GPs' perspectives on patients presenting with endometriosis symptoms: an interview study

Endometriosis affects about one in 10 women, yet diagnosis often takes 8-12 years after onset of symptoms. In the Faroe Islands, GPs play a key role in recognising symptoms, managing care, and coordinating referrals to specialists. Therefore, GPs' perspectives on how challenges to care arise and how care could be improved are crucial in order to develop effective interventions for change.

To investigate how GPs in the Faroe Islands experience encounters with patients presenting with endometriosis symptoms.

A qualitative interview study was undertaken with six GPs from various practices across the Faroe Islands.

This study conducted semi-structured individual interviews and analysed participants' responses. Systematic text condensation, inspired by Malterud's thematic analysis, was used to explore GPs' perspectives on their interactions with patients presenting with endometriosis symptoms.

Within the constraints of the Faroese healthcare system, many GPs reported difficulties collaborating with gynaecologists on treatment protocols. Limited referral pathways often led to challenges, particularly when referrals were declined or when patients were returned to general practice without clear diagnosis or management plans. GPs expressed frustration with the limited treatment options available in primary care and a sense of being professionally constrained. They emphasised the need for specialist involvement and highlighted the importance of building long-term relationships with patients offering holistic care, managing expectations early, and maintaining continuity of care.

This study highlights the difficulties GPs face when managing and referring patients with suspected endometriosis. It is crucial to enhance collaboration with specialists and improve referral protocols to optimise patients' care and outcomes.