Endometriosis often has a long delay between first symptoms and diagnosis. A nested case-control study of 366 women with endometriosis has suggested some combinations of symptoms that might lead to earlier diagnosis. These include presentations for menstrual pain and abdominal pain in the same year and lower gastrointestinal symptoms occurring within 90 days of presentation with gynaecological pain.

Burto C, Iversen L, Bhattacharya S, et al. (2017) Pointers to earlier diagnosis of endometriosis: A nested case-control study using electronic health records. British Journal of General Practice 67(665): 549.

Conclusion: It can take time for endometriosis to be diagnosed, as symptoms in certain combinations can lead to an earlier diagnosis.
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