Endometriosis at the Intersection: Trauma, Identity, and the Struggle for Equitable Care—A Narrative Review

In: Women's Reproductive Health · 2026 · vol. 13(2) , pp. 555–574 · doi:10.1080/23293691.2026.2636611 · W7154720174
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This narrative review explores how trauma and identity influence the experiences of individuals with endometriosis and their struggles to access equitable healthcare.

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Abstract

Endometriosis is a chronic inflammatory condition affecting millions worldwide, yet it remains underdiagnosed and undertreated—particularly among marginalized individuals. Drawing on medical sociology, feminist theory, and trauma studies, this paper challenges dominant biomedical narratives through four themes: medical dismissal and diagnostic delay; trauma as an amplifier of pain; erasure of intersectional identities in clinical care; and patient resistance through self-advocacy. Systemic biases rooted in racism, sexism, classism, ableism, and transphobia compound the trauma of endometriosis, causing physical and Page 2 of 4 psychological harm. We call for trauma-informed, intersectional, and reproductive-justice frameworks to create more equitable, inclusive care for all people with endometriosis.
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Abstract Endometriosis is a chronic inflammatory condition affecting millions worldwide, yet it remains underdiagnosed and undertreated—particularly among marginalized individuals. Drawing on medical sociology, feminist theory, and trauma studies, this paper challenges dominant biomedical narratives through four themes: medical dismissal and diagnostic delay; trauma as an amplifier of pain; erasure of intersectional identities in clinical care; and patient resistance through self-advocacy. Systemic biases rooted in racism, sexism, classism, ableism, and transphobia compound the trauma of endometriosis, causing physical and psychological harm. We call for trauma-informed, intersectional, and reproductive-justice frameworks to create more equitable, inclusive care for all people with endometriosis. Disclosure Statement No potential conflict of interest was reported by the author(s). Data Availability Statement No new data were generated in this work.

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Condition tags

endometriosis

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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.

References (91)

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