O processo saúde-doença das mulheres portadoras de endometriose no contexto do trabalho

Endometriosis is a stigmatized and little-known pathology, which has recently been studied in terms of its disabling aspects in the workforce and pointed out as a cause of loss of productivity and work capacity for its carriers. However, this biologizing view means that the social dimensions and challenges faced by sufferers in capitalist society remain hidden. In view of this, the question arises: How are the material conditions of production related to the health and illness of women with endometriosis in the workplace? In order to answer this question, the main aim of this study is to: Analyze the influence of work relations on the health-disease process of women with endometriosis in the capitalist system. Specifically, the aim is to identify the challenges faced by women with endometriosis in labor relations and to identify the main social health policies aimed at women workers with endometriosis in Brazilian society. To this end, a Systematic Literature Review was carried out to identify the main points made about the working relationships of women with endometriosis; as well as a documentary survey of the main policies on access to social assistance and women's health, in order to reveal the mediation of the state in the health-disease process of these women.This movement is carried out through Marxian theory, by considering the contradictions of the relationship between capital and labor in the reproduction of life. Among the findings of the research, we can point to the fragile class consciousness of the carrier of the double shift regime, which omits from the discussion the extent to which workloads contribute to the deterioration of women's health; as well as the delay in diagnosis, stemming from the capitalist dynamics in labor relations and mediated by the bourgeois state, which in the inefficiency of health services and the permissiveness of economic marginalization, ends up contributing to the clinical worsening of the pathology. At the same time, the issue is revealed as a problem of gender oppression, which manifests itself in harassment practices and threats of dismissal that are used as an artifice of domination and control, while the sufferer voluntarily submits to periods of unpaid work as a means of compensation. The loss of productivity is used as a way of suggesting that the worker is individually responsible for her performance, when the loss of productive capacity is the result of the exploitation of the capitalist labor regime, which manifests itself independently of previous comorbidities. Finally, it points to contradictions that reveal the production of generalist public policies, which until then have revealed capital's interest in only preserving women's reproductive capacity, while at the same time pointing to the state as responsible for keeping these women in a permanent situation of social vulnerability and stigmatization of the disease, so that they have no alternative but to submit to regimes of oppression and exploitation, despite their health condition.