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Researchers call for better recognition and pain management of endometriosis

Women with endometriosis can wait up to ten years for the painful gynaecological condition to be diagnosed, according to a paper in the latest Journal of Clinical Nursing.

Their experiences have led researchers from New Zealand's Massey University to call for greater awareness of endometriosis and the development of "long overdue" pain management services for sufferers.

Women with the chronic and progressive condition can experience constant pain, reduced quality of life and even suicidal feelings, say Professor Annette Huntington and Senior Lecturer Jean A Gilmour.

The researchers carried out in-depth interviews with women aged from 16 to 45 about their experiences with endometriosis, which is caused when cells normally found in the uterus lodge in other parts of the body.

The cells often find their way to the lower abdomen or genitor urinary system, where they can cause heavy bleeding, considerable pain and problems with infertility.

"The diagnostic process took an inordinate amount of time for most of the women in this study, which meant that they lived with chronic and mysterious pain for a considerable length of time" says Professor Huntington.

"Diagnosis typically took between five and ten years as general practitioners often told sufferers they had conditions such as irritable bowel syndrome.

"This significantly affected the women's quality of life. As well as causing them severe pain, endometriosis also had a negative impact on other areas of their life, such as their ability to work, family relationships and self-esteem.

"However, once the women were referred to a gynaecologist, endometriosis was promptly diagnosed.

"This raises issues about the awareness and knowledge of this very commonly experienced condition among primary healthcare professionals."

The majority of the 18 women interviewed experienced severe pain and two-thirds rated it between eight and ten on a ten-point
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Contact: Annette Whibley
wordwizard@clara.co.uk
Blackwell Publishing Ltd.
12-Oct-2005


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