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Collaboration is key in managing endometriosis

BMJ 2025; 388 doi: https://doi.org/10.1136/bmj.q2725 (Published 31 January 2025) Cite this as: BMJ 2025;388:q2725

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Diagnosis and management of endometriosis: summary of updated NICE guidance

  1. Heather C Guidone
  1. Patient author
  1. Heather{at}centerforendo.com

Heather Guidone describes how endometriosis affected many aspects of her life and how collaboration in care is key

My journey with endometriosis started with severe menstrual cramping, irregular and heavy bleeding, and significant gastrointestinal distress and urinary dysfunction. What initially seemed like “bad periods” quickly became something much more disruptive, and as time went on my symptoms escalated. Debilitating, chronic non-menstrual pelvic pain began to dominate my days. Lower back and leg pain and excessive fatigue became a constant presence. Later, painful intercourse and infertility emerged as challenges.

Over time, these symptoms took an increasing toll on my physical and mental health …

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