The NHS must listen to women, says Nice. If they have symptoms including continuing pelvic pain, severe period pain, pain during sex or they suffer from infertility, endometriosis must not be ruled out. It should not be discounted if the woman continues to say she has symptoms when examinations such as ultrasound scans are negative.

“Delayed diagnosis is a significant problem for many women with endometriosis leading them to years of unnecessary distress and suffering,” said Professor Mark Baker, director of the centre for guidelines at Nice.“

The condition is difficult to diagnose as symptoms vary and are often unspecific. However, once it has been diagnosed, there are effective treatments available that can ease women’s symptoms. This guideline will help healthcare professionals detect endometriosis early, to close the symptom to diagnosis gap and to ensure more timely treatment.”

‘Listen to women’: UK doctors issued with first guidance on endometriosis | Society | The Guardian

sigh….