Endometriosis and the primary care consultation

Denny E, Elaine Denny, Christopher H. Mann, Mann CH
European journal of obstetrics, gynecology, and reproductive biology · 2008 · vol. 139(1) , pp. 111–115 · doi:10.1016/j.ejogrb.2007.10.006 · PMID:18068292 · W2141007244
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This paper examined the characteristics of endometriosis patients presenting for primary care consultations.

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Abstract

ObjectivesEndometriosis is a long term, disabling condition, and a common cause of chronic pelvic pain. Symptomatic disease is usually characterised by pelvic and abdominal pain, lower back pain, and dyspareunia, all of which may be severe and debilitating. Yet the time between onset of symptoms and diagnosis is frequently a number of years, and many women report negative experience within the primary care setting. This paper explores the experience of women with endometriosis in the primary care setting.Study designA qualitative research design was considered appropriate to elicit the experience of endometriosis and the impact on women's lives. Semi-structured interviews were conducted with 30 women who suffer with endometriosis. The sample was recruited via a dedicated endometriosis clinic in the English Midlands, and participants had all been diagnosed laparoscopically with endometriosis.ResultsParticipants described diverse experiences within the primary care setting. Although some women reported a positive relationship with their general practitioner, over half had had negative experiences, which they felt had contributed to delays in them receiving a diagnosis of endometriosis.ConclusionThe delay in diagnosis can be reduced and perceived attitudes of general practitioners towards women presenting with endometriosis can be improved by being alert to certain symptomology, and by detailed and sensitive history taking.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Patient Satisfaction Primary Health Care Referral and Consultation Uterine Diseases Adult Attitude of Health Personnel Cohort Studies Endometriosis Female Humans Interviews as Topic Physician-Patient Relations Uterine Diseases

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (50)

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License: CC0 · commercial use OK