed with stage four endometriosis. You'll learn: - Why a "normal" ultrasound or MRI does not rule out endometriosis — and what gets missed when general radiologists read your scans - What an ENZIAN score is, why it matters more than the I–IV staging system for surgical planning, and how to request one - The three types of endometriosis (endometriomas, deep infiltrating, and superficial/peritoneal) — and which ones imaging can and cannot detect - Why endometriosis is a full-body inflammatory disease linked to a 20–60% increased risk of cardiovascular disease, stroke, and blood clots - The embryological rest theory: why endometriosis can occur without a uterus, and why you don't need to have a period to have this disease - The mast cell, histamine, and estrogen feedback loop that drives lesion growth and systemic inflammation - How to vet your radiologist, why an "endometriosis protocol" at an imaging center isn't a guarantee, and what questions to ask before surgery - Why the birth control pill and Lupron are symptom management tools, not treatment — and what true treatment actually requires - What proper pre-surgical imaging looks like — from transvaginal ultrasound at a center of excellence to ENZIAN-scored expert reads — and why it's the difference between a planned surgery and waking up to surprises This episode will change how you think about endometriosis diagnosis — and what you demand from your next scan. 👩🏻‍⚕️Follow Dr. Jolene Brighten: 💻 Website:⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drbrighten.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 📸  Instagram:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/drjolenebrighten⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 🎥 TikTok: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@drjolenebrighten⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 🧵Threads: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.threads.net/@drjolenebrighten⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 🌟 Grab my free hormone friendly recipes here! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drbrighten.com/hormonekit/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 🎧 Subscribe to the Podcast: Apple: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://podcasts.apple.com/us/podcast/the-dr-brighten-show/id1786362161⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Spotify: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://open.spotify.com/show/5VWcYWJFzi3OnwidT25IXi?si=481df20ef0a6417⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ YouTube:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@drjolenebrighten⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 👉 If you found this episode valuable, drop a comment below to tell us what you loved most, and share it with a friend! Let’s spread the knowledge. 💬 Learn more about your ad choices. Visit megaphone.fm/adchoices