Everyone being excited that Bryan Johnson might “fix women’s health” in itself shows how dire the situation is. It's been so underfunded and under-researched that a wealthy man publicly funding a high-touch diagnostic workup for his girlfriend can look to some as one of the most ambitious efforts in the space.
But let's not confuse personalized medicine with research infrastructure. Bryan is not funding women’s reproductive health research here. He is funding a very comprehensive clinical investigation for one woman. Great for Kate. But that is not the same as producing generalizable knowledge for women.
It can't:
-answer population level questions
-tell us how endometriosis varies by age, genetics, immune state, hormonal history, metabolic health, parity, environmental exposures, or lesion location
-validate a diagnostic pathway
-determine sensitivity and specificity of ultrasound or MRI across disease stages
-compare treatments
-capture recurrence
-explain mechanisms
-build standards of care.
We need real infrastructure - cohorts, mechanistic studies, better imaging, biomarkers, longitudinal datasets, trials and funding models that treat women’s health as core biology.
That said, visibility is not nothing. If this gets people asking why endometriosis is still so poorly understood, why diagnosis is so slow, why women’s pain is normalized, and why reproductive biology has not received the seriousness it deserves, then it can be valuable
What do you mean Bryan Johnson is doing his weird science shit on his girlfriend but its probably the most comprehensive and highly funded research in women's health and he is probably going to cure endometriosis ?????