{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:56:35Z","timestamp":1773014195605,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Endometriosis is a significant and prevalent health issue. Delayed diagnosis is common and the associated delay to treatment is associated with high socioeconomic and personal costs including chronic pain, infertility and reduced quality of life. There is a lack of studies documenting endometriosis pathways in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To explore lived experiences of individuals with endometriosis in South Australia and identify perceived barriers to timely diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Semi\u2010structured interviews were conducted with 50 participants aged over 18\u2009years living in South Australia with a surgical diagnosis of endometriosis and data was analysed using reflexive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants reported significant delays between the onset of symptoms and their diagnosis. Barriers were identified at personal and systemic levels. Personal barriers include societal and self\u2010normalisation of symptoms and stigma associated with discussing menstrual health. Systemic hurdles include symptom dismissal and insufficient endometriosis education within healthcare and community settings. These barriers significantly hinder equitable and empathetic healthcare access. Diagnosis delivery is a key point in the endometriosis care pathway and must be conducted thoroughly and empathetically by health professionals with a patient\u2010centred focus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study highlights the need to improve care pathways for the timely recognition and management of persistent pelvic pain. In patients presenting with chronic pelvic pain, endometriosis should be considered as part of the differential diagnosis. Results call for multi\u2010faceted improvements in technology, advocacy, and education for students and health practitioners to improve timely diagnosis and patient\u2010centred outcomes. We suggest re\u2010orientating the healthcare system to centre the individual as the expert in their own journey, fostering a more patient\u2010centred approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70068","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:34:13Z","timestamp":1762868053000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pathway to Endometriosis Diagnosis in South Australia: A Qualitative Study"],"prefix":"10.1111","volume":"66","author":[{"given":"Gabrielle","family":"Shea","sequence":"first","affiliation":[{"name":"College of Medicine and Public Health Flinders University  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ren\u00e9e","family":"Bowman","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Sciences Flinders University  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Shipman","sequence":"additional","affiliation":[{"name":"Caring Futures Institute, College of Nursing and Health Sciences Flinders University  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"O'Hara","sequence":"additional","affiliation":[{"name":"Robinson Research Insititute University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5227-3524","authenticated-orcid":false,"given":"Christine M.","family":"Barry","sequence":"additional","affiliation":[{"name":"College of Medicine and Public Health, Flinders Health and Medical Research Institute Flinders University  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8545(05)70302-8"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijmr.IJMR_817_18"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0154227"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/0167482X.2020.1825374"},{"key":"e_1_2_9_6_1","article-title":"Understanding Diagnostic Delay for Endometriosis: A Scoping Review","volume":"2024","author":"Fryer J.","year":"2024","journal-title":"medRxiv"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2011.05.090"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deaa330"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12571"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/des073"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0223316"},{"key":"e_1_2_9_12_1","volume-title":"National Action Plan for Endometriosis","author":"Government A","year":"2018"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/det284"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781036234492"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/13620-004"},{"key":"e_1_2_9_17_1","volume-title":"Doing Reflexive Thematic Analysis","author":"Braun V.","year":"2023"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-6405.2007.00140.x"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7071"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6874-14-123"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.23736\/S0026-4784.18.04320-4"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2018.12.039"},{"key":"e_1_2_9_23_1","article-title":"Advances in Approaches to Diagnose Endometriosis","volume":"9","author":"Giudice L. 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