Medical Mistrust and the Future Prevention of Endometriosis

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This paper examines the systemic barriers contributing to the seven-to-ten-year diagnostic delay for endometriosis, identifying medical gaslighting, racial and gender bias, and historical neglect of women’s health research as primary drivers. It highlights how these factors foster medical mistrust and clinical avoidance among patients while noting that current treatments like hormonal therapy and ablation often fail to address root causes or carry high recurrence rates. The author advocates for mandatory implementation of the Endometriosis Health Profile-30 at initial symptom presentation to restore patient agency, validate experiences across languages, and expedite specialist referrals. This paper is centrally about endometriosis — specifically addressing the sociocultural and systemic determinants of delayed diagnosis and treatment disparities.

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References

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Methods

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BMC women's health, 23(1), 638. https://doi.org/10.1186/s12905-023-02794-2 Su-Yen Khong, Alan Lam, Georgina Luscombe, Is the 30-item Endometriosis Health Profile (EHP-30) suitable as a self-report health status instrument for clinical trials?, Fertility and Sterility, Volume 94, Issue 5, 2010, Pages 1928-1932, ISSN 0015-0282, https://doi.org/10.1016/j.fertnstert.2010.01.047. Tasca, C., Rapetti, M., Carta, M. G., & Fadda, B. (2012). Women and hysteria in the history of mental health. Clinical practice and epidemiology in mental health : CP & EMH, 8, 110–119. https://doi.org/10.2174/1745017901208010110 SHIFT THE BURDEN OF PROOF FROM THE PATIENT TO THE SYSTEM THANK YOU 13

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endometriosis

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