1. Patients often normalize severe menstrual pain.
2. Diagnoses of endometriosis delayed due to misattribution.
3. Psychological distress from trivialization of symptoms reported.
4. Initial treatments often ineffective (e.g., hormonal therapy).
5. Average delay to specialist referral is 36 months.
6. Calls for improved education and referral systems by physicians.
7. Most studies situated in high-income settings.

Source: Women’s Reproductive Health