Endometriosis Diagnostic Delay and Its Correlates: Results from the ComPaRe-Endometriosis Cohort

Zélia Breton, Solène Gouesbet, Gouesbet S, Émilie Indersie, Marie Gabillet, Gabillet M, Viet-Thi Tran, Viet‐Thi Tran, Tran VT, Nizar Aflak, Aflak N, Borghese B, Bruno Borghese, Erick Petit, Petit E, E. Petit, Horace Roman, Roman H, Millepied AC, Anne-Charlotte Millepied, Margaux Nève De Mevergnies, Nève De Mevergnies M, Marina Kvaskoff
Journal of women's health (2002) · 2025 · vol. 35(2) , pp. 172–188 · doi:10.1177/15409996251380129 · PMID:40999898 · W4414554575
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This study identified factors associated with diagnostic delay for endometriosis and adenomyosis in a French e-cohort of nearly 7,000 women.

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The provided text contains only metadata, citation information, and access options for the article titled "Endometriosis Diagnostic Delay and Its Correlates: Results from the ComPaRe-Endometriosis Cohort," rather than the full scientific content. Consequently, it is impossible to summarize the study's specific methods, population characteristics, or key findings regarding diagnostic delays. The available data does not include an abstract or results section that would detail the correlates of endometriosis diagnosis or the outcomes of the ComPaRe-Endometriosis cohort analysis. This paper is centrally about endometriosis — specifically investigating the factors associated with delayed diagnosis within a large patient cohort.

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Abstract

BACKGROUND: An average time to diagnosis of 7 years is commonly described for endometriosis; diagnostic delay for adenomyosis is unknown. This cross-sectional study aimed to describe diagnostic delay for endometriosis and adenomyosis and to investigate the factors associated with this delay. METHODS: Community of Patients for Research (ComPaRe)-Endometriosis is a prospective e-cohort of women with endometriosis and/or adenomyosis in France. About 6,949 participants were included. We used linear regression modeling to assess factors associated with diagnostic delay, after adjustment for age, education level, body mass index, number of comorbidities, and family history of the disease or of chronic pelvic pain (CPP). RESULTS: The average diagnostic delay was 10 years for endometriosis and 11 years for adenomyosis. Factors associated with a significantly longer diagnostic delay were year of diagnosis (+0.34 years, p < 0.0001), unemployment (+0.7 years, p = 0.01), number of comorbidities (+0.3 years, p < 0.0001), family history of the disease or of CPP (+1.1 years, p < 0.0001), severe dysmenorrhea before diagnosis (numeric-rating scale: +0.8 years, p < 0.0001), number of health professionals consulted before diagnosis (+0.3 years, p < 0.0001), and presence of multiple symptoms leading to first consultation (+1.6 years, p < 0.0001). In contrast, factors associated with a shorter delay were a financial position perceived as comfortable (-1.4 years, p < 0.0001), age at menarche (-0.6 years, p < 0.0001), and age at first symptoms (-0.8 years, p < 0.0001). CONCLUSIONS: This study highlights several factors associated with diagnostic delay among women with self-reported endometriosis and/or adenomyosis and provides new insights to improve care by informing both clinicians and patients. Attention to these profiles may improve disease management.
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Data availability statement Authors Metrics and citations Metrics Publication usage* Total views and downloads: 1008 *Publication usage tracking started in December 2016 Publications citing this one Receive email alerts when this publication is cited Web of Science: 0 Crossref: 4 - Ultrasound features of adenomyosis and diagnostic challenges - Genetic and Epigenetic Components in the Pathogenesis of Adenomyosis and Endometriosis in Adolescents - Exome-Based Identification of Candidate Genes in Sporadic Adenomyosis Cases - When Care Colludes: Nursing and Medical Misogyny Figures and tables Figures & Media Tables View Options Access options If you have access to journal content via a personal subscription, university, library, employer or society, select from the options below: loading institutional access options Alternatively, view purchase options below: Purchase 24 hour online access to view and download content. Access journal content via a DeepDyve subscription or find out more about this option.

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Condition tags

dysmenorrheaendometriosischronic_pelvic_painadenomyosis

MeSH descriptors

Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis

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