Marco Antonio Regil en Fórmula · Radio Fórmula

¿Cómo es vivir con ENDOMETRIOSIS? I Martes 07 de Abril 2026

·1 hr 35 min·7 clips

Why do millions of women suffer for years without a diagnosis for endometriosis, sometimes being told to just endure severe pain?

1. Marco Antonio Regil en Fórmula features host Marco Antonio Regil on Mexican Radio Fórmula, with gynecologist Dr. Paloma de la Torre as the main guest for a detailed episode on endometriosis. 2. Dr. Paloma de la Torre is a gynecologist specializing in menopause, with a nutritionist in her practice; she is described by Marco as being known for explaining complex medical topics accessibly and with humor. 3. The episode is structured around answering why 200 million women worldwide live with undiagnosed endometriosis, what the condition is, how to identify it, and how to treat it. 4. Marco opens with a personal example: a friend was told at age 29 that her best option was to have everything removed and enter early menopause — prompting his question of whether this is actually what modern medicine recommends. 5. Dr. de la Torre explains the root of diagnostic failure: mothers and grandmothers normalize severe menstrual pain, telling daughters 'it's normal, you'll manage' — creating generational silence that delays women from ever seeking evaluation. 6. A YouTube poll during the episode showed 22% of the audience believes severe menstrual pain is normal even among people listening to a program discussing endometriosis — Dr. de la Torre says this illustrates the scale of the normalization problem. 7. Dr. de la Torre gives a clinical explanation of endometriosis: uterine-lining tissue (endometrium) that migrates outside the uterus onto the peritoneum — the film covering all internal organs — and causes a 'mini-peritonitis' each time the woman menstruates, explaining why the pain is more intense than a normal cycle. 8. Endometrial implants can attach to the intestine, bladder, ovaries, and other organs; when implants form in the ovary and cannot exit, they become 'chocolate cysts' (endometriomas) that require laparoscopic surgery to remove. 9. In severe cases, Dr. de la Torre says endometriosis 'almost like cancer' in its invasive capacity — it can destroy sections of intestine, adhere to the bladder, and require removal of entire ovaries if the endometrioma grows too large. 10. The three key diagnostic symptoms are dysmenorrhea (menstrual pain), dyschezia (pain during bowel movements while menstruating, indicating rectal or colon implants), and dyspareunia (pain during sex from peritoneal pressure) — all three chronically present is the clinical signal to seek diagnosis. 11. Measurable risk factors include menstrual onset before age 12, cycles shorter than 26 days (counted from first day to first day, not bleeding duration), and nulliparity (never having been pregnant). 12. Dr. de la Torre explains why pregnancy reduces risk: the progesterone of pregnancy suppresses estrogen-dependent endometrial implants — and modern reproductive choices toward fewer or no pregnancies correlate with rising endometriosis prevalence. 13. Definitive diagnosis requires laparoscopy — a surgical procedure with a camera — which Dr. de la Torre says should be considered a diagnostic tool in Mexico rather than a last resort, as it allows simultaneous diagnosis and ablation of visible implants. 14. Treatment options include progesterone-only hormonal contraception to suppress estrogen and shrink implants, and laparoscopic surgery for endometriomas; there is no permanent cure because the condition has multiple origin theories including genetic and stem-cell explanations. 15. The earlier segment with nutritionist Natalie Marcus covers epigenetics and personalized supplementation, explaining that foods communicate with genes through epinutrients like curcumin, olive oil, quercetin (from garlic, red onion, apples), and green tea catechins. 16. Marcus explains that folic acid supplementation requires attention to genetic variants — she herself has a methylation mutation making unconverted folic acid useless, and women with infertility or recurrent miscarriages may have the same variant requiring pre-methylated B vitamins. 17. Both Dr. de la Torre and Marco draw a lesson from a news story about people dying in Sonora from contaminated intravenous vitamin cocktails: supplements and IV drips should be prescribed individually after testing, not taken based on podcast recommendations or wellness spa memberships. 18. The episode has a warm, conversational tone, with Marco asking questions from a layperson's perspective, Dr. de la Torre using analogies like 'imagine the menstruation were purple so you could see it,' and live audience participation via YouTube polls. 19. Best suited for Spanish-speaking women aged 15-45 who suspect they may have endometriosis, and for men who want to better support daughters, partners, or friends dealing with unexplained chronic menstrual pain. 20. Likely to frustrate listeners seeking clinical guidelines at a specialist level or English-language content; the episode is radio-format and covers multiple unrelated topics within a single broadcast.

Listen to the show on

Apple Podcasts Spotify

Play clips from this episode More from Marco Antonio Regil en Fórmula