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Improving menstrual health and endometriosis care in the UK

Research from BCU is focusing on improving menstrual health and endometriosis care in the UK

探花直播鈥檚 health research shaped national and international clinical guidance on endometriosis and led to new training for healthcare professionals, improving care for the estimated 1.5 million women in the UK with the condition.听 It has also contributed to the introduction of mandatory menstrual education for 7.25 million pupils in England and to wider societal conversations about menstrual taboos.

Research Summary

Endometriosis, the growth of endometrial-like tissue outside of the uterus, is the second most common gynaecological condition in the UK. The chronic, incurable condition can cause severe pelvic pain; painful menstruation; dyspareunia and infertility. Within the UK, patients face an average delay of 8 years for a diagnosis. Menstruation misconceptions exacerbate the hidden nature of the condition.听

BCU research revealed how endometriosis dramatically shapes every aspect of women鈥檚 lives and how, for nearly two decades, women continue to face prolonged diagnostic delays and dismissal of their symptoms by healthcare professionals.

Research Background 鈥 evidencing the impact of endometriosis and delayed diagnosis

Professor Emeritus Elaine Denny鈥檚 was the first in the UK to evidence women鈥檚 experiences of prolonged diagnostic delay. 听It found that despite severe and debilitating pelvic pain, health practitioners often dismissed symptoms as typical menstrual pain.听

Her also captured how those with the condition live with uncertainty about their fertility and if their pain symptoms will ever improve, evidencing the need for improved patient-practitioner communication and information and support for women. It also highlighted the need for and appropriate endometriosis information and supports.

Dr Annalise Weckesser and Denny carried out research on听 experiences of听, evidencing how women 鈥渇eel desperate鈥 and are 鈥渨illing to try anything鈥 for symptom relief. It also evidenced how, nearly two decades on from Denny鈥檚 original research, women continue to report dismissal of their pain symptoms and prolonged diagnostic delay.

Outcomes and impact 鈥 improving care and reducing stigma听

Denny鈥檚听 research informs the听, produced by the National Institute for Health and Care Excellence, 听as well as on endometriosis management. Her work shaped guidance on the importance of believing women鈥檚 symptoms and providing information and support that meets the needs of a diversity of patients.

The Women鈥檚 Health APPG Inquiry, 鈥 extensively cited Denny鈥檚 work to call for improved training on endometriosis training for health practitioners. This led to the Royal College of General Practitioners and Royal College of Obstetricians and Gynaecologists introducing new training modules to promote awareness of endometriosis symptoms and treatment amongst practitioners within and outside of the UK.

The APPG Inquiry, again drawing on Denny鈥檚 work, called for improved menstrual health education to enable girls and young women to better identify potential symptoms of endometriosis. This led to the Department for Education introducing mandatory menstruation education for 7.25 million pupils primary and secondary students in England.

Brook, the sexual health service and education charity for young people, and Plan International UK, the international children鈥檚 charity, commissioned Dr Weckesser and colleagues to create a series of evidence-based resources for the Let鈥檚 Talk. Period听initiative. These resources provide a 鈥榞o to guide鈥 for the menstrual health sector:

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BCU鈥檚 research shaped public conversations on endometriosis awareness and menstruation stigma. Research by Denny and Weckesser featured in multiple articles on endometriosis in high profile media outlets with large national and international readership, including The Independent, The New Statesmen, and The Daily Express.

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Professor Emeritus Elaine Denny, whose work centres on endometriosis care

Professor Emeritus Elaine Denny

Professor of Health Sociology

Elaine has undertaken over twenty years of sociological research on endometriosis in the United Kingdom and is a national expert on women鈥檚 experiences of the condition. She has published work on women鈥檚 experience of IVF, the experience of endometriosis, and on the occupation of nursing.

annalise

Dr Annalise Weckesser听

Senior Research Fellow

Annalise is a medical anthropologist and co-leads the Gender, Family and Health Research Cluster.听 Her research explores the gendered experiences of reproductive, sexual, and menstrual health.听 She co-founded the International Endometriosis Social Research Network.


Angela Hewett Staff profile

Dr Angela Hewett听

Senior Lecturer in Health Psychology

Angela specialises in health psychology and has a keen interest in gender and health and in health inequalities. Angela has also worked in public health at both 探花直播 and the University of Liverpool, and has experience of working in practice as a Health Promotion Coordinator, with a focus on mental health promotion.


Gemma Williams

Gemma Williams

Research Fellow

Gemma鈥檚 research interests include women鈥檚 health (focusing upon menstruation), the experiences of people with chronic health conditions, and mental health. She is currently undertaking a PhD, looking at menstrual equity and chronic health.


Amie Randhawa is a PhD student currently conducting research into teens' experiences of endometriosis.

Amie Randhawa听

Researcher

Amie is a doctoral candidate undertaking the first UK-based study on teenagers鈥 experiences and knowledge of endometriosis.听Amie is one of 50听,听whose research is funded as part of BCU's initiative to create new subject knowledge and to power cultural, societal and economic improvements in the West Midlands.