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Effort should be done to better evaluate pain at the primary level and at the referral level
Non directive and empathetic listening
Detailed analysis of endometriosis pain symptoms (profile or muldimensionnal)
Use of intensity scale to measure the pain
Evaluation of HRQOL (specific and non specific)
 Use of self administered instrument (easy to administer and score/not time consuming)
 And use people....
Risks and benefits of early diagnosis:
(I) At the primary care level (GP, midwife, gynecologist)
Reduce time to diagnosis
Avoid progression of the disease
Difficulty in distinguishing between normal and pathological symptoms
No data available at the primary care level for diagnostic modalities
Risk of false positive including unnecessary laparoscopy
Risk of turn asymptomatic women into patients who might never have come to suffer from the disease
Norationaleforsecondaryprevention inendometriosis
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