PodcastsHealth & WellnessThe Dr. Brighten Show

The Dr. Brighten Show

Dr. Jolene Brighten
The Dr. Brighten Show
Latest episode

153 episodes

  • The Dr. Brighten Show

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

    2026-05-28 | 26 mins.
    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

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

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  • The Dr. Brighten Show

    Estrogen and Dopamine: Why Your Brain, Motivation, and ADHD Symptoms Can Change With Your Hormones

    2026-05-26 | 29 mins.
    Pre-order ADHD and Women by Dr. Jolene Brighten http://drbrighten.com/adhdandwomen and discover how hormones shape focus, motivation, executive function, and emotional regulation.

    This conversation is about one of the most misunderstood areas in women’s health: how hormones interact with the brain. Dr. Brighten explains why estrogen is not just a reproductive hormone, why dopamine is not just a “pleasure chemical,” and why hormonal changes can influence motivation, reward, focus, working memory, task initiation, emotional bandwidth, and the way your brain responds to stress.

    You’ll also learn why perimenopause can be such a blindsiding experience for women who previously felt like they were “holding it all together.” Estrogen doesn’t always decline in a neat, straight line. It can fluctuate, surge, and drop, and those changes can feel disruptive for the brain, especially if you already have ADHD, PMDD, premenstrual exacerbation, depression, anxiety, chronic stress, trauma, or a history of traumatic brain injury.

    Dr. Brighten also makes one point very clear: this is not a “go start hormones” episode. This is a “your brain symptoms deserve a real differential diagnosis” episode. Hormones matter, but so do thyroid function, iron status, sleep, B12, vitamin D, insulin resistance, metabolic health, inflammation, medication response, stress load, and your lived experience of symptoms.

    This Episode Is Brought to You By

    Dr. Brighten Essentials

    Radiant Mind Your brain deserves support every day—not just when your focus disappears, your motivation crashes, or your hormones decide to make executive function feel like a full-contact sport. Radiant Mind by Dr. Brighten Essentials was formulated to support cognitive function, mental clarity, and a healthy stress response, making it a perfect companion to today’s conversation about estrogen, dopamine, focus, and women’s brain health.

    Get Radiant Mind here https://drbrightenessentials.com/products/radiant-mind

    Sunlighten Saunas

    Supporting your brain and hormones isn’t only about what you take—it’s also about how you support your body’s resilience. Sunlighten Saunas are designed to help you create a restorative wellness ritual at home, supporting relaxation, sweating, and recovery. For women navigating stress, perimenopause, and the daily demands on the nervous system, having a consistent way to unwind can be a powerful part of your self-care routine.

    Learn more about Sunlighten Saunas here https://get.sunlighten.com/drbrighten

    LMNT

    Hydration matters for energy, focus, workouts, sauna sessions, and feeling like your brain actually came online today. LMNT is an electrolyte drink mix with sodium, potassium, and magnesium—and no sugar—making it an easy way to support hydration, especially if you’re sweating, exercising, eating lower carb, or simply need help keeping up with mineral intake.

    Get LMNT here http://drinklmnt.com/Brighten

    Thank you to our sponsors for supporting The Dr. Brighten Show and helping us bring evidence-informed women’s health conversations to more people.

    👩🏻‍⚕️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

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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. 💬
    Learn more about your ad choices. Visit megaphone.fm/adchoices
  • The Dr. Brighten Show

    PMDD vs PME: How to Tell the Difference and Why It Changes Treatment

    2026-05-21 | 15 mins.
    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

    If symptoms get worse before a period but do not let up once bleeding starts, is it really PMDD, or could it be PME instead? In this episode, Dr. Brighten breaks down why PMDD vs PME is not a small wording difference but a clinical distinction that can change what treatment needs to address.

    Listeners will learn how to tell whether symptom timing fits PMDD or PME, why the symptom-free or mostly symptom-free window matters so much, what two months of daily tracking can reveal before a doctor's appointment, which underlying issues can be mistaken for PMDD, including ADHD, depression, anxiety, thyroid problems, and chronic pain, and why severe mood symptoms, self-harm thoughts, or suicidal thoughts need medical and mental health support instead of self-diagnosis.

    For anyone who has been told it is just hormones, this episode leaves one question hanging: what does the full month actually show?

    👩🏻‍⚕️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:

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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. 💬
    Learn more about your ad choices. Visit megaphone.fm/adchoices
  • The Dr. Brighten Show

    Autoimmune Disease Management with Dr. Terry Wahls: Nutrition, Mitochondria, and Women's Hormone Transitions

    2026-05-19 | 47 mins.
    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

    Autoimmune disease management is often reduced to one question: which medication comes next? This episode pushes back on that narrow frame.

    For listeners living with fatigue, brain fog, pain, or gradual loss of function, that frustration is real. The conversation with Dr. Terry Wahls centers on a different idea: autoimmune disease is not only about immune signaling, but also about mitochondrial energy production, nutrient status, gut integrity, environmental load, and hormone transitions.

    That does not turn the episode into an anti-medication message. It makes the case that symptom burden and progression may be shaped by modifiable lifestyle factors that deserve far more attention than they usually get.

    So what happens when the standard conversation is too small for what patients are actually experiencing? This episode changes the conversation.

    This Episode is Sponsored 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

    LMNT Electrolytes 

    Want a clean, science-backed way to stay hydrated and energized? At LMNT, electrolytes are formulated with a precise balance of sodium, potassium, and magnesium — with no sugar, no artificial ingredients, and no unnecessary fillers. Designed to support hydration, muscle function, and daily energy, LMNT helps you feel your best through workouts, busy days, and everyday life.

    Exclusive for podcast listeners: Visit http://drinklmnt.com/Brighten to receive a free sample pack with any purchase.

    Meet Terry Wahls

    Dr. Terry Wahls website https://terrywahls.com/

    Dr. Terry Wahls Instagram https://www.instagram.com/drterrywahls/

    Environmental Working Group consumer guides https://www.ewg.org/

    The Wahls Protocol https://amzn.to/4tP7RRX

    👩🏻‍⚕️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

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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. 💬
    Learn more about your ad choices. Visit megaphone.fm/adchoices
  • The Dr. Brighten Show

    PCOS Has a New Name: What PMOS Means and What Still Hasn’t Changed

    2026-05-14 | 38 mins.
    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

    PCOS has a new name, and a lot of people are asking the right question: does this actually change anything?

    In this episode, I break down the shift from PCOS to PMOS—polyendocrine metabolic ovarian syndrome—and why I see it as directionally positive, but nowhere near sufficient on its own. The old name was misleading. It made “cysts” the focus, even though those findings were often just follicles, and it helped turn ultrasound imaging into the main character instead of the patient sitting in front of the provider.

    That needed to change.

    But a more accurate label does not automatically produce more accurate care. If clinicians still reduce this condition to irregular periods, acne, infertility, or a weight problem, then women are still going to be missed, misunderstood, and treated one symptom at a time.

    What You’ll Learn in This Episode

    What PMOS means and why PCOS is being renamed

    Why the word “cysts” sent the conversation in the wrong direction

    How ultrasound findings became overemphasized in diagnosis and care

    Why the PMOS name change is helpful but still incomplete

    Why “metabolic” should not be translated as “this only counts if you live in a larger body”

    How lean PCOS patients risk being overlooked again

    Why symptom-by-symptom treatment is still one of the biggest failures in mainstream care

    Where supplements like inositol, spearmint, green tea extract, and saw palmetto may fit

    Why health coaches and influencers are now repeating metabolic PCOS insights they did not originate

    This Episode is Sponsored By

    Dr. Brighten Essentials 

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About The Dr. Brighten Show
Dr. Jolene Brighten, a best-selling author, board certified naturopathic endocrinologist, and women’s health expert, hosts The Dr. Brighten Show—a podcast dedicated to igniting transformative conversations in women’s health. Through candid interviews with leading experts, innovators, and thought-leaders, this show brings you groundbreaking research, personal stories, and practical tools to help you confidently navigate your body and hormones. It’s a fun, engaging, and insightful journey designed to empower you with tangible, science-backed insights, so you can live your best, most vibrant life.
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