Understanding Endometriosis: Updated Guidelines and Actionable Steps

March was Endometriosis Awareness Month, highlighting the importance of recognizing, diagnosing, and managing this chronic condition affecting 1 in 10 women and people of reproductive age. Updated NICE guidelines (2025) stress the urgency of reducing the average eight-year wait time for diagnosis.

Endometriosis, characterized by the growth of uterine-like tissue outside the uterus, often leads to chronic pelvic pain, painful menstruation, painful intercourse, and infertility.

Actionable Points to Take Home:

  1. Know Your Risk: Family history matters. If a close relative has endometriosis, you have an increased risk. Pay close attention to your symptoms and consult healthcare early

  2. Seek Early Imaging: Request a transvaginal ultrasound scan if you experience persistent symptoms, even if initial pelvic examinations seem normal. Early imaging helps speed diagnosis and access to specialized care.

  3. Monitor Treatment Response:  If initial pain relief or hormonal treatments do not effectively manage symptoms or significantly affect your quality of life, advocate for referral to specialist gynecology or endometriosis services.

  4. Consider Advanced Imaging: For complex or deep cases, discuss with your healthcare provider the possibility of advanced imaging, such as pelvic MRI, to thoroughly assess the extent of endometriosis.

Increasing awareness is vital. If you or someone you know has symptoms of endometriosis, take action promptly. Early intervention leads to better management and quality of life.

For more detailed information, check out: Diagnosis & Management of Endometriosis: Summary of Updated NICE Guidance

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