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).