Hopes new endometriosis report will lessen diagnosis time in Scotland

It currently takes eight and a half years to get an endometriosis diagnosis in Scotland, leading charity, Endometriosis UK has revealed

A research report commissioned by the Scottish Government on the barriers and challenges of improving endometriosis care in Scotland believes widening public understanding of the condition is key to ensuring better outcomes.

It is hoped the report will have a ‘transformative’ effect on the more than 100,000 living with the condition in Scotland and their families.

The report comes as the Government is starting work on implementing the endometriosis commitments in its Women’s Health Plan.

The research, which involved interviewing or surveying more than 270 healthcare professionals across Scotland, identified a number of barriers healthcare practitioners face in diagnosing and caring for patients with endometriosis, and makes four key recommendations:

Implementing NICE’s guideline and quality standard on endometriosis across Scotland – the research found that this base level of care “is not currently being met”
Facilitating relationship development between healthcare services through Managed Clinical Networks to allow for smoother referrals
Increasing education at primary and secondary care levels, with the analysis showing both GPs and non-specialist gynaecologists needing more education on the condition
Investing in endometriosis awareness through a public health campaign, as well as improved menstrual wellbeing education in schools and educating school nurses

The release of the report comes the week after a Scottish Parliament debate which showed cross-party consensus for the need for improved awareness, diagnosis and treatment of endometriosis.

Maree Todd, Minister for Public Health, Women’s Health and Sport, said: “This important research will help us in our goal to make a meaningful difference to women whose lives are blighted by endometriosis.

“Scotland is the first country in the UK to publish a Women’s Health Plan, which prioritises improved access to support, diagnosis and the best treatment for endometriosis. And progress is already underway to implement an Endometriosis Care Pathway to be adopted across Scotland to support healthcare professionals to recognise the symptoms and provide a timely response.”

Emma Cox, CEO of Endometriosis UK, said: “We welcome the Scottish Government’s commitment to drive waiting times down and improve endometriosis care. The average of 8.5 years – and in many cases, much longer – it takes those in Scotland to get a diagnosis is unacceptable. Even once diagnosed, many with endometriosis are not able to get the care they need including access to endometriosis specialist centres in line with relevant NICE guidance.”

“In commissioning this report the Scottish Government has demonstrated that it understands the need to improve endometriosis awareness, diagnosis, and care.”

More than 100,000 affected 

Endometriosis, which can cause chronic pelvic pain, painful periods, painful sex, bowel and bladder problems, fatigue, difficulty getting pregnant, and other symptoms, affects one in 10 women and those assigned females at birth from puberty to menopause – although the effects can be felt for life.

It is likely that significantly more than 100,000 in Scotland live with the condition, which makes it hard for some to remain in work or education and can trigger poor mental health. Endometriosis costs the UK economy £8.2bn each year in treatment, healthcare costs, and loss of work2.

The report notes that nearly half (49%) of those with endometriosis are in pain most days and that the majority use painkillers either most of the time (51%) or most months (29%). One in three say that endometriosis limits their activities most days, and a further third (35%) say it limits their activities every month.

Learn more about endometriosis

Endometriosis explained, by Mr James Nicopoullos


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