Delay in the diagnosis of endometriosis: a survey of women from the USA and the UK
Abstract
We investigated the length of time between the onset of pain symptoms and the surgical diagnosis of endometriosis in women from the UK and the USA. A total of 218 women with surgically confirmed disease, recruited through endometriosis self-help groups, completed a postal questionnaire. The mean +/- SD delay in diagnosis for women from the USA was 11.73 +/- 9.05 years, significantly higher than the equivalent delay of 7.96 +/- 7.92 years for women from the UK (P < 0.01). The stage of disease did not effect the length of time between the onset of symptoms and diagnosis. Therefore there is considerable delay in the diagnosis of endometriosis for women from both the UK and the USA. Efforts to reduce this delay are required to minimize the suffering of women with this disease.
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Patients with endometriosis endure symptoms for years without being diagnosed, confirming a worrisome trend and worldwide public health problem.
“This study thus confirms a worrisome trend and worldwide public health problem: patients with endometriosis endure symptoms for years without being diagnosed (8-12, 27-29).”
From Patients’ report on how endometriosis affects health, work, and daily life (2010) · cites this paper as [27]
The time from onset of symptoms to diagnosis can last up to 10 to 12 years in the United States.
“others indicate that it can last up to 10 to 12 years in the United States (6, 7)”
From Diagnostic experience among 4,334 women reporting surgically diagnosed endometriosis (2009) · cites this paper as [7]
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- Authors
- Hadfield, R., Mardon, H., Barlow, D., & Kennedy, S.
- Affiliations
- John Radcliffe Hospital (GB)
- Corresponding author
- Kennedy, S.
- Venue
- Human Reproduction
- Publisher
- Oxford University Press (OUP)
- Published
- 1996-04-01
- Volume
- 11
- Issue
- 4
- Pages
- 878-880
- ISSN
- 0268-1161 (ISSN-L)
- 1460-2350
- OpenAlex
- W2161529162
- Cited by
- 517
- References
- 5
- Citations by year
- 2026: 17 · 2025: 20 · 2024: 37 · 2023: 16 · 2022: 32 · 2021: 21 · 2020: 36 · 2019: 29 · 2018: 24 · 2017: 22 · 2016: 19 · 2015: 20 · 2014: 19 · 2013: 22 · 2012: 29
- FWCI
- 2.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Human Reproduction (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Age UK
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Keywords
- endometriosis, delayed diagnosis, pain symptoms, disease stage, cross-national comparison, women's health, self-help groups
- MeSH terms
- Adult, Endometriosis, England, Female, Humans, Time Factors, United States
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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