Editing Endometriosis (section)

===Medical culture===
There are many barriers that those affected face in receiving diagnosis and treatment for endometriosis. Some of these include outdated standards for laparoscopic evaluation, stigma about discussing menstruation and sex, lack of understanding of the disease, primary-care physicians' lack of knowledge, and assumptions about typical menstrual pain.<ref>{{cite journal | vauthors = As-Sanie S, Black R, Giudice LC, Gray Valbrun T, Gupta J, Jones B, Laufer MR, Milspaw AT, Missmer SA, Norman A, Taylor RN, Wallace K, Williams Z, Yong PJ, Nebel RA | title = Assessing research gaps and unmet needs in endometriosis | journal = American Journal of Obstetrics and Gynecology | volume = 221 | issue = 2 | pages = 86–94 | date = August 2019 | pmid = 30790565 | doi = 10.1016/j.ajog.2019.02.033 | s2cid = 73480251 }}</ref> On average, those later diagnosed with endometriosis waited 2.3 years after the onset of symptoms before seeking treatment, and nearly three-quarters of women receive a misdiagnosis before endometriosis.<ref>{{cite journal |vauthors=Hudelist G, Fritzer N, Thomas A, Niehues C, Oppelt P, Haas D, Tammaa A, Salzer H |title=Diagnostic delay for endometriosis in Austria and Germany: causes and possible consequences |journal=Human Reproduction |volume=27 |issue=12 |pages=3412–6 |date=December 2012 |pmid=22990516 |doi=10.1093/humrep/des316 |doi-access=free |title-link=doi}}</ref> Self-help groups say practitioners delay making the diagnosis, often because they do not consider it a possibility. There is a typical delay of 7–12 years from symptom onset in affected individuals to professional diagnosis.<ref>{{cite journal |date=December 2003 |title=Test d'auto-évaluation du JOGC |journal=Journal of Obstetrics and Gynaecology Canada |volume=25 |issue=12 |pages=1046–1051 |doi=10.1016/s1701-2163(16)30350-4 |issn=1701-2163}}</ref> There is a general lack of knowledge about endometriosis among primary care physicians. Half of the general health care providers surveyed in a 2013 study could not name three symptoms of endometriosis.<ref>{{cite journal | vauthors = Quibel A, Puscasiu L, Marpeau L, Roman H | title = [General practitioners and the challenge of endometriosis screening and care: results of a survey] | journal = Gynécologie, Obstétrique & Fertilité | volume = 41 | issue = 6 | pages = 372–80 | date = June 2013 | pmid = 22521982 | doi = 10.1016/j.gyobfe.2012.02.024 }}</ref> Healthcare providers are also likely to dismiss described symptoms as normal menstruation.<ref name="Time elapsed from onset of symptoms">{{cite journal | vauthors = Arruda MS, Petta CA, Abrão MS, Benetti-Pinto CL | title = Time elapsed from onset of symptoms to diagnosis of endometriosis in a cohort study of Brazilian women | journal = Human Reproduction | volume = 18 | issue = 4 | pages = 756–9 | date = April 2003 | pmid = 12660267 | doi = 10.1093/humrep/deg136 | doi-access = free | title-link = doi }}</ref> Younger patients may also feel uncomfortable discussing symptoms with a physician.<ref name="Time elapsed from onset of symptoms"/>