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Think Endometriosis: Delay in Diagnosis or Delay in Referral to Adequate Treatment?
Author(s): Adi Y Weintraub, David Soriano, Daniel S Seidman, Moti Goldenberg and Vered H EisenbergAdi Y Weintraub, David Soriano, Daniel S Seidman, Moti Goldenberg and Vered H Eisenberg
Objective: To evaluate the decision making of gynecologists in a clinical setting regarding the diagnosis and management of endometriosis. Design: A qualitative questionnaire-based study. Setting: Two local meetings of gynecologists. Participants: Gynecologists in a community and a hospital setting. Intervention: None. Main outcome measure: Physician’s reported management and treatment methods. Results: The questionnaire was answered by 91 gynecologists. Most had at least 10 years of clinical experience (72.2%), 37.8% were community-based, and 5.6% were ultrasound experts. Approximately 62.8% of physicians believe that there is delayed diagnosis of endometriosis. Most would refer the patient to a specialized endometriosis center in the presence of a large pelvic mass, following repeated IVF failure, or due to intractable pain after repeat surgery. Physicians’ seniority or .. View More»