Unravels the complexities of endometriosis and persistent pelvic pain one conversation at a time.
Join Dr Alecia Macrow, GP and founder of Thrive Family Practice, and Exercise Physiologist Cherie Noble, as they explore the tangled threads of pelvic pain with compassion, curiosity, and clinical insight. From hormones to hypermobility, trauma to treatment gaps, Endo Untangled dives into the real-life experiences and science behind one of the most misunderstood conditions in women’s health. We talk to experts, share stories, and challenge outdated thinking.
Ep 31. POTS 2.0: What to Do When Salt and Water Aren’t Enough w Cardiologist Dr Alexis Cutchins
POTS is often introduced with the same advice: drink more water and eat more salt.
What happens when that isn’t enough?
In this episode, we welcome back cardiologist Dr Alexis Cutchins for a practical deep dive into diagnosing and managing POTS. We talk through what can be done in primary care, when further cardiac investigation is useful, how to make salt, fluid and compression actually work, and how to approach exercise without triggering a crash.
Then we go beyond the basics, covering medications including midodrine, fludrocortisone, desmopressin, ivabradine and beta blockers, how blood pressure can help guide treatment, and why finding the right combination often takes some trial and error.
We also discuss orthostatic intolerance that doesn’t quite meet the textbook POTS criteria, the importance of early treatment, and why people shouldn’t have to wait a year for specialist review before anyone starts helping them feel better.
A practical episode for people living with POTS, the people who care about them, and health professionals wanting more confidence about what to do next.
14 Sept 2026
Ep 30: Ten things to get underway while you’re waiting (so you’re not starting from scratch)
Waiting for a pelvic pain appointment can feel like being stuck in limbo. But there are a few useful things you can get underway now, from organising some basic tests and screening to finding the right GP and starting to understand what might be contributing to your symptoms.
In this episode, Alecia and Cherie talk through practical things that may help while you wait, including what your bowels may be telling you, why breathing mechanics matter, whether hypermobility could be part of the picture, menstrual hibernation, and the value of finding a GP who can help coordinate your care.
There are 10 ideas in total, but this is not another giant to-do list. Pick one thing; start there.Resources mentioned in this episode:
💩 Bristol Stool Charthttps://www.england.nhs.uk/publication/constipation-resources-for-carers/
🚽 Constipation Scoring System / Cleveland Clinic Constipation Scorehttps://thepelvicfloorsociety.co.uk/_userfiles/pages/files/Cleveland%20constipation%20score.pdf
🦓 Hypermobility: Beighton Score + Five-Part Questionnairehttps://www.ehlers-danlos.com/assessing-joint-hypermobility/
💳 Medicare Safety Nethttps://www.servicesaustralia.gov.au/medicare-safety-nets
🧪 Cervical screening and self-collectionhttps://www.health.gov.au/resources/collections/self-collection-for-the-cervical-screening-test
As always, this podcast provides general information and is not a substitute for individual medical advice.
31 Aug 2026
Ep 29: Life on Hard Mode. ADHD, Hormones and Pelvic Pain with Dr Emilie Staehr
What happens when you add ADHD to an already complicated pelvic pain picture?
Dr Emilie Staehr joins us to unpack ADHD through a female lens: why it’s so often missed in women, how hormones can change the way symptoms show up, and what happens when executive dysfunction collides with the demands of managing chronic pain.
We talk periods, pregnancy and perimenopause, masking and burnout, and why asking someone to manage medications, appointments, physio, sleep, movement, bowel and bladder strategies can become almost impossible when ADHD is part of the picture.
And perhaps most importantly: what changes when you realise you’ve been living life on hard mode?
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