Editing Endometriosis (section)

===Economic burden===
The economic burden of endometriosis is widespread and multifaceted.<ref name=":5">{{cite journal |vauthors=Gao X, Outley J, Botteman M, Spalding J, Simon JA, Pashos CL |title=Economic burden of endometriosis |journal=Fertility and Sterility |volume=86 |issue=6 |pages=1561–72 |date=December 2006 |pmid=17056043 |doi=10.1016/j.fertnstert.2006.06.015 |s2cid=20623034 |doi-access=free |title-link=doi}}</ref> Endometriosis is a chronic disease that has direct and indirect costs, which include loss of work days, direct costs of treatment, symptom management, and treatment of other associated conditions such as depression or chronic pain.<ref name=":5" /> One factor that seems to be associated with especially high costs is the delay between the onset of symptoms and diagnosis.

Costs vary greatly between countries.<ref>{{cite journal | vauthors = Koltermann KC, Dornquast C, Ebert AD, Reinhold T | s2cid = 32839234 | title = Economic Burden of Endometriosis: A Systematic Review | journal = Ann Reprod Med Treat | date = 2017 | volume = 2 | issue = 2m | page = 1015 }}</ref> Two factors that contribute to the economic burden include healthcare costs and losses in productivity. A Swedish study of 400 endometriosis patients found "Absence from work was reported by 32% of the women, while 36% reported reduced time at work because of endometriosis".<ref>{{cite journal | vauthors = Grundström H, Hammar Spagnoli G, Lövqvist L, Olovsson M | title = Healthcare Consumption and Cost Estimates Concerning Swedish Women with Endometriosis | language = english | journal = Gynecologic and Obstetric Investigation | volume = 85 | issue = 3 | pages = 237–244 | date = 2020 | pmid = 32248191 | doi = 10.1159/000507326 | s2cid = 214811610 | doi-access = free | title-link = doi }}</ref> An additional cross sectional study with Puerto Rican women, "found that endometriosis-related and coexisting symptoms disrupted all aspects of women's daily lives, including physical limitations that affected doing household chores and paid employment. The majority of women (85%) experienced a decrease in the quality of their work; 20% reported being unable to work because of pain, and over two-thirds of the sample continued to work despite their pain."<ref>{{cite journal | vauthors = Soliman AM, Coyne KS, Gries KS, Castelli-Haley J, Snabes MC, Surrey ES | title = The Effect of Endometriosis Symptoms on Absenteeism and Presenteeism in the Workplace and at Home | journal = Journal of Managed Care & Specialty Pharmacy | volume = 23 | issue = 7 | pages = 745–754 | date = July 2017 | pmid = 28650252 | doi = 10.18553/jmcp.2017.23.7.745 | pmc = 10398072 | doi-access = free | title-link = doi }}</ref>  A study published in the UK in 2025 found that after women received a diagnosis of endometriosis in an English NHS hospital their earnings were on average £56 per month less in the four to five years after diagnosis than they were in the two years before. There was also a reduction in the proportion of women in employment.<ref>{{cite news |last1=Snowdon |first1=Catherine |title=Women with endometriosis earn less, research shows |url=https://www.bbc.co.uk/news/articles/c0k5rp87nzlo |access-date=5 February 2025 |publisher=BBC |date=5 February 2025}}</ref>