Women and young girls are being encouraged to visit a gynaecologist sooner rather than later for guidance on managing their menstrual health. Endometriosis, a condition that affects one in ten women globally, is often misdiagnosed, leaving many women struggling for years before receiving the correct diagnosis.  

Dr. Lusanda Shimange-Matsose, a gynaecologist and fertility specialist at MedFem, stresses the importance of early visits for girls and young women to understand their menstrual cycles.  

“The earlier, the better. It’s important to understand your body and the changes that come with it as you grow. I’ve even seen patients as young as 8, before they’ve started menstruating, to prepare them for what’s to come,” says Dr. Shimange-Matsose. 

Advancements in Diagnosis and Treatment 

Misdiagnosis can take between 7-10 years, but thanks to advancements in ultrasound technology, the diagnostic process has become less invasive and time-consuming. Endometriosis can lead to painful periods, intercourse, and potential infertility.  

Dr. Shimange-Matsose explains that treatment options depend on the severity of the condition: “If a patient experiences both pain and infertility, we often prioritize treating infertility first, as fertility has a time limit. It’s not that patients with endometriosis can’t conceive naturally — they can.  

However, once diagnosed, they’re aware that conception may be more challenging. In such cases, we often recommend Assisted Reproductive Technology (ART), such as IVF.”  

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How a Gynaecologist Supports Mental Health in Endometriosis Treatment 

Additionally, Lindelwa Mkhabela, a psychologist at Femicare, highlights the critical role mental well-being plays during treatment for endometriosis: “There’s an interconnected relationship between mental and physical health. A person’s response to medical treatments, like pain management, can be affected by their mental state.  

If a patient is severely depressed or anxious, the effectiveness of the medication can be reduced. Anxiety or depression can often cause additional distress, making it harder for the body to respond to treatment.” 

Final Thoughts 

Managing endometriosis requires a holistic approach that considers both physical and mental well-being. Early intervention can have a big impact with the help of your gynaecologist. Prioritising medical care and emotional support can help patients get through their journey. 

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