BRITTANY BROWN: ATHLETE AND ENDO ACTIVIST
Courtesy Nike
By Grace Cook
6 Minute Read
The Olympic sprinter is also an activist for athletes with endometriosis and PMOS. She tells Grace Cook why it’s important to use her voice for good.
In 2024, Brittany Brown won bronze in the 200 meters at the Paris Olympics. Weeks later, the 31-year-old was under general anaesthetic having surgery for endometriosis, the inflammatory disease that causes uterine tissue to grow outside of the uterus. Her symptoms, which she had suffered since college, ranged from headaches and painful periods to nausea and pelvic pain. Few would imagine that she could compete at an elite level when this was her daily reality.
It took Brown almost a decade to get a diagnosis for endometriosis and PCOS, recently renamed PMOS (polyendocrine metabolic ovarian syndrome). Globally, there is very little investment in women’s health, and women, especially Black women, frequently experience medical gaslighting. Campaigns by high-profile names such as Brown are important, as they help increase attention and prompt a renewed focus on fertility health. One in 10 women suffers from endometriosis globally, but there’s very little awareness in colleges or otherwise.
“A lot of athletes reach out to me to tell me they are suffering,” says Brown, who sits across from me on Zoom. “I started speaking out about my own experience, and ended up becoming an advocate.”
Brown is helping to turn women’s fertility health into a more mainstream topic–especially in the world of elite sports. For athletes, there are acute complications when combining an inflammatory disease with intense training. “There is a very popular drug out there for endo, but it depletes all your bones,” says Brown. “I would love to take it, but I use my body for my job, so I cannot take that drug. It’s hard to find a healthcare provider who understands the specific needs of an athlete.”
Elite athletes generally have everything they need around them to enhance their training and performance, from nutritionists to coaches, physiotherapists, and personal trainers. Everything, that is, instead of an infrastructure that helps women athletes work through women-specific medical issues. Women’s sport, like medicine, is chronically underfunded. Athletes have been left to suffer in silence and deal with their diseases alone. There are no days off from training amid pelvic pain.
Brown changed that narrative at the 2024 Olympics. She used her podium as a platform and dedicated her bronze medal to her fellow Endo Warriors. “To women everywhere who live with endometriosis, PCOS, or other health challenges… I’m with you, because I’m one of you.” At this moment, Brown connected her sport and her disease. In an instant, she gave women everywhere permission to speak out, to ask questions, and to get support. Women who suffered suddenly felt seen. Perhaps they also felt they could show up for themselves; that they, too, might have potential. Her Instagram DMs were soon flooded with messages.
“I’m always having to tell people that I am not a medical professional, but people look to me because I’m an Olympian and I have endo,” she says, noting many women can feel limited by their pain. She quickly became a role model for sufferers in the US. “People generally want to know how I can navigate this in my sport and mitigate my symptoms,” she says. “I’m figuring it out as I go, but because I am sharing my journey in real-time, it’s resonating with a lot of women–especially Black women.”
“Brown won bronze in the 200 meters at the 2024 Paris Olympics and dedicated her medal to her fellow Endo Warriors.”
Brown has always seen adversity as a challenge. Growing up, she didn’t attend an elite track school, and she wasn’t signed to a big shoe brand straight out of college. “It taught me not to look at everything with face value,” she says. “When you don’t have the things that people say you need, you look at things differently, including yourself.” In sport, all athletes are vying for the same contracts—”it’s a crab at the bottom of the barrel mentality”, she says. But instead of making her uber competitive, Brown loved to see her teammates thrive. “I was always so happy seeing other female athletes getting certain stuff, because I’d think ‘she's still opening doors for me—for all of us.’”
She sees her self-advocacy for endometriosis in a similar vein. “I’m showing that I can open doors in a different way.” She is campaigning for the greater good, using her suffering and experience to better the lives of her contemporaries and the women who will come after her. Winning is no longer only about medals. It’s about winning on behalf of other women. It shows unbelievable strength—not just in body, but in character.
Brown says she did not expect so many other athletes to be suffering, too. Her confidence in broaching very personal subjects in the public domain goes beyond being a spokesperson. She is also acting as a conduit between athletes and their coaches to foster important conversations. “Our coaches are usually male, and our agents are usually male, our personal trainers are usually male,” she says. “How do you tell such a male-dominated space that you have pelvic pain, when most of them can’t even say the word period without freaking out?”
Her openness in dialogue has meant that many men within the space have started reaching out to her for guidance. “Coaches want to know how to have these conversations with their athletes,” she says. “I’ve been offering advice and thinking about what helpful resources I can send them. Because people need to understand that it’s not only pain we are managing. It’s the other symptoms that come with it—nausea, infertility, headaches… I want to be a bridge to help people understand. Not just at the elite level, but in college.”
“Periods should not be a taboo subject for men.”
She places huge emphasis on women’s health being a male issue. In doing so, she is flipping the script by encouraging men to be part of the conversation. This is the kind of support that’s critical for women everywhere. In reversing the narrative that women’s health issues are dealt with by women in silence, athletics can become a role model for other sports, and, more broadly, for everyday women within heterosexual relationships at home.
“Education for men is really important, even in terms of having conversations around periods,” she says. “That should not be a taboo subject. Women shouldn’t have to feel uncomfortable or embarrassed; they should be able to freely say, ‘I’m feeling like this at the moment.’ The pain and side effects are real.”
Beyond that, coaches and personal trainers who train women—whether elite or not—need to be versed in women’s pelvic health, she says. “You can be quite susceptible to pain within your abductors and your hips, and a lot of the time, PTs try to treat it as an injury, when the issue is pelvic pain. Sometimes, it hurts to run or to squat. PTs need to be trained in how to create an environment where women feel that it’s safe enough to share their experiences.”
She’s also campaigning for colleges and sports teams to bring in experts to help them properly manage the care required. “If this is not your specialty, make sure you have someone on staff; have a person whose job it is to talk to the athletes about this and to be their point of contact and resource,” she says. “I’ve been experiencing pain since college, and there wasn’t anyone I could turn to.”
Within the infrastructure of organized sport, efforts are hyper-focused on training and performance. Brown wants to broaden the definition of healthy. Healthy doesn’t just mean “not injured.” It means actually being well. “What’s happening with my body impacts me both on the track and off it,” she says. “I want to be a fully well-rounded athlete, to not only perform and do my job on the track—for myself, for my track school, for my footwear sponsor—but I also want to feel well outside of the sport. We all deserve that.”
Brown’s story is a testament to the importance of self-advocacy—within medicine, and in life. Having that connection with yourself means trusting your instincts, honoring your body and its resilience on any given day, and having enough strength of character to step back and rest when needed. “I do a lot to take care of myself.”
Elite sport is forever wrapped up in the narrative of harder, faster, longer, better; wins are defined by medals and world records. But Brown is proving that the real win is when you can be so at one with your body that you speak the same language. “Our bodies give us warning signs,” she says. “It’s up to us to listen.”
HOW TO HELP YOURSELF
Brittany Brown’s guide to daily inflammation reduction.
To curb her inflammation, Brown focuses on the smaller, intentional things she can do during the day to manage her overall well-being. It’s guidance that hobby athletes and women everywhere can benefit from and easily implement. “I do a stressful job, which can cause triggers and inflammation in my body, so I try to maintain as stress-free a life as possible,” she says.
Her daily to-do list includes:
Walking as a low-impact method of movement
Journaling, to stay present and connected to herself, her mind, and her body.
Meditation, to calm her nervous system
Talking with family and friends. Staying connected means she constantly feels supported.
Taking breaks from social media. She often deletes or logs out of the apps. “It’s probably not good for my career to take breaks from Instagram, but as women, we need to give ourselves the permission to protect our rest.”
Pelvic floor therapy: this engages her deep core and abs. She practices breathing exercises while doing her ab workouts, which helps her properly activate them.
Strength training: Brown’s favorite gym move is the power clean. “It’s a fun, fast, Olympic lift.” Weightlifting makes her feel “strong and capable”, she says.
FURTHER READING
If you think you may have endometriosis, PMOS or other pelvic issues, medical guidance can be sought at Mayo Clinic and The Endometriosis Foundation.