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  4. Period Pain: Is Your Pain Being Taken Seriously? It Should Be. Says Gynaecologist Dr Praveen De Silva
This is where the period pain conversation gets real.

In the first episode of our Period Pain Mini-Series, Kat sits
down with Dr Praveen De Silva, a New Zealand-born gynaecologist,
endometriosis surgeon, and Clinical Lead for Endometriosis and
Laparoscopic Surgery at Te Whatu Ora Waitemata. He was also the
name our community called out overwhelmingly when we asked who
they wanted to hear from on this topic. And after this
conversation, it's easy to see why.

Dr Praveen opens up about his own journey into women's health,
from a passion for obstetrics to completing a two-year fellowship
at the world-leading Sydney Women's Endosurgery Centre, and why
period pain became the area he chose to dedicate his career to.

Together, we unpack one of the most important distinctions in
women's health: period pain is common, but significant period
pain is not normal. 

Dr Praveen walks us through what that actually means, what's
happening in the body during a painful period, and at what point
symptoms cross the line from manageable to something that
deserves medical attention.

We also get into the reality of navigating the New Zealand health
system with period pain, the delays, the frustration, and what
self-advocacy actually looks like in both the public and private
sectors. Dr Praveen shares what a specialist appointment looks
like from his side of the table, why he approaches each patient
as a collaborative brainstorm rather than a one-size-fits-all
prescription, and why he'll be the first to admit he doesn't have
all the answers.

From pain medication and hormonal contraception to the
multidisciplinary team approach, surgery, and the long-overdue
shift toward diagnosing endometriosis without requiring an
operation first, this conversation covers the full picture.
Including the stat that still stops us in our tracks: it takes an
average of seven to eight years to receive an endometriosis
diagnosis in New Zealand.

If you are pushing through period pain and wondering whether what
you're experiencing is normal, this episode is for you. Part one
of five in this deep dive into period pain. All episodes of the
mini-series are available now.

Find Dr Praveen De Silva at Auckland Gynaecology Group in
Newmarket, Waitemata Surgeons in Takapuna, and in Whangārei.
Online consultations available from anywhere in New Zealand.

Website: drpraveendesilva.com 

Follow and connect

Instagram: @wearethecyclist

Website: wearethecyclist.com

Hit play. You don’t have to go through this alone.

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