This is a new guideline from NICE on managing endometriosis. I’ll do a general summary of this as it is a new guideline. However I don’t think it changes very much that we do. There is a good algorithm attached to the summary.
We should be suspecting endometriosis in women (even young women under 17) who present with at least 1 of:
- dysmenorrhoea affecting daily activities and quality of life.
- deep dyspareunia.
- chronic pelvic pain.
- cyclical GI or urinary symptoms (eg painful bowel movements, dysuria or haematuria).
- infertility if there is also 1 of the above.
Advising women to keep a pain and symptom diary can aid diagnosis.