Do women of different socio-economic backgrounds have special obstacles when seeking diagnosis and treatment for Endometriosis?
When we say endometriosis is the one of the most misdiagnosed, mismanaged, and mistreated disease, I must say that the socio economical factors have something to do with it. Here is why and how. If you are coming from low socioeconomic group, it is easy to be treated and to be diagnosed your ailment as pelvic inflammatory disease. If you have the privilege to go to private doctors, then the diagnosis all of a sudden becomes irritable bowel syndrome that involves multispecialty testing. In both ways, the diagnosis is wrong and it is degrading for the first group of people to have a PID. They are put to shame. In fact, they do not have PID. The second group develops mistrust of the whole medical community. So we develop one group of woman with endometriosis from a different origin which both of them commonly share as mistrust to the whole medical establishment. The resentment that develops against this really formats these women’s personality. I sometimes call this type E personality, component of type E personality because people with endometriosis have special personality, I think. Besides this these women are sometimes high achievers in city crowd. They can bury and hide their pain to the point when they cannot stand anymore. They have passed the age of 30 and 35. When you look at their inside, their endometriosis are so advanced that the only treatment they may have is, they may require removing massively involving disease containing and attacking their tubes and reproductive functions.