About
Instagram
YouTube
Disclaimer
Endometriosis: Prevalence, Symptoms & Diagnosis
16 Jul 2021
Disclaimer
[This is Part 1 of a 3-part article. Follow-up articles: (2) Endometriosis & Whole Food Plant-Based Guidelines and (3) Endometriosis: Success Stories with WFPB.]

Endometriosis (often abbreviated to 'Endo') is a painful condition that affects approximately 1 in 10 women of reproductive age. Yet little is known about its etiology and diagnosis may take from 6 to 12 years!

Prevalence

How common is endometriosis worldwide? World Health Organization: Key Facts on Endometriosis says:

Endometriosis affects roughly 10% (190 million) of reproductive age women and girls globally (2)

Endometriosis in USA: Office of Women's Health (US Dept of Health & Human Services — Endometriosis explains:

It [Endometriosis] may affect more than 11% of American women between 15 and 44. Researchers think that at least 11% of women, or more than 6½ million women in the United States, have endometriosis.[1] Researchers think endometriosis may affect as many as one in every two women with infertility.[6]

Endometriosis at a subclinical level? Dr John McDougall, in his article Paula: Cured Endometriosis (scroll down to the section "Dr McDouall's Comments") says:

Endometriosis is one of the most common gynecological problems affecting an estimated 5.5 million women in North America, but this condition may occur at a subclinical level in half of all women following the Western diet, as discovered by autopsy[1].

Dr Greger: In his video How to Treat Endometriosis with Seaweed (5 mins, 2017), says:

About one in a dozen young women suffer, and it accounts for about half the cases of pelvic pain and infertility.

Symptoms

World Health Organization: Key Facts on Endometriosis says:

It is a chronic disease associated with severe, life-impacting pain during periods, sexual intercourse, bowel movements and/or urination, chronic pelvic pain, abdominal bloating, nausea, fatigue, and sometimes depression, anxiety, and infertility.

Dr Greger, in his video How to Treat Endometriosis with Seaweed (5 mins, 2017), says:

“Endometriosis is a major cause of disability and compromised quality of life among women.” It is “a chronic disease which is under-diagnosed, under-reported, and under-researched.”

For patients, it “can be a nightmare of misinformation, myths, taboos, lack of diagnosis, and problematic hit-and-miss treatments overlaid by a painful, chronic, stubborn disease.” Pain is what best characterizes the disease: pain, painful intercourse, heavy irregular periods, and infertility.

About one in a dozen young women suffer, and it accounts for about half the cases of pelvic pain and infertility. It’s caused by what’s called “retrograde menstruation.” Instead of the blood going down, it goes up into the abdominal cavity, where bleeding tissue of the uterine lining can implant onto other organs.

How Many Years To Get A Diagnosis?

World Health Organization: Key Facts on Endometriosis says:

The variable and broad symptoms of endometriosis mean that healthcare workers do not easily diagnose it and many individuals suffering from it have limited awareness of the condition. This can cause a lengthy delay between onset of symptoms and diagnosis (3)

How many years does it take to diagnose endometriosis? This Forbes article explains that it takes an average of 7.5 years before a patient gets the correct diagnosis. Other estimates range from 6 to 12 years. For example, this research paper says,

"Studies reveal that there is an average delay in the diagnosis of endometriosis of between 8 and 12 years. Little is known about the reasons for delays in diagnosis women's experiences of primary care prior to diagnosis."

Personal stories: Endometriosis experiences: The long, painful road to diagnosis (2021) at MedicalNewsToday is insightful.

App for early diagnosis: Flutter is an app by Kristy Curry and Jason Curry. Get Flutter Period Tracker on iPhone.

Further Reading

This is Part 1 of a 3-part article. Follow-up articles:

We may also read Endometriosis by Dr Nitu Bajekal.

© Copyright 2008—2025, Gurmeet Manku.