Let’s not forget endometriosis and infertility amid the covid-19 crisis

Rowe, Heather; Quinlivan, Julie A.

doi:10.1080/0167482x.2020.1757200

Cited by 9 publications

(12 citation statements)

References 13 publications

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“…Concerns have been raised about delays in treatment for those undergoing fertility treatments ( Rowe and Quinlivan, 2020 ; Vaughan et al, 2020 ). A survey of fertile women in New England and the United States looked at stressors in January before the pandemic began, in March when the pandemic began, and in April when the pandemic was in progress, with infertility being the top stressor in each case ( Vaughan et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Fear of novel coronavirus disease (COVID-19) among pregnant and infertile women in Japan

Asai¹,

Wakashima²,

Toda³

et al. 2021

Journal of Affective Disorders Reports

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Section: Introductionmentioning

confidence: 99%

Fear of novel coronavirus disease (COVID-19) among pregnant and infertile women in Japan

Asai¹,

Wakashima²,

Toda³

et al. 2021

Journal of Affective Disorders Reports

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“…Despite the evidences that deep infiltrative endometriosis surgery improves pain [ 15 ] and has a positive impact on evacuation symptoms and bowel function [ 16 ], the treatment of endometriosis and infertility prompt complex clinical questions without simple answers. It is important to acknowledge that for many women, life goes on and the burden of chronic disease still needs to be managed, even if resources are being diverted to other areas in the midst of a global focus on COVID-19 [ 17 ]. In contrast to the inherent uncertainties in dealing with a novel and poorly understood infection such as the SARS-CoV-2 Coronavirus and its clinical manifestations (COVID-19), endometriosis is a relatively well-understood condition, which tends to progress over time despite hormonal blockade.…”

Section: Discussionmentioning

confidence: 99%

Endometriosis Surgery during the First Wave of the COVID-19 Pandemic: A Brazilian Single Institution Experience

Crispi¹,

Crispi²,

Nogueira

et al. 2021

Case Reports in Obstetrics and Gynecology

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Introduction. Early in the 2020 Coronavirus pandemic stay-at-home guidelines, there were public health orders that elective surgeries be deferred to prioritize hospital beds for critically ill COVID-19 patients. Besides, several reasons led to the postponement of consultations, diagnostic tests, and elective therapeutic procedures. As a result, some women with endometriosis faced chronification of their pain and decreased prospects for pregnancy. The aim of this study was to describe individual responses to minimally invasive complete excision of endometriosis through 40 days of follow-up of women whose endometriosis was considered severe enough to proceed with surgery during the fourth, fifth, and sixth months of constraints imposed by the pandemic. Preventive strategies and safety measures employed to protect patients and staff from acquiring or transmitting Coronavirus infection are presented. Case Presentation. This case series report enrolled 11 consecutive Brazilian women (ages 22 to 47 y) who underwent minimally invasive surgical treatment of endometriosis between June 26 and August 17, 2020. Cases of endometriosis requiring more urgent surgery were promptly identified and considered individually. The strict safety measures were well accepted by patients. No women developed any flu-like or COVID-19-related symptoms (cough, dyspnea, fever, or anosmia) in the 40 days of postoperative follow-up. One of the most praised measures reported by patients was the routine testing of the patient, the person who would accompany her in the hospital, and all medical staff and employees. Discussion. It is feasible to safely perform elective endometriosis surgery in selected cases during a pandemic.

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“…The results are presented below, along with selected original quotations, which are representative examples of statements by other respondents. 5…”

Section: Databasementioning

confidence: 99%

“…The economic burden resulting from endometriosis-associated operations, hormone therapies, fertility treatments and frequent absences from work illustrate the public health relevance of this disease is substantial [4][5][6]. The social impact of the disease, including the extension of training periods, missed career opportunities [7], reduced work productivity, lower social security benefits, and high treatment costs in predominantly young women, is also particularly relevant [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Relationship between onset of symptoms and diagnostic delay in women with endometriosis

2021

Arch Clin Obs Gyn Res

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Introduction: Endometriosis, one of the most common benign gynaecological diseases, is characterized by a reduced quality of life due to various physical and psychological stresses. Late diagnosis is associated with disease progression and higher healthcare costs. The aim of this qualitative study was to gain further insights into the causes of the delay in diagnosis in women with endometriosis. Methods: Data basis are the statements of 90 women with diagnosed endometriosis from a qualitative study on the experience with health care in Germany. Following Kuckartz, structuredthematic content analysis was used to evaluate data. By comparing women with early and late onset of symptoms, possible causes for diagnostic delay were to be identified. Results: Women who experience an early onset of symptoms, often associated with menarche, are predominantly not able to recognize the pathological condition of the symptoms. Lack of knowledge and experience regarding a normal menstrual cycle, intensive influence of family members and friends who tend to "normalize", "belittle" and describe the symptoms as fateful, late use of healthcare services as well as ignorance and misjudgement on the part of physicians result in a delayed diagnostic process. Conclusion:The results of the present analysis confirm the findings of other studies indicating that misjudgment and ignorance of the signs and symptoms are the most important reasons for the delayed diagnosis of endometriosis. However, it will not be sufficient to bring about improvement exclusively at the level of the treating physician. Further measures should be taken to improve the level of knowledge of the general population. Thus, it is necessary to develop comprehensive and target group-specific information offerings to provide young girls with comprehensive and appropriate information as early as puberty.

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Let’s not forget endometriosis and infertility amid the covid-19 crisis

Cited by 9 publications

References 13 publications

Fear of novel coronavirus disease (COVID-19) among pregnant and infertile women in Japan

Fear of novel coronavirus disease (COVID-19) among pregnant and infertile women in Japan

Endometriosis Surgery during the First Wave of the COVID-19 Pandemic: A Brazilian Single Institution Experience

Relationship between onset of symptoms and diagnostic delay in women with endometriosis

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