Endometriosis Cases Rise in Bengaluru, Yet Diagnostic Delays Remain Critical Concern
In Bengaluru, medical professionals are observing a concerning trend: endometriosis is being diagnosed with increasing frequency among school and college students, as well as working women across the city. However, despite this rise in detection, doctors emphasize that persistent stigma surrounding menstrual health and reluctance to pursue medication continue to postpone treatment for numerous patients, leading to significant health complications.
Normalization of Pain and Societal Stigma Fuel Diagnostic Delays
Dr. B. Ramesh, chief consultant, obstetrician, and gynaec laparoscopic surgeon at Altius Hospital, highlighted the ongoing challenges. "There is definitely improvement in awareness in cities like Bengaluru, but we still see a diagnostic delay of about six to eight years from the onset of symptoms because painful periods are often normalized," he stated. This delay is exacerbated by cultural attitudes that discourage open discussion about menstrual health.
Endometriosis is a chronic medical condition where tissue resembling the uterine lining grows outside the uterus, resulting in inflammation and severe pain. Globally, it is estimated to affect approximately 10% of women of reproductive age, but medical experts suspect the actual prevalence might be higher due to many cases going undiagnosed.
Impact on Daily Life and Mental Well-being
Adolescents and young women frequently manage initial symptoms with home remedies or over-the-counter painkillers, mistakenly believing the pain is a normal aspect of menstruation. This misconception delays their seeking of professional medical assistance. "Many women are told that their mothers and grandmothers endured period pain, so they should too. Even taking tablets for a few days during severe pain is seen as abnormal. As a result, many continue to suffer, missing college or work instead of seeking treatment," explained Dr. Madhuri Vidyashankar P., consultant, hysteroscopic and laparoscopic surgeon and gynaecologist at Motherhood Hospitals.
Doctors stress that endometriosis profoundly affects multiple dimensions of women's health and daily functioning. "Endometriosis affects every aspect of life — from physical health to fertility. Women may experience chronic pelvic pain, severe menstrual cramps, and fatigue that interfere with daily activities and productivity," said Dr. Nidhi Nandan, senior consultant in obstetrics and gynaecology at Sakra World Hospital.
She further noted that the condition can adversely impact mental health, leading to anxiety or stress, especially when symptoms persist for years without a proper diagnosis. In certain instances, it may also influence fertility, causing emotional distress for couples planning to start a family, while pain during intercourse can strain intimate relationships.
Potential Complications and the Importance of Early Intervention
If left untreated, doctors warn that persistent inflammation can result in chronic pelvic pain, ovarian cysts, and pelvic adhesions. "In advanced cases, the disease may even involve the bowel, bladder, ureters, and pelvic nerves, making treatment more complex," cautioned Dr. Ramesh. These complications underscore the critical need for timely medical attention.
Medical professionals assert that while there is no definitive method to prevent endometriosis, early recognition of symptoms and prompt medical intervention can substantially reduce its long-term impact and assist women in managing the condition effectively. Raising awareness and combating stigma are essential steps toward improving health outcomes for those affected.
