{"paper_id":"5d3bd8d1-9197-4392-bd6d-44939e57794e","body_text":"Abstract\nEndometriosis often struggles to consolidate as a recognizable condition during biomedical encounters; in India, this unfolds at the interstice of biomedicine and gender-caste-class persistence. We contribute to contemporary endometriosis discourse by considering how, given the ontological politics of Indian women’s reproductive health care, symptoms move across porous configurations without consolidating as “disease.” Through reflexive thematic analysis, informed by feminist new materialism, of interviews with nine cisgender women in urban India, we trace “ontological friction” and its influence on patient care practices. We identify this friction as the condition through which diagnostic delay continually emerges.\nAcknowledgements\nWe acknowledge all participants for their time and support for this study. We also thank two graduate students who assisted with data collection, and a doctoral writing-in-progress seminar for critically expanding our understanding of ontology as it relates to gender-class-caste persistence.\nDisclosure Statement\nNo potential conflict of interest was reported by the authors.\nData Availability Statement\nData not available due to ethical restrictions.\nCorrection Statement\nThis article has been corrected with minor changes. These changes do not impact the academic content of the article.\nNotes\n1 Ontological politics, which we define through STS scholar and philosopher Annemarie Mol, is “politics that has to do with the way in which problems are framed, bodies are shaped, and lives are pushed and pulled into one shape or another” (2002, viii). It draws on Bruno Latour’s Actor-Network Theory, specifically on how the world is enacted through complex entanglements that include both human and non-human actors.","source_license":"CC0","license_restricted":false}