Female Medicine, Fertility and Menopause

  Functioning Is Not the Same as Being Well I have just finished a new book: The Smart Woman’s Guide to Mental Wellbeing An Honest, Gentle, Science-Aware Guide to Stress, Confidence, Emotion, Love, Overload and Feeling Like Yourself Again It began with a simple thought that I think many women will recognise: We can be capable and struggling at the same time. We can answer the emails, remember the appointments, make dinner, look presentable, care for other people, keep the house more or less running, perform competence at work, and still feel as if something inside us is becoming thin. From the outside, a woman may look fine. She may be organised. Polite. Attractive enough. Sensible enough. Cheerful enough. Useful enough. She may still be doing the shopping, remembering birthdays, managing the family details, replying to messages, caring for parents, supporting children, keeping a relationship going, or holding a job together. And because she is still functioning, everyone ...

  Breast Screening Should Become Early Prevention I have just published a new paper on ResearchGate that I think may be one of my more practically important Stein Medicine proposals: AI-Guided Acoustic Anchor-Ratcheting for Early Breast Cancer Prevention https://www.researchgate.net/publication/404911640_AI-Guided_Acoustic_Anchor-Ratcheting_for_Early_Breast_Cancer_Prevention The basic idea is simple. Breast screening is currently mostly about detection. A woman goes for a mammogram. The scan is read. If something looks suspicious, she may be recalled, scanned again, biopsied, monitored or treated. That pathway saves lives, of course. Early detection is far better than late detection. But detection is still not prevention. If a scan shows a region that is not yet cancer, not yet DCIS, not yet clearly diagnostic, but is repeatedly suspicious or subtly abnormal, medicine often has only a few choices: reassure, monitor, biopsy, excise, or wait. That is understandable, because me...

 I’ve just published a new free book that has been on my mind for quite a long time: The Smart Woman’s Guide to Endometriosis – A Clear Guide to Pain, Fertility, Treatment, and Long-Term Relief. Endometriosis affects millions of women, yet many still struggle to get clear explanations about what it is, why it causes so much pain, and why it can be so difficult to treat. Over the last year, I kept noticing the same pattern: the medical facts were available, but they often felt fragmented and hard to connect into a complete picture. As my own Stein Theory developed, more pieces became visible and finally, I have put it all together in a short book, around 24,500 words. In the first part, I explain endometriosis in straightforward language — what it is, why it hurts, how it affects fertility, and what current treatments are designed to do. This section is written for ordinary readers who simply want to understand what is happening in their bodies and why symptoms can vary so much from...

  Endometriosis Is Not “Just Lesions” — It’s a Persistence Problem Most women with endometriosis already know something that medicine still struggles to say out loud. The pain doesn’t always match what scans show. Surgery can “work” and then somehow… not work. Hormones help for a while, then stop helping. Pregnancy can bring relief, and then symptoms return. You can do everything right and still end up back where you started. If endometriosis were simply about rogue tissue growing in the wrong place, none of this would make sense. But that’s not what’s really going on. The real problem isn’t just what’s there — it’s what won’t switch off Endometriosis behaves less like a tumour and more like a state the body gets stuck in . Certain tissues enter a mode where inflammation, pain signalling, altered mechanics, and hormonal sensitivity reinforce each other. Once that state is established, it can persist across cycles, treatments, and even surgery. This is why removing visi...

  My book on dementia:  https://play.google.com/store/books/details?id=dey1EQAAQBAJ Dementia Is Not a Switch — It’s a Coordination Failure Most people who live alongside dementia notice something that medicine still struggles to explain properly. Clarity comes and goes. Some days are good. Some are foggy. Someone can be “still there” in the morning and oddly absent by evening. Sleep helps. Illness makes everything worse. Certain medications suddenly seem to dull thinking, even when scans don’t change. None of that fits the idea that dementia is simply neurons dying one by one. And that’s because it isn’t. Dementia does involve long-term structural damage in later stages, but it almost always starts much earlier as a coordination failure , not a loss of intelligence, personality, or memory storage. The brain still has the information. What it struggles with is holding itself together long enough to use it . That distinction matters more than most people realise. The...

Midlife confidence is often misunderstood. People talk about it as if it’s some sudden glow-up, a switch that flips when you hit a certain age and finally “stop caring what people think”. That’s not how it works for most women. For many, midlife confidence arrives slowly, unevenly, and only after a period where confidence actually drops. By midlife, most women are tired. Not just physically, but mentally. Years of responsibility stack up: work, relationships, caregiving, emotional labour, health changes, financial pressure, and the constant background noise of expectations. Somewhere along the way, many women stop checking in with themselves and start running on habit and duty. Confidence doesn’t disappear overnight, but it gets thinner. Less reliable. Easier to knock. Hormonal changes don’t help. Perimenopause and menopause can affect mood, sleep, focus, and emotional resilience. When your body feels unpredictable, it’s hard to feel grounded. Many women blame themselves for this, as...

Endometriosis is one of the most stubborn conditions in women’s health. Around one in ten women of reproductive age live with it, and for many it means years of pain, heavy periods, fatigue, and sometimes infertility. Current treatments aren’t ideal. Hormone suppression often brings unpleasant side effects, and surgery carries risks of recurrence — up to 40% of women need repeat operations within five years. Vesicle-Based Corridor Therapies for Endometriosis I’ve just published a new paper that proposes a different way forward: vesicle-based corridor therapies . This sounds technical, so let’s unpack it. What makes endometriosis so hard to treat? Endometrial tissue belongs in the uterus, where it follows a precise monthly cycle. But in endometriosis, those same cells appear outside — on ovaries, bowel, bladder, or peritoneum. Instead of behaving, they build tiny “corridors” that don’t match the tissue around them. Think of it as electrical wiring crossed at the wrong angle. The resu...