Endometriosis Awareness: Why Endometriosis Remains a Silent Struggle for Millions: The Need for Better Awareness |

ENDOMETRIOSIS it affects millions of people every year, but it is a very misunderstood, underdiagnosed disease. This disease not only affects mental but also physical and reproductive health, which causes many problems in the daily life of these people. Increasing awareness and getting a diagnosis at an early stage becomes imperative to improve the quality of life.
Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus. These growths can be found on the ovaries, fallopian tubes and other pelvic organs. Each month, this tissue behaves like the lining of the uterus, thickening and breaking down, leading to internal bleeding, pain and the formation of scar tissue.

Impact on sexual and reproductive health

The symptoms of endometriosis are quite painful, which prevents reproduction and sexual health of the person. Pain during sex or dyspareunia significantly disrupts the intimate relationship. This leads to the fear of indulging in sexual activity because it causes pain more than any pleasure, resulting in emotional and physical strain. In addition, endometriosis causes infertility in most cases. The complication of infertility is due to blockages or scar tissue in the reproductive system that makes it difficult for couples to engage in any intimate act.
Even when the couple is able to conceive, the pregnancy can be high-risk, with a high chance of miscarriage or premature birth. Proper medical care and attention is imperative for a healthy pregnancy outcome.

Delayed diagnosis and silent symptoms

One of the biggest challenges of endometriosis is the delay in diagnosis. On average, it takes about 8 years for women to be correctly diagnosed, largely because its symptoms overlap with other conditions. Unfortunately, even some gynecologists and radiologists may not be fully equipped to identify endometriosis, further delaying treatment. This delay means many women endure unnecessary pain and complications for years.

Even more worrying is asymptomatic endometriosis, in which the disease progresses silently without visible symptoms. By the time it is detected, the condition may be at a more advanced and painful stage. Women should consider early MRI screenings if there is even the slightest suspicion of endometriosis.

Consequences on mental health

Beyond the physical effects, endometriosis has a profound impact on mental health. Chronic pain, broken relationships and infertility can lead to anxiety, depression and feelings of isolation. Women with endometriosis can feel unsupported and overwhelmed as they navigate the complexities of managing a chronic disease. This emotional tension further emphasizes the importance of raising awareness of endometriosis and promoting early detection and treatment.

In conclusion, endometriosis is more than a physical disease; it affects every aspect of a woman’s life. By understanding the symptoms, the challenges of diagnosis, and the emotional impact it has, we can better support women in seeking timely care and improving their quality of life.
Dr. Smeet Patel, Endometriosis Specialist, Mayflower Women’s Hospital, Ahmedabad