When menstrual pain is not normal: The reality of endometriosis

Endometriosis is a chronic gynecological disease that affects approximately 10% of women of reproductive age worldwide. This equates to nearly 190 million people (World Health Organization [WHO], 2023). In Mexico, more than seven million women suffer from it (Secretaría de Salud, 2022). Although it is a common condition, it remains underestimated and often diagnosed late, impacting the quality of life of those who suffer from it.

Delayed diagnosis

One of the main challenges of endometriosis is the time it takes to obtain a diagnosis. On average, it can take between 7 and 10 years from the onset of the first symptoms until the disease is identified (Bulletti et al., 2021). This occurs, in large part, because intense menstrual pain has been normalized and there is little knowledge about the disease, even among healthcare professionals.

Symptoms include debilitating pain during menstruation, discomfort when urinating or defecating, heavy bleeding, and painful sexual intercourse (dyspareunia) (Mayo Clinic, 2023). However, these signs are often minimized or confused with common menstrual cramps, delaying access to proper medical care.

Impact on fertility and quality of life

In addition to chronic pain, endometriosis can affect fertility. It is estimated that between 30% and 50% of women with this disease have difficulty conceiving (American College of Obstetricians and Gynecologists [ACOG], 2022). Pelvic inflammation, adhesions, and blocked fallopian tubes can make fertilization difficult.

But the impact does not end there. Women with endometriosis also face higher rates of anxiety, depression, and chronic fatigue compared to the general population (Facer & Roman, 2021). In the workplace, symptoms can lead to frequent absences, affecting economic stability and professional development.

Let's talk about endometriosis: an urgent task

Despite the impact of the disease, endometriosis remains poorly recognized, and many women face barriers to accessing timely diagnosis and treatment. In Mexico, the lack of specialists and limitations in treatments aggravate this situation (Secretaría de Salud, 2022).

It is essential to promote early detection and ensure comprehensive treatment with gynecologists, fertility specialists, and psychological support. Furthermore, education and information are key. Learning to differentiate between common menstrual pain and the symptoms of endometriosis can help more women seek medical attention without fear of being dismissed.

A call to action

Endometriosis affects millions of women in Mexico and around the world. The lack of timely diagnosis and the minimization of symptoms prolong the suffering of many patients. It is time to raise greater awareness about this disease, ensuring early diagnoses, effective treatments, and a comprehensive approach. At Clínica FI, we are committed to the health and well-being of women; our medical and emotional support provides the necessary tools to face your journey with confidence and peace of mind.

Sources:

• American College of Obstetricians and Gynecologists (ACOG). (2022). Endometriosis: Diagnosis and Treatment. Retrieved from https://www.acog.org
• Bulletti, C., Coccia, M. E., Battistoni, S., & Borini, A. (2021). Endometriosis and infertility. Journal of Assisted Reproduction and Genetics, 38(4), 871-877.
• Facer, B. & Roman, H. (2021). Psychological impact of endometriosis: A review of the literature. European Journal of Obstetrics & Gynecology and Reproductive Biology, 260, 25-30.
• Mayo Clinic. (2023). Endometriosis: Symptoms and Causes. Retrieved from https://www.mayoclinic.org
• World Health Organization (WHO). (2023). Endometriosis. Retrieved from https://www.who.int
• Secretariat of Health. (2022). Endometriosis: A disease affecting 7 million women in Mexico. Retrieved from https://www.gob.mx/salud