Endometriosis Awareness in a Female Patient with Chronic Pelvic/Groin Pain

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Endometriosis is often underdiagnosed or misdiagnosed due to a lack of awareness about the condition among healthcare providers and the general public.
Symptoms include abdomino-pelvic, groin pain associated with menstruation, sexual intercourse, urination, defecation, and/or infertility.
Here are some practical implications/takeaways for healthcare professionals based on this article:
1. Consider endometriosis as a possible diagnosis in women of reproductive age who present with abdomino-pelvic pain associated with menstruation, sexual intercourse, urination, defecation, and/or infertility.
2. Be aware that a normal pelvic exam and/or pelvic ultrasound does not exclude endometriosis.
3. If you suspect endometriosis, consider referring the patient to a gynecologist if three months of simple analgesia (with or without combined oral contraceptive pill) is ineffective.
4. Be aware of the cultural barriers that can make it difficult for people to seek help for endometriosis and work to overcome them by providing a supportive and non-judgmental environment.

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