Primary care assessment of endometriosis

Sonya MacVicar
In: Practice Nursing · 2026 · vol. 37(5) , pp. 204–206 · doi:10.12968/pnur.2026.0004 · W7160382602
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This paper reviews primary care assessment of endometriosis, focusing on symptom-based diagnosis, person-centered support, and pharmacological management of pelvic pain and other related symptoms.

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Abstract

Endometriosis is a chronic condition. Delay in diagnosis andfragmented care is common and this can have a significant effect onquality of life for those affected and their families. Recent guidancehas highlighted the imperative of earlier recognition in primary careusing symptom-based diagnosis supported by examination and timely referral for further diagnostic procedures. The focus should be onperson-centred care and individualised approaches. For primary care practitioners, the guidance highlights the need for comprehensiveassessment of cyclical or non-cyclic pelvic pain, dysmenorrhoea, deep dyspareunia, bowel and bladder symptoms and subfertility. Thearticle will outline history taking and assessment, pharmacological management of analgesic and hormonal options, and person-centredsupport strategies that can be instigated in primary care settings.
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endometriosisdysmenorrheadyspareunia

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