Why can it take so long to diagnose endometriosis?

Why can it take so long to diagnose endometriosis?

Endometriosis has been seen as a “mystery illness” that can take a long time to diagnose. There are a number of reasons why it may be difficult to identify the disease, but often it is due to the fact that the symptoms can be mistaken for other disorders and at times, the patients may be too uncomfortable to discuss this with their doctor.

In other instances, the pain and discomfort are sometimes not taken as seriously as it should be among medical staff and with a lack of screening processes in place, this can also add to problems. For some women, it can mean living in chronic pain which can have a debilitating impact on their physical and mental health.

Astoundingly, it can take between 7-8 years to get a diagnosis, research showing that women are less likely to receive the appropriate treatment for their pain compared to men. The psychological impact of chronic pain is severe to say at least for any condition, however an undiagnosed one that is not completely understood can have a significant on mental health and wellbeing.

Currently, the only way to help diagnose endometriosis is through laparoscopic surgery, an invasive procedure which requires a general anaesthetic and can come with delays and risks. Research being conducted from the University of South Australia, however, has suggested there may be a less invasive, less costly and earlier way to find a diagnosis.

Obstetrics and gynaecological sonographer specialist, Alison Deslandes has led a systemic review of 35 articles from the Journal of Ultrasound in Medicine and has suggested that transvaginal ultrasound (TVUS) can be used as a valuable method to help achieve an accurate diagnosis.

Chair of The Royal Australian College of General Practitioners (RACGP) Specific Interests Sexual Health Network, Dr Amy Moten has agreed that a “good quality TVUS should always be part of a diagnostic work up” when looking after a patient who has symptoms that may suggest endometriosis.

Although TVUS is seen as only one piece of a large, complicated puzzle, it may help to reduce delays in diagnosing the disease.

Although there is currently no cure for endometriosis, the symptoms can be managed effectively, and if the diagnosis is made earlier, treatment can begin earlier. Treated during the initial stages, patients will be able to effectively prevent the disease from spreading to other organs and avoid unnecessary complications that may impact on their ability to achieve a natural pregnancy.

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FAQs about improving natural fertility

Will stress affect my ability to get pregnant?

Yes, chronic stress can impact fertility by disrupting hormonal balance and ovulation patterns. Managing stress through relaxation techniques, regular exercise, adequate sleep, and mindfulness practices may help optimise your chances of conception. Consider speaking with a counsellor if stress feels overwhelming.

How does my partner's health affect our fertility?

Sperm health accounts for about 40% of conception challenges. Your partner can improve sperm health by maintaining a healthy weight, avoiding excessive heat exposure (hot tubs, saunas, tight clothing), limiting alcohol, quitting smoking, managing stress, and taking a multivitamin with antioxidants. Sperm takes about 3 months to develop, so lifestyle changes need time to show results.

When during my cycle am I most fertile?

Your fertile window typically spans 5-6 days, ending on ovulation day. For a regular 28-day cycle, this usually falls between days 10-15, with peak fertility 1-2 days before ovulation. Track your cycle using ovulation predictor kits, basal body temperature, or cervical mucus changes to identify your unique pattern. Having intercourse every 1-2 days during this window optimises your chances.