子宫内膜异位症：更早诊断若无法切实获得治疗，仅是解决了一半问题
摘要
Busby和Uppal强调了疑似子宫内膜异位症女性所面临的难以接受的诊断延迟。1 近十年的延迟是不可原谅的。但这一讨论可能会造成一种印象，即仅凭更早的诊断就能改变结局。对许多患者而言，事实并非如此。作为一名多年饱受严重盆腔疼痛困扰的人，我发现自己在追问一个更令人不安的问题：确诊之后会发生什么？腹腔镜检查具有侵入性，给卫生系统带来高昂费用，并存在手术风险。可以理解的是，患者欢迎非侵入性生物标志物的可能性。但获得诊断仅仅是旅程的开始。许多女性尽管最终得到确诊，却只能接受已经失败过的激素治疗或延长镇痛治疗，或者被列入等候名单。
English
Busby and Uppal highlight the unacceptable diagnostic delays faced by women with suspected endometriosis.1 A delay of almost a decade is indefensible. But this discussion risks creating the impression that earlier diagnosis alone will transform outcomes. For many patients, it will not.As someone who has had severe pelvic pain for years, I find myself asking a more uncomfortable question: what happens after diagnosis?Laparoscopy is invasive, costly to health systems, and carries surgical risks. Understandably, patients welcome the possibility of non-invasive biomarkers. But obtaining a diagnosis is only the beginning of the journey. Many women, despite finally receiving confirmation, are offered hormonal treatments that have already failed or prolonged analgesia, or they are placed onto wai