The Dr. Brighten Show

Perimenopause doesn’t announce itself the way most women expect. There’s no official start date, no clear signal—just a slow unraveling of things that used to feel easy. Your brain misfires mid-sentence. Your body sends strange, almost unbelievable signals. And somewhere along the way, you’re told, “Your labs are normal.”

In fact, many women start searching things like “itchy ears perimenopause,” “burning tongue menopause,” “perimenopause weird symptoms,” or “why do I feel electric shocks in my body in my 40s” because the symptoms don’t seem connected to hormones at all.

In this episode, we unpack the most overlooked and misunderstood symptoms of perimenopause (the ones that leave women questioning their sanity) and more importantly, what’s actually driving them beneath the surface. Because once you understand the “why,” you can finally do something about it. And I’ll guide you on when symptoms may be more serious and when it is time to see a doctor.

This episode is brought to you by:

Dr. Brighten Essentials 

Want science-backed supplements formulated by a doctor who actually understands women’s health? 🌿 At Dr. Brighten Essentials, every product is crafted to support your hormones, boost your energy, and help you feel your best—inside and out. From targeted nutrients for glowing skin to essentials that fuel your daily vitality, you’ll get the highest-quality ingredients in forms your body can truly use.

Exclusive for podcast listeners: Use code POD15 at checkout for 15% off your order.

Shop now https://drbrightenessentials.com

HigherDOSE – Red Light Showerhead Filter

Your shower water could be impacting your skin more than you think. The HigherDOSE Red Light Showerhead Filter features a 10-stage filtration system designed to reduce chlorine, VOCs, and other contaminants that can contribute to dryness and irritation. It also includes built-in red light therapy to support cellular energy and overall skin appearance—turning your daily shower into a more restorative ritual.

Save 15% at http://higherdose.com/drbrighten and use code DRBRIGHTEN15 for 15% off

Pique – Pu’er Tea Duo

Gut health isn’t just about probiotics—it’s also about nourishing your microbiome. Pique’s Pu’er Tea Duo delivers polyphenol-rich support to help promote microbial diversity, gut lining health, and balanced digestion. Featuring Green Pu’er for antioxidant support and Black Pu’er for digestion and reduced bloating, it’s an easy daily ritual for whole-gut wellness.

Get 20% off at https://piquelife.com/drbrighten to learn more.

Shop now http://drbrighten.com/piquelife

👩🏻‍⚕️Follow Dr. Jolene Brighten:

💻 Website:⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drbrighten.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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🌟 Grab my free hormone friendly recipes here! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drbrighten.com/hormonekit/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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In this powerful surgical roundtable, Dr. Jolene Brighten sits down with four leading endometriosis surgeons to unpack what truly determines success in endometriosis surgery and why so many women are left worse off after procedures that were supposed to help. This is the 3rd episode in our endometriosis panel expert series—be sure to check out the previous episodes for more endometriosis specific information. 

This is not a generic “what is endometriosis” conversation. It is a deep dive into surgical skill, systemic failures, fertility trade-offs, nerve involvement, recurrence myths, and the hard truths about hysterectomy. If you’re considering surgery — or recovering from one — this episode may change how you think about your options.

In this discussion, you’ll learn how to identify red flags in a surgical consult, what “peek and shriek” means (and why it can sometimes be safer than incomplete surgery), why reimbursement structures influence care, and what realistic recovery looks like.

This Episode Is Brought to You By

Dr. Brighten’s N-Acetyl Cysteine (NAC) https://drbrightenessentials.com/products/n-acetyl-cysteine is a high-quality formula designed to support glutathione production — your body’s master antioxidant. It helps promote healthy detoxification, immune resilience, respiratory health, and balanced inflammation.

Support your cells from the inside out.

Exclusive for podcast listeners: Use code POD15 at checkout for 15% off your order.

Shop now https://drbrightenessentials.com

EndoGlobal Group

At EndoGlobal Group, a network of world-class endometriosis specialists comes together to provide comprehensive, multidisciplinary care for patients with complex endometriosis—offering advanced diagnostic mapping, complete excision surgery, and holistic support.

Click here to learn more and schedule a free consultation. https://drbrighten.com/endoglobal

LUMEBOX

Ready to take your skincare results to the next level—right from home? 💡 LUME Box delivers professional-grade LED light therapy in a sleek, easy-to-use device that targets fine lines, pigmentation, and dullness at the cellular level. Just minutes a day can help boost collagen, calm inflammation, and reveal that lit-from-within glow. It’s the same science trusted in top dermatology clinics, now in your hands.

Shop now → https://drbrighten.com/lumebox use code drbrighten for our exclusive community discount on your purchase.

Meet Our Experts

Dr. Victoria Vargas, Endometriosis Surgeon
https://www.washingtonendometriosis.com/dr-maria-victoria-vargas-md/

Dr. Anna Sierra, Endometriosis Surgeon with Neuropeviology Training
https://jolene.endoglobalgroup.com/

Dr. Cindy Moser, Endometriosis Excision Surgeon https://pacificendometriosis.com/

Shanti Mohling, MD, Endometriosis Surgeon
https://www.nwendometriosis.com/

👩🏻‍⚕️Follow Dr. Jolene Brighten:

💻 Website:⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drbrighten.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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🌟 Grab my free hormone friendly recipes here! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drbrighten.com/hormonekit/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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If you are looking for natural ways to manage endometriosis, the most important thing to understand is this: endometriosis is not just a surgical condition. In this episode, Dr. Jolene Brighten explains why many women continue to experience pelvic pain, fatigue, brain fog, gut issues, and flares even after surgery, and what a more complete support plan can look like. The conversation covers inflammation, gut health, estrogen metabolism, stress physiology, pelvic floor dysfunction, immune resilience, and blood sugar stability so women can better understand why symptoms persist and what may help support long-term recovery. This framing closely matches the episode itself, which centers on six biological systems influencing symptoms and emphasizes that surgery can help, but is not always the whole answer.

If you have ever felt dismissed, confused by ongoing symptoms, or frustrated that your body still does not feel better after treatment, this episode offers a more useful roadmap. Women with endometriosis wait an average of seven to ten years for diagnosis, and Dr. Brighten shares that it took her twenty-nine years to get her own.

This episode is brought to you by:

Dr. Brighten Essentials 

Want science-backed supplements formulated by a doctor who actually understands women’s health? 🌿 At Dr. Brighten Essentials, every product is crafted to support your hormones, boost your energy, and help you feel your best—inside and out. From targeted nutrients for glowing skin to essentials that fuel your daily vitality, you’ll get the highest-quality ingredients in forms your body can truly use.

Exclusive for podcast listeners: Use code POD15 at checkout for 15% off your order.

Shop now https://drbrightenessentials.com

EndoGlobal Group

At EndoGlobal Group, a network of world-class endometriosis specialists comes together to provide comprehensive, multidisciplinary care for patients with complex endometriosis—offering advanced diagnostic mapping, complete excision surgery, and holistic support.

Click here to learn more and schedule a free consultation. https://drbrighten.com/endoglobal

👩🏻‍⚕️Follow Dr. Jolene Brighten:

💻 Website:⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drbrighten.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

📸  Instagram:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/drjolenebrighten⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

🎥 TikTok: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@drjolenebrighten⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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🌟 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

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👉 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. 💬
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This conversation dives deep into endometriosis relief of pain, laparoscopy for endometriosis pain, and the treatment of chronic pelvic pain in females, offering insight into why conventional approaches often fall short. The experts discuss how endometriosis pain can evolve over time, from inflammatory pelvic pain to complex nervous-system-driven chronic pain, and why a comprehensive treatment strategy is often required.

If you’ve ever been told your pain is “normal,” that imaging looks fine, or that suppression is your only option, this episode explains what medicine often gets wrong about chronic pelvic pain in females and what women deserve to know instead.

This Episode Is Brought to You By

Dr. Brighten Essentials – NACDr. Brighten’s N-Acetyl Cysteine (NAC) https://drbrightenessentials.com/products/n-acetyl-cysteine is a high-quality formula designed to support glutathione production — your body’s master antioxidant. It helps promote healthy detoxification, immune resilience, respiratory health, and balanced inflammation.

Support your cells from the inside out.

Exclusive for podcast listeners: Use code POD15 at checkout for 15% off your order.

EndoGlobal Group

At EndoGlobal Group, a network of world-class endometriosis specialists comes together to provide comprehensive, multidisciplinary care for patients with complex endometriosis—offering advanced diagnostic mapping, complete excision surgery, and holistic support.

Click here to learn more and schedule a free consultation https://drbrighten.com/endoglobal

LUMEBOX

Ready to take your skincare results to the next level—right from home? 💡 LUME Box delivers professional-grade LED light therapy in a sleek, easy-to-use device that targets fine lines, pigmentation, and dullness at the cellular level. Just minutes a day can help boost collagen, calm inflammation, and reveal that lit-from-within glow. It’s the same science trusted in top dermatology clinics, now in your hands.

Shop now → https://drbrighten.com/lumebox use code drbrighten for our exclusive community discount on your purchase.

Meet the Doctors

Dr. Ana Sierra https://www.instagram.com/institutodoyenne/ is an endometriosis excision surgeon specializing in advanced laparoscopic treatment of complex endometriosis. She has extensive training in neuropelviology and pelvic pain.

Dr. Victoria Vargas https://www.washingtonendometriosis.com/dr-maria-victoria-vargas-md/ is a fellowship-trained minimally invasive gynecologic surgeon specializing in advanced laparoscopic surgery for endometriosis and complex pelvic disorders.

Dr. Shanti Mohling https://www.nwendometriosis.com/ is a board-certified obstetrician-gynecologist and internationally recognized endometriosis excision surgeon.

Dr. Cindy Mosbrucker https://pacificendometriosis.com/ is a fellowship-trained gynecologic surgeon specializing in excision surgery for endometriosis and complex pelvic pain disorders.

👩🏻‍⚕️Follow Dr. Jolene Brighten:

💻 Website:⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drbrighten.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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🌟 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

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👉 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. 💬
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If you’ve ever wondered “why do I get migraines before my period?” or felt weirdly “allergic” to your own cycle, you’re not imagining things. You may be stuck in the estrogen histamine feedback loop, a biologic back-and-forth where hormones and immune chemistry keep poking each other until symptoms flare.

This is the part that makes people feel dismissed: your labs can look “normal” while your body clearly isn’t acting normal. You bounce between an allergist for hives, a neurologist for migraines, a GI doctor for bloating, and maybe someone offering an antidepressant for the sudden anxiety that shows up like clockwork. Still, the pattern keeps repeating.

The reality is that estrogen and histamine aren’t separate storylines. They’re in the same conversation—sometimes as allies, sometimes as accelerants. Once you see the connection, a lot of “random” symptoms finally start to make sense.

This episode is brought to you by:

Dr. Brighten Essentials  https://drbrightenessentials.com/

Want science-backed supplements formulated by a doctor who actually understands women’s health? 🌿 At Dr. Brighten Essentials, every product is crafted to support your hormones, boost your energy, and help you feel your best—inside and out. From targeted nutrients for glowing skin to essentials that fuel your daily vitality, you’ll get the highest-quality ingredients in forms your body can truly use.

Exclusive for podcast listeners: Use code POD15 at checkout for 15% off your order.

EndoGlobal Group

At EndoGlobal Group, a network of world-class endometriosis specialists comes together to provide comprehensive, multidisciplinary care for patients with complex endometriosis—offering advanced diagnostic mapping, complete excision surgery, and holistic support.

Click here to learn more and schedule a free consultation
https://drbrighten.com/endoglobal

Fygg — a dentist-developed oral care brand on a mission to “Feed Your Good Guys.” Fygg makes science-backed, microbiome-friendly oral care products — like fluoride-free toothpaste and remineralizing varnish — that support a balanced oral microbiome without harsh chemicals, foam, or unnecessary ingredients. Developed by dentists and grounded in research, Fygg helps strengthen enamel, maintain oral health, and promote a healthier mouth for the whole family.

Use code DRBRIGHTEN for 15% off of their products (both one-time and subscription)

Shop now https://fygg.sjv.io/ragbBv

👩🏻‍⚕️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. 💬
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