21: Fibroids 101: What Every Woman Should Know with Dr. Elias Abi Khalil

Episode Description 

In this important episode, Dr. Elias Abi Khalil brings to light the often-overlooked reality of uterine fibroids. He discusses his personal and professional journey into gynecology, his frustration with how many women suffer silently, and his mission to ensure that patients are seen, heard, and empowered in their health decisions. Dr. Elias demystifies fibroids—from causes and symptoms to treatment options—and emphasizes the importance of education and advocacy in women’s healthcare. He also explains how systemic issues and lack of provider awareness contribute to health inequities, and what needs to change in medical education and care. This conversation is an essential listen for anyone navigating fibroids or supporting someone who is.

Key Themes & Takeaways:

Menstrual Health Challenges for Women 

• Discussion on the commonality of pelvic pain. Importance of recognizing pelvic pain as not normal is emphasized. 
• Explanation of fibroid development and risk factors. Genetics and environmental factors are highlighted as significant contributors.

Understanding Fibroids and Their Impact 

• The symptoms and diagnosis of fibroids are outlined. Heavy periods and pelvic pain are identified as primary symptoms. 
• The impact of fibroids on fertility is explained. Fibroids can hinder implantation and affect pregnancy rates. 

Interrelationship of Fibroids and Endometriosis 

• A connection between fibroids and endometriosis is discussed. It is emphasized that both conditions must be treated together.
• Statistics reveal that 20% of women with fibroids also have endometriosis. The importance of treating fibroids, endometriosis, and adenomyosis as a triad is highlighted. 
• The necessity of addressing pelvic pain symptoms is stressed. It is advised that patients should not be treated for just one condition. 

Treatment Options for Fibroids and Endometriosis

• Advice is provided regarding treatment for fibroids. Most patients do not require treatment unless symptomatic. 
• Symptoms related to fibroids are discussed, particularly heavy periods. Heavy periods can lead to iron deficiency anemia and require treatment. 
• Medical therapy options for fibroids are outlined. The focus is on controlling symptoms rather than eliminating fibroids. 
• Diet and lifestyle can influence estrogen levels. Proper management can reduce the risk of growths like fibroids and tumors. 

Awareness of Pelvic Pain and Health Issues

• Concerns about pelvic pain and its implications are discussed. Women are encouraged to seek help if experiencing severe symptoms. 
• The importance of finding a doctor who listens is emphasized. A long-term care plan for pelvic pain is recommended.
• Resources for learning about reproductive health are shared. Online and in-person consultation options at Clemenceau Medical Center are mentioned. 

Timestamps

• 00:00 Intro & Menstrual Health Challenges for Women 

• 07:18 Understanding Fibroids and Their Impact 

• 13:29 Interrelationship of Fibroids and Endometriosis 

• 18:52