Main findings
Preoperative reported endometriosis related pain scores correlate poorly with intra-operative of the locations of DE lesions. This underlines and explains the difficulty doctors and patients face, before the diagnosis endometriosis is set (an average of 9 years) (14). The correlation of endometriosis involvement to pain symptoms is not a 1-on-1 relationship, this partly explains why undiagnosed patients often see numerous doctors and try several treatment options before the diagnosis endometriosis is made. This delay makes women lose faith in the healthcare system or they start doubting themselves (Are my symptoms real? Nobody is able to find anything) (15). When the diagnosis is finally made, surgery for removing the endometriosis is not the only solution. These women often developed chronic pain symptoms which need a broader treatment process than solely removing the physical stimuli (endometriosis nodules). A more holistic approach, which also includes psychological support and pain management/insight is mandatory to help these women regain their normal life (16).