Endometriosis

Endometriosis is a common and debilitating gynaecological problem affecting up to 50% of premenopausal women presenting to general practice in the UK. It is characterized by the presence of endometrial glands and stromal tissue in locations other than the uterine cavity. Common associations include pelvic pain, dysmenorrhoea, dyspareunia and sub-fertility although clinical investigation findings do not always correlate well with the degree and severity of symptoms. The impact on quality of life for women with severe symptoms results in GPs playing a central role in diagnosis and managing physical, mental and social aspects of the condition. This article aims to provide an overview of current guidelines and strategies for recognizing and managing endometriosis in general practice.