{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T05:39:52Z","timestamp":1793425192100,"version":"4.5.0"},"reference-count":54,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:00:00Z","timestamp":1758844800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2026,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>An average time to diagnosis of 7 years is commonly described for endometriosis; diagnostic delay for adenomyosis is unknown. This cross-sectional study aimed to describe diagnostic delay for endometriosis and adenomyosis and to investigate the factors associated with this delay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Community of Patients for Research (ComPaRe)-Endometriosis is a prospective e-cohort of women with endometriosis and\/or adenomyosis in France. About 6,949 participants were included. We used linear regression modeling to assess factors associated with diagnostic delay, after adjustment for age, education level, body mass index, number of comorbidities, and family history of the disease or of chronic pelvic pain (CPP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The average diagnostic delay was 10 years for endometriosis and 11 years for adenomyosis. Factors associated with a significantly longer diagnostic delay were year of diagnosis (+0.34 years,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001), unemployment (+0.7 years,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.01), number of comorbidities (+0.3 years,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001), family history of the disease or of CPP (+1.1 years,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001), severe dysmenorrhea before diagnosis (numeric-rating scale: +0.8 years,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001), number of health professionals consulted before diagnosis (+0.3 years,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001), and presence of multiple symptoms leading to first consultation (+1.6 years,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001). In contrast, factors associated with a shorter delay were a financial position perceived as comfortable (\u22121.4 years,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001), age at menarche (\u22120.6 years,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001), and age at first symptoms (\u22120.8 years,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study highlights several factors associated with diagnostic delay among women with self-reported endometriosis and\/or adenomyosis and provides new insights to improve care by informing both clinicians and patients. Attention to these profiles may improve disease management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15409996251380129","type":"journal-article","created":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T08:01:00Z","timestamp":1758873660000},"page":"172-188","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Endometriosis Diagnostic Delay and Its Correlates: Results from the ComPaRe-Endometriosis Cohort"],"prefix":"10.1177","volume":"35","author":[{"given":"Z\u00e9lia","family":"Breton","sequence":"first","affiliation":[{"name":"Inserm, Gustave Roussy, Universit\u00e9 Paris-Saclay, UVSQ, Villejuif, France."},{"name":"Lyv Healthcare, Nantes, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sol\u00e8ne","family":"Gouesbet","sequence":"additional","affiliation":[{"name":"Inserm, Gustave Roussy, Universit\u00e9 Paris-Saclay, UVSQ, Villejuif, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8974-6551","authenticated-orcid":false,"given":"Emilie","family":"Indersie","sequence":"additional","affiliation":[{"name":"EndoFrance association, Tresilley, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Gabillet","sequence":"additional","affiliation":[{"name":"ENDOmind association, Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viet-Thi","family":"Tran","sequence":"additional","affiliation":[{"name":"METHODS Team, Center for Research in Epidemiology and Statistics (CRESS), Universit\u00e9 de Paris\/INSERM (UMR 1153), Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nizar","family":"Aflak","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, AP-HP, Beaujon Hospital, Clichy, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Borghese","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Surgery and Reproductive Medicine, Assistance Publique - H\u00f4pitaux de Paris (AP-HP), Cochin University Hospital, Paris, France."},{"name":"Centre de Recherche des Cordeliers, Sorbonne Universit\u00e9, Universit\u00e9 Paris Cit\u00e9, INSERM, Paris France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erick","family":"Petit","sequence":"additional","affiliation":[{"name":"Department of Radiology, Paris Saint-Joseph Hospital, Paris, France."},{"name":"RESENDO, Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Horace","family":"Roman","sequence":"additional","affiliation":[{"name":"IFEMEndo, Clinique Tivoli-Ducos, Bordeaux, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne-Charlotte","family":"Millepied","sequence":"additional","affiliation":[{"name":"EHESS, Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaux","family":"N\u00e8ve De Mevergnies","sequence":"additional","affiliation":[{"name":"EHESS, Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4557-3772","authenticated-orcid":false,"given":"Marina","family":"Kvaskoff","sequence":"additional","affiliation":[{"name":"Inserm, Gustave Roussy, Universit\u00e9 Paris-Saclay, UVSQ, Villejuif, France."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,26]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1810764"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.17242.1"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.2147\/IJGM.S261139"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/hropen\/hoac009"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2011.05.090"},{"key":"e_1_3_4_7_2","article-title":"Prevalence, Symptomatic Burden, and Diagnosis of Endometriosis in Canada: Cross-Sectional Survey of 30 000 Women","volume":"10","author":"Singh S","year":"2020","unstructured":"Singh S, , Soliman AM, , Rahal Y, et al. 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