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Title: Endometriosis: Why Patients with Severe Pain are Undertreated and Reject Treatment Options This article discusses the reasons why three women were repeatedly not diagnosed with endometriosis in their brief yearly meeting with their gynecologist. Patients resorted to strong NSAIDS like Motrin which seemed to bother their intestines. A working endometriosis diagnosis was accepted by their gynecologist after a careful menstrual diary was completed. Specifically, patients recorded bleeding, pain dates and pain amplitude. Ultrasounds offered useful or unclear data. Laparoscopy confirmed diagnosis definitely. Various treatment options are offered including very innovative ones. |

