Kate Helen Downey

CRAMPED

Health EN ↓ 49 episodes

Tired of suffering from "death cramps" for 20 years, Kate Helen Downey has to find her own answers. She interviews top doctors and researchers, and delves into topics from period poops to endometriosis surgery to TikTok wellness scams, all to figure out why menstrual pain is so often dismissed and untreated. What she finds will change how you think about your own body and the medical system. Because having a microphone gets you more answers than having a uterus.

Author

Kate Helen Downey

Category

Health

Podcast website

art19.com

Latest episode

Jul 7, 2026

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Episodes

Recurring UTIs, BV, and Yeast Infections: The Vaginal Microbiome 21.10.2025

Kate brings on a friend for a Case Study episode all about recurring UTIs and the vaginal microbiome. They take a microbiome test and talk to a health provider to understand how whats living in their "villages" impacts yeast infections, UTIs, BV, fertility, and so much more. CRAMPED episodes are intended for informational and entertainment purposes only, and are not medical advice. Support CRAMPED...

Patient Advocacy Actually Changed OB-GYN Education - How Tight Lipped Did It 30.09.2025

Everybody's always telling us patient advocacy is the way to solve systemic issues in women's healthcare - ok so what exactly IS patient advocacy? What does it look like? HOW does it get us better care, research and treatments? Kate asks these questions to Noa Fleischacker, executive director of Tight Lipped, a grassroots movement by and for people with chronic vulvovaginal and pelvic pain that's...

Why It's So Hard to Talk About Period Pain & How to Start 16.09.2025

Why does it feel so hard to talk about our period pain? Who benefits when we stay quiet? How do we build a world where information about period pain travels as easily as a casual chat? In this how-to episode, Kate gives some tips on what helps her speak up - in one-on-one situations with friends & family & coworkers, and in organizing groups of people with uteruses to share information and...

Pelvic Floor PT for Period Pain & Why You're Probably Peeing Wrong 04.09.2025

Kate talks to Dr. Sara Reardon, aka The Vagina Whisperer - a board-certified pelvic floor physical therapist and author of the new book Floored, a woman's guide to pelvic floor health at every age and stage. They discuss what the pelvic floor even is, how pelvic floor muscles are involved in period pain, and how we're all peeing and pooping wrong! CRAMPED episodes are intended for informational an...

Endometriosis Excision Surgery: What the Day of Surgery and 6-Week Recovery Actually Look Like 07.08.2025

Kate is back from surgery! In Part 2 of this 2 part episode, Kate walks through the day of the surgery, from arriving at the hospital to the 4 weeks of recovery thus far, and the surgical and pathology results that finally gave her answers to questions about her cramps she's had for 22 years. Hopefully this episode is helpful to anyone curious about endometriosis excision surgery, or anxious about...

I Got Endo Surgery: The Imaging Results & Costs 29.07.2025

Kate is back from surgery! In Part 1 of a 2 part series, she goes step by step through the imaging result that gave her the information that lead her to commit to surgery, and the physical, administrative, and financial preparations for her surgery. Get ready to hear real numbers and honesty about the factors contributing to the decision. Hopefully this episode is helpful to anyone on the fence ab...

What Actually Happens to Your Body When You Go Off Hormonal Birth Control 22.07.2025

In this Case Study episode, Kate brings on Deanna Hart-Nokes, who just went off hormonal birth control for the second time in 20 years, and has been experiencing some mysterious symptoms. Kate deep-dives into the clinical research to understand how hormonal birth control works, and what might be causing Deanna's increased period pain, soreness, and increased sensation. CRAMPED episodes are intende...

80% of People With a Uterus Will Get Fibroids - Why Don't We Know Why? 15.07.2025

Fibroids are a super common cause of severe period pain - up to 80% of people with a uterus will get fibroids at some point! So...why don't we know why they grow? Why don't they get caught and treated sooner? Kate talks with Jonelle Henry from The White Dress Project, an organization that spreads awareness, education, and resources about fibroids. Jonelle tells her own story of how fibroids impact...

Is Tracking Your Period with an App Actually Cycle Tracking? (Probably Not) 11.07.2025

Kate talks to Laura Federico and Morgan Miller, authors of The Cycle Book, all about cycle tracking. What is it? How do I do it? Am I already doing it if I'm tracking my period with an app? To access subscriber-only episodes, join the Patreon at www.patreon.com/CRAMPED See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info .

Endo's Last Stand - Surgery & Spitefulness 03.07.2025

Kate is getting endometriosis excision surgery today! She shares some details, and a story of her (hopefully last) experience with "death cramps". See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info .

Ovarian Cysts: Why Doctors Keep Calling Them "Normal" and What That Misses 26.06.2025

Kate talks to her friend Taylor Hallam, who has struggled with ovulation pain and ovarian cyst ruptures since getting off 19 straight years of hormonal birth control. Taylor has questions, and Kate dives into the research to find answers. What causes ovarian cysts? What are they filled with? Why do doctors often say they're "normal" and offer no options other than birth control? Are there other wa...

Your Questions Answered: Why Do My Cramps Change Every Month? What Does 'Normal' Labs Actually Mean? The MTHFR Gene? 18.06.2025

Kate answers some questions that listeners asked her to research for them, including: What do I do when my doctor says my lab results are "normal"? Does the MTHFR gene mutation affect periods? Why are my cramps excruciating one month and fine the next month? Support CRAMPED on Patreon See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-...

CRAMPED is back: Season 1.5 11.06.2025

CRAMPED is back with new episodes - but we need your help! Subscribe to our Patreon to make our work possible at www.patreon.com/cramped See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info .

The Evolutionary Reason We Get Periods, And What It Explains About the Pain 08.04.2025

In season 1's final episode, Kate calls up biological anthropologist Kate Clancy to find out why we're even in this pain to begin with. Then Kate throws a period party, and gives the details on how she's been treating her period pain and endometriosis. Sound Design & Mixing: Kelly Kramarik at Maven Post Media Associate Producer: Katelyn Sabater  Theme song: Farideh Podcast art: Nicholas S...

Why Is There No Period Pain On The Internet (or TV, or Movies)? 01.04.2025

If 51% of the population has a uterus, and 91% of menstruating people experience period pain, why do we literally never hear about it in the media we consume?? Whether its TV, film, podcasts (aside from this one), or social media, it's practically impossible to find stories of periods and period pain. Why?? And how does this lack of visibility affect all of us? Sound Design & Mixing: Kelly Kra...

Feminists in the '70s Knew More About Their Bodies Than We Do Now. What Happened? 25.03.2025

Kate talks to her mom about joining the Boston Women's Health Movement in the 1970s. Why was body literacy such a big part of feminism in the 70s, but when Kate became an active feminist in Boston in the 2000s, she didn't get information about body literacy? To learn more, Kate talks to Laura Prieto, program director of Our Bodies, Ourselves. Sound Design & Mixing: Kelly Kramarik at Maven Post...

Medical Trauma from Period Pain Is Real. Here's What It Actually Looks Like 18.03.2025

Kate checks in with comedian and recent hysterectomy patient Max Gross, as well as therapist Suzanne Garrison to figure out - what is medical trauma, and do we have it? How does undiagnosed and untreated pain affect mental health? Sound Design & Mixing: Kelly Kramarik at Maven Post Media Associate Producer: Katelyn Sabater  Theme song: Farideh Podcast art: Nicholas Scheppard This podcast...

I Got a Diagnosis! Now What? 11.03.2025

Kate sees a specialist and finally gets a diagnosis for the condition causing her severe period pain. But instead of relief and a clear treatment plan, she just has more questions. She interviews her doctor, Dr. Iris Kerin Orbuch, and influencer Emma Maxwell. Sound Design & Mixing: Kelly Kramarik at Maven Post Media Associate Producer: Katelyn Sabater  Theme song: Farideh Podcast art: Nic...

How Do I Balance My Hormones? 04.03.2025

Kate gets sucked down a rabbit hole of "hormone balancing" content on TikTok, and wonders...this whole time, have her cramps just been due to a hormone imbalance? She talks with Alex Sujong Laughlin (Normal Gossip, Defector) about her experience trying to balance her hormones with info from TikTok, and then gets real answers from Dr. Thara Vayali on hormone function, cortisol, and how our hormones...

Inside the Lab Actually Trying to Cure Period Pain 25.02.2025

Kate takes a field trip to Evanston, Illinois to visit the Gynecology Research Laboratory, where a team of doctors and researchers are doing groundbreaking studies to understand period pain and find new treatments. What can they tell us about what causes severe dysmenorrhea, and is there hope for relief? Episode transcript and citations: https://www.katehelendowney.com/episode-4-transcript Editori...

We Don't Know How Many People Have Severe Period Pain, And That's a Problem 18.02.2025

It seems like a simple question, right? How many other people out there are experiencing "death cramps"? It turns out...not so much. Kate brings on her sister Maeve, who also gets death cramps, to figure out why they never talked about the horrible pain they were both in. They look at a meta-study of the prevalence of severe period pain, and bring in data scientist Andrea Jones-Rooy to explain why...

Why the ER Often Doesn't Help With Period Pain 11.02.2025

When you're in severe pain and can't figure out how to make it go away, you might seek help at an ER or Urgent Care. But if you're experiencing severe PERIOD pain, you may not get what you need. Kate and guest Sydney Battle trade stories of ER visits gone wrong, then Kate brings their questions to ER doctor and Good Morning America medical correspondent Dr. Darien Sutton for some answers and advic...

Death Cramps: Is This Normal? 04.02.2025

Just how bad are Kate's "really bad cramps"? And what could be causing them?  In the first of ten episodes, host Kate Helen Downey describes what happens when "death cramps" strike at work. Gynecologist and author Dr. Karen Tang explains what she looks for when a patient has severe period pain, and why someone might spend years in diagnosis limbo. Transcript & citations available here:  https:...

Introducing Cramped 04.11.2024

One nerd’s quest to find out why we know next to nothing about period pain. Tired of suffering from "death cramps" with no diagnosis for 20 years, Kate Downey has to look for her own answers. She interviews top doctors and researchers, and delves into topics from Greek history to sitcoms to TikTok wellness scams, all to figure out why menstrual pain is so often dismissed and untreated. What she fi...

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