Breaking Down Barriers: Improving Access to Quality Endometriosis Care
Nathalia Nieto Rey1, Jorge D Lopez I2,3, Angélica M Quintero M3
1Clínica del Prado, Medellín, Colombia.
Seminars in Reproductive Medicine
|August 7, 2025
Summary
Endometriosis affects millions of women globally, but societal normalization of pain and healthcare disparities create significant barriers to timely diagnosis and effective treatment. Improving access requires increased awareness, education, and healthcare system reforms.
Area of Science:
- Gynecology
- Public Health
Background:
- Endometriosis impacts 200 million women worldwide, yet access to care is severely limited.
- Societal normalization of menstrual pain and stigma surrounding menstrual health delay diagnosis and treatment.
- Socioeconomic factors and healthcare disparities create financial barriers to specialized endometriosis care.
Purpose of the Study:
- To highlight the significant barriers hindering access to timely and appropriate endometriosis care.
- To emphasize the need for a multi-pronged approach to improve care access.
- To advocate for increased education, awareness, and healthcare system reforms.
Main Methods:
- This study is a review of existing literature and data on endometriosis prevalence and care access barriers.
- Analysis of societal, economic, and healthcare system factors contributing to delayed diagnosis and treatment.
- Identification of key areas for intervention to improve patient outcomes.
Main Results:
- Delayed diagnosis is common due to the normalization of menstrual pain and symptom dismissal.
- Socioeconomic disparities significantly limit access to specialized treatments.
- Existing healthcare systems often fail to adequately address the needs of endometriosis patients.
Conclusions:
- A comprehensive strategy involving patient and public education, destigmatization, and healthcare system reform is essential.
- Addressing socioeconomic disparities is crucial for equitable access to diagnosis and treatment.
- Further research is needed to advance understanding, diagnostics, and treatments for endometriosis.


