Page 115 - Diagnostic delay of endometriosis

Key recommendation
Diagnostics
Consider the diagnosis of endometriosis in the presence of gynaecological symptoms such as: dysmenorrhea, non- cyclical pelvic pain, deep dyspareunia, infertility and fatigue in the presence of any of the above
Consider the diagnosis of endometriosis in women
of reproductive age with non-gynaecological cyclical symptoms (dyschezia, dysuria, hematuria rectal bleeding and shoulder pain)
Perform transvaginal sonography to diagnose or to exclude an ovarian endometrioma
Assess ureter, bladder and bowel involvement by additional imaging if there is a suspicion based on history or physical examination of deep endometriosis, in preparation for further management
Treatment of endometriosis associated pain
Counsel women with symptoms presumed to
be due to endometriosis thoroughly, and empirically treat them with adequate analgesia, combined hormonal contraceptives or progestagens
Familiar with?
o Yes o No
o Yes o No
o Yes o No
o Yes o No
o Yes o No
Agree with?
o Totally agree o Agree
o Neutral
o Disagree
o Totally disagree
o Totally agree o Agree
o Neutral
o Disagree
o Totally disagree
o Totally agree o Agree
o Neutral
o Disagree
o Totally disagree
o Totally agree o Agree
o Neutral
o Disagree
o Totally disagree
o Totally agree o Agree
o Neutral
o Disagree
o Totally disagree
Adhere to?
o Always
o Mostly
o Often
o Regularly o Sometimes o Never
o Always
o Mostly
o Often
o Regularly o Sometimes o Never
o Always
o Mostly
o Often
o Regularly o Sometimes o Never
o Always
o Mostly
o Often
o Regularly o Sometimes o Never
o Always
o Mostly
o Often
o Regularly o Sometimes o Never
table continues
Gynaecologists’ view on diagnostic delay and care performance | 113