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Women with endometriosis are being ‘medically gaslit’, says study

Research reveals women’s experiences of ‘medical gaslighting’ and its psychological impact

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Women with endometriosis are being “medically gaslit” as they feel dismissed and ignored when accessing support, a new study has found.

The study, conducted by Manchester Metropolitan University, identified several barriers to care for women with endometriosis, including a postcode lottery around the quality of care and a lack of medical understanding from healthcare providers when women communicated their symptoms.

It showed the barriers, which were reported despite symptoms of ongoing pain, fatigue and low mood, left women feeling dismissed, disempowered and demotivated, having further impact on their wellbeing and mental health.

“The experiences of the women we spoke to are sad, shocking and reveal issues of systemic sexism that still exists within the healthcare system,” said senior lecturer in psychology, Dr Jasmine Hearn.

“What the participants told us reinforces that social norms surrounding the gendered experience of pain and the acceptability of discussing gynaecological health remain barriers to seeking help and support.

“The idea that ‘women’s issues’ should be dealt with quietly, stoically and alone is completely unacceptable.

“We hope that our study will help to change attitudes and systems so that every woman affected by endometriosis is believed, listened to and supported.”

‘I feel a lot of mistrust towards the healthcare system’

The study, published in the Journal of Health Communication, interviewed and surveyed a group of 33 women either diagnosed with endometriosis or awaiting diagnosis. The participants reported multiple challenges and barriers to seeking help and support.

According to the authors, “medical gaslighting” was an issue they viewed as being systemic within healthcare, leading to feelings of mistrust and dismissal.

One participant, Alice, 27, said: “I feel a lot of mistrust towards the healthcare system in general, simply because I have been told that the pain was in my head, that I must have a low pain threshold or that I was in pain because I was fat.”

Social stigma around discussing menstruation was also reported, with another participant, Emma, 21, saying: “I have no problem talking about menstruation and periods – but it is people’s and society’s reactions to the topic that makes me feel as though I cannot say anything. Almost as if it is a women’s issue that you must deal with quietly and alone.”

Participants reported that the healthcare providers lacked the appropriate medical understanding of endometriosis to provide effective support or referrals for further tests. This was cited as impacting relationships with healthcare practitioners, affecting confidence in seeking help and leading to negative emotions including fear, anger, frustration, depression and anxiety.

Lisa, 38, said: “I was put on several types of birth control to no benefit in pain reduction. We end up with other symptoms for taking these medications: addiction, stomach acid issues, stomach ulcers, constipation, unable to drive, unable to socialise or work, depression, weight gain, suicidal ideation, anxiety, unable to try for a baby. The list is endless, to be honest.”

According to the study, the women also discussed what they felt to be a postcode lottery when it comes to quality of care, with one participant reporting having to travel 52 miles to see her gynaecologist.

Endometriosis, a condition in which tissue similar to the lining of the womb grows outside the womb, affects one and a half million women in the UK.

However, there is currently no cure for it and it can be difficult to diagnose and manage, with invasive keyhole surgery one course of action and hysterectomy, a more drastic option.

Based on the findings of their study, the researchers from Manchester Metropolitan University have offered a series of recommendations to improve experiences of healthcare and reduce the diagnosis delay for women affected by endometriosis.

These included improving knowledge and awareness of endometriosis and other gynaecological conditions, more effective communication within healthcare systems, reducing stigma when discussing the condition and prioritising gynaecological health issues when considering waiting lists.

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The vital role of AI skills in women’s career advancement and practical steps to begin

By: Chaitra Vedullapalli, Co-Founder & President of Women in Cloud

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With the unparalleled level of noise, confusion, and fear surrounding AI it can become overwhelming to parse out what news is sensationalised and what is true, especially when it comes to AI and the impact it has on the jobs market. 

Contrary to what some fear-mongering articles have shared, according to the 2024 Work Trend Index from Microsoft and LinkedIn, tech leaders are worried about whether or not they will be able to fill key roles. 

Over the past eight years companies have hired up to 323 per cent of technical AI talent.

Now they’re turning their sights to non-technical talent with AI aptitude. This means they’re actively seeking new team members with the skills to use generative AI tools like ChatGPT and Copilot. 

As the founder of an organisation committed to generating $1B in new economic access for women and allies in tech by 2030, I can see a huge opportunity for diverse women and allies in tech to land new roles and as a result speed up the closure of the representation and gender gap.

How?

By actively preparing, pursuing and learning new skill sets and earning the credentials to prove it. 

To get ahead of this anticipated hiring wave, here are three reasons to pursue certifications and credentials for real-world skill sets that address critical business problems right now:

  1. Career Advancement in an AI-centric Economy: By gaining relevant project-based, you will enhance your confidence and increase your trust level with current managers as well as hiring managers. In an AI-driven economy, possessing AI skills becomes imperative for career progression. Investing time in developing these skill sets now ensures you are well-positioned to seize opportunities and contribute meaningfully to any organisation’s growth.
  2. Future-proofing Skillsets for AI Opportunities: Investing in AI skills today equips you with future-proof capabilities essential for navigating the evolving job market. By seizing AI opportunities now, individuals ensure they stay ahead of the curve and remain adaptable and competitive in an AI-driven environment.
  3. Accelerated Skill Development and Enhanced Professional Profile: Pursuing scenario-focused credentials enables individuals to achieve credentials faster, accelerating their skill development journey. By showcasing project-based proficiency, individuals will differentiate themselves and demonstrate their ability to apply theoretical knowledge to real-world situations. 

Rather than staying stuck in fear of how AI may change the jobs landscape, women everywhere need to reframe this shift as an invitation to enter tech for the first time or scale to a new role they’ve been aiming for. 

It’s no secret that the entry barrier for diverse and underrepresented communities in tech is often much greater than not.

However, one of the most overlooked and underutilised ways to mitigate this is obtaining certifications and verifiable credentials for skillsets companies will have as requirements when hiring for new roles. 

A great place to start your journey is with the #WICxSkillsReadyChallenge.

This initiative leverages Microsoft Applied Skills, offering a new verifiable credential that validates specific real-world skill sets that address critical business problems.

This new skill set can be earned through interactive lab-based assessments on the Microsoft Learn platform in weeks.

During this challenge participants will earn Microsoft Applied Skills credentials in AI in just weeks, have the opportunity to win exciting prizes every month, receive exclusive invitations for spotlights, speak at events, network with recruiters, and connect and become a part of the record-setting WIC community.

We encourage all genders to apply, with priority given to women across all global markets and historically underrepresented populations.

I invite you to apply here today, it’s valued at $4500 and it is 100 per cent free.

The change I’ve witnessed from women taking advantage of opportunities like this is drastic.

Two journeys particularly stand out to me, those of Shammah Saratu Yaro and Caleb Yeboah have been inspiring and transformative.

The scholarships have helped them attain certifications, and access free vouchers enabling them to take exams and land new DevSecOps roles, accelerating their career growth and leadership opportunities. 

You can begin your journey today.

Setting aside a few weeks to continue or begin your personal and professional development with applicable skills in the tech industry is a lifelong practice that will keep you ahead of the curve, for AI and beyond.

Chaitra Vedullapalli Bio:

Chaitra Vedullapalli is the award-winning Co-Founder and CMO of Meylah and Co-Founder and President of Women In Cloud.

In her 26 years in tech, Chaitra has driven billion-dollar expansions for both Microsoft and Oracle, has been recognised with the Forbes 1000 Next Entrepreneur title, Microsoft Women’s Leadership Award, set a new Guinness World Record, and is listed as one of 100 Most Innovative MarTech Leaders by World Marketing Congress.

Presenting before the UN, at TedX, Grace Hopper Celebration, and Microsoft Inspire, she is a purpose-driven, strategic, high-growth thought leader who seamlessly bridges business and technology to help companies globally scale and drive digital economic development. 

Her mission is to generate $1B in new net economic access for women entrepreneurs and professionals by 2030 through global partnerships with corporations, community leaders, and policymakers.

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Taking charge of your well-being: A guide to pelvic health

By Gloria Kolb, Co-founder & CEO – Elitone

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Pelvic health is a vital yet often overlooked aspect of overall well-being. It encompasses the proper functioning of the muscles, ligaments, and tissues that support the pelvic organs and plays a critical role in daily activities and quality of life. 

Despite its importance, pelvic health remains shrouded in silence and stigma.

Many people hesitate to discuss issues like incontinence, pelvic pain, sexual health concerns, and pelvic organ prolapse due to societal taboos and misconceptions.

This reluctance to talk openly can lead to prolonged suffering and a diminished sense of well-being.

By shedding light on the various aspects of pelvic health, we aim to break the taboo, educate on everyday issues, and empower individuals to take proactive steps in managing their pelvic health.

Understanding the significance of pelvic health and addressing problems early can lead to a more vibrant, healthy, and fulfilling life.

Understanding pelvic health

Pelvic health refers to the optimal functioning of the pelvic floor, which forms a supportive base for the pelvic organs, including the bladder, uterus, and rectum.

These muscles play a crucial role in urinary and faecal continence, sexual function, and support during physical activities.

The pelvic floor acts like a hammock, providing stability and support to the pelvic organs.

When these muscles are strong and functioning correctly, they help maintain proper organ positioning and function.

However, various factors such as aging, childbirth, surgery, obesity, and chronic straining can weaken or damage the pelvic floor muscles, leading to a range of health issues.

The importance of pelvic health

Neglecting pelvic health can lead to various complications, from mild discomfort to severe disruptions in daily activities.

For instance, incontinence can result in social embarrassment and a reluctance to engage in physical activities, while chronic pelvic pain can interfere with work, exercise, and personal relationships.

Sexual health issues related to pelvic floor dysfunction can affect intimacy and emotional connection with partners.

The long-term consequences of ignoring pelvic health can be profound, leading to chronic pain, mental health struggles, and decreased independence.

Early intervention and proactive management of pelvic health are essential for preventing these outcomes and promoting overall well-being.

Recognising the importance of pelvic health empowers individuals to seek appropriate care and take steps to maintain or restore their pelvic floor function, ultimately enhancing their quality of life.

Common pelvic health issues

Understanding the common issues that affect pelvic health is crucial for recognising symptoms early and seeking appropriate care. Some of the most prevalent pelvic health problems include:

  • Incontinence: This refers to the involuntary leakage of urine or faeces. Different types include stress, urge, overflow, and functional incontinence. Causes range from weakened pelvic floor muscles to nerve damage and underlying health conditions.
  • Pelvic pain: This discomfort in the lower abdomen and pelvic region can be brought on by chronic conditions like endometriosis and interstitial cystitis. Acute issues such as infections or injuries can cause persistent pain, impacting daily activities and emotional well-being.
  • Sexual health concerns: These include dyspareunia (painful intercourse), decreased libido, and erectile dysfunction. Causes can be hormonal, muscular, or psychological. Addressing these concerns is vital for maintaining intimacy and relationship satisfaction.
  • Pelvic organ prolapse: This occurs when the pelvic organs descend and fall out of place, with common causes including childbirth, aging, and obesity. Symptoms range from heaviness in the pelvic area and discomfort sitting down to urinary and bowel dysfunction. Early intervention is essential for managing symptoms.

Understanding and addressing these common pelvic health issues is vital for improving quality of life and overall well-being.

Awareness, open communication, and timely medical intervention can help manage these conditions effectively, empowering individuals to lead healthier, more fulfilling lives.

Diagnosis and treatment options

Pelvic health issues are typically diagnosed through routine pelvic examinations, which assess the position and support of pelvic organs and can identify problems such as prolapse and muscle weakness.

Imaging tests, including ultrasound, MRI, and CT scans, provide detailed images of the pelvic area, helping to diagnose structural problems and guide treatment plans.

Additionally, questionnaires and symptom checklists assist healthcare providers in understanding the severity and impact of symptoms on daily life, aiding in accurate diagnosis.

Treatment options for pelvic health issues fall into two main categories: conservative measures and medical interventions.

Conservative measures often serve as the first line of defence.

Lifestyle modifications, such as diet changes, bladder training, weight management, and avoiding heavy lifting, can alleviate symptoms.

Pelvic floor physical therapy, involving exercises designed to strengthen the pelvic floor muscles, can improve function and reduce symptoms.

Non-surgical devices, like pessaries and stimulation, can help manage prolapse and incontinence without the need for surgery. 

When conservative measures are insufficient, medical interventions may be necessary to help manage pain, inflammation, and symptoms of incontinence or prolapse.

Minimally invasive procedures such as injections or medication may offer relief for various pelvic health issues.

In severe cases, surgical options like pelvic floor reconstruction and sling procedures for incontinence or prolapse may be required.

It is crucial to carefully weigh the risks and benefits of surgery with a healthcare provider. 

Treatment should be tailored to each person’s specific condition, symptoms, lifestyle, and preferences.

However, it is key to note that more medical interventions may not be more productive than conservative ones.

Holistic approaches to pelvic health

Adopting holistic approaches to pelvic health can significantly enhance overall well-being by addressing physical, mental, and emotional aspects.

Regular exercise, particularly pelvic floor exercises like Kegels, strengthens these muscles, while whole-body activities such as yoga and Pilates improve core strength and flexibility to support pelvic health.

Specific yoga poses like Bridge Pose and Goddess Pose target the pelvic floor, while mindfulness practices reduce stress.

Nutrition is also vital. A fibre-rich diet prevents constipation, which reduces pelvic strain, while hydration helps maintain urinary health, and anti-inflammatory foods help manage pelvic pain.

Protein can help build the needed pelvic muscles.

Alternative adjunct therapies, including acupuncture, chiropractic care, and biofeedback, can complement traditional treatments in alleviating pain, improving muscle function, and enhancing overall pelvic health.

Integrating these holistic methods fosters a balanced approach to maintaining and improving pelvic health, leading to a healthier, more fulfilling life.

Breaking the taboo and empowering yourself

Breaking the taboo surrounding pelvic health is essential for empowering individuals to take charge of their well-being.

Societal stigma often discourages open discussions about pelvic health issues, leaving many people feeling isolated and ashamed of their experiences.

By normalizing conversations about pelvic health, individuals can overcome this stigma and access the support and resources they need.

Empowering oneself to take charge of pelvic health begins with education and awareness.

Understanding the signs and symptoms of pelvic health issues allows individuals to recognise when they need help and seek appropriate care.

Open communication with healthcare providers is crucial for discussing concerns and developing personalised treatment plans.

Additionally, joining support groups or seeking guidance from mental health professionals can provide valuable emotional support and validation.

By embracing a proactive approach to pelvic health and advocating for their own well-being, individuals can reclaim control over their bodies and lives.

By fostering a culture of openness and support, we can break down barriers and ensure everyone feels empowered to prioritise their pelvic health and live their lives to the fullest.

Gloria Kolb is the CEO and co-founder of Elitone, an FDA-cleared, non-invasive wearable treatment for women with urinary incontinence. Elitone has won “Best New Product” by My Face My Body awards, Sling Shot 2020, and numerous startup pitch awards.

As an inventor with 30  patents, Gloria’s accolades include being featured in Forbes as a Top Scientist Driving Innovation in Women’s Health.

Her creative designs and problem-solving abilities have earned her recognition, such as Boston’s “40 Under 40” Award and MIT Review’s “World’s Top Innovators under 35”.

With Mechanical Engineering degrees from MIT and Stanford and an Entrepreneurship MBA from Babson College, Gloria’s expertise extends to consulting, where she evaluates technology and clinical markets for various inventions and startups.

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ProgenyHealth expands partnership to improve maternal health

The partnership aims to “personalise” maternity and NICU care management through a whole-person approach

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Ellen Stang, ProgenyHealth founder and executive chairwoman and Susan Torroella, ProgenyHealth CEO

The healthcare company ProgenyHealth has expanded its partnership with the women’s health solutions company Wildflower Health to improve maternal health outcomes.

The collaboration aims to break down “existing silos” and help health plans move faster to improve maternal and infant health outcomes.

ProgenyHealth is on a mission to transform NICU care management driving towards better outcomes and lower total costs for babies that experience a NICU stay.

The company’s maternity programme covers the time period from conception and pregnancy to postpartum and parenting with special expertise in managing premature and complex births and resulting NICU admissions.

By extending its reach to prenatal care management several years ago, ProgenyHealth says it was able to both improve maternal health and target NICU prevention.

The company turned to Wildflower Health to advance its mission.

“We have been working with Wildflower Health over these past few years  to provide integrated solutions to moms throughout their entire pregnancy journey,” said Susan Torroella, CEO at ProgenyHealth.

“While digital tools and consumer apps are not new to the world of healthcare, we are taking a uniquely cooperative approach to member-facing technology that positively affects enrollment, engagement, and health plan member impact.

“In a time when it is important for health plans to continually differentiate their work and value, our ongoing collaboration with Wildflower does just that. Together, we believe it is our responsibility to provide the best technology solutions along with the most compassionate human connection.”

The partnership, Torroella said, seeks to “personalise” maternity and NICU care management through a whole-person approach.

Leah Sparks, founder and CEO, Wildflower, said: “Wildflower’s overall solutions comprehensively address access, cost, outcomes and experience throughout women’s health.

“Our strategic partnership with ProgenyHealth seamlessly helps health plans fill gaps, collapse silos and integrate into existing clinical and operational workflows.

“When it comes to maternal health, early identification coupled with timely member engagement drives momentum and improves care. Our goal is to always support the whole person by helping address the clinical and social determinants of health (SDOH) needs of members and their families.”

The healthcare challenges facing women in the US, particularly when it comes to giving birth, are growing. While maternal mortality rates have more than doubled since 2000, a majority of these deaths are preventable.

To improve in this regard, ProgenyHealth believes the industry must strive to remove “artificial barriers” to care and move faster and engage members, while providing support and resources to ensure a healthier pregnancy.

“Once health plans have identified pregnant members, it is critical that they maintain consistent engagement to avoid missed interventions and opportunities,” Torroella explained.

“As more than 60 per cent of pregnancy-related deaths are preventable, it is important that new mums are aware of all recommended prenatal and postpartum care options available to them.

“This is a huge first step in reducing maternal mortality and morbidity.”

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