Abstract
Objective: To determine the practices and experiences of Filipino obstetrician-gynecologists in diagnosing and managing endometriosis. Materials and methods: A cross-sectional, online survey was administered to fellows and diplomates of the Philippine Obstetrical and Gynecological Society. Results: A total of 355 respondents participated in the study. Half (50.4%) were between 30 and 40 years old. Majority of the respondents were fellows of the society (76.9%), with less than five years of clinical practice (32.4%), non-reproductive medicine specialists (88.5%), from the National Capital Region (49.0%). The diagnosis of endometriosis was made based on clinical history (98.9%), pelvic examination (94.9%), and ultrasound (94.1%). The most common presenting symptoms were dysmenorrhea (99.7%), dyspareunia (84.8%), and infertility (82.3%). Dienogest was the most prescribed first-line medical treatment (42.8%) and post-operative medication (72.1%). Post-operative medications were given to delay recurrence of endometriosis-associated pain (86.2%) and to delay recurrence of endometriotic lesions (85.3%). More than one-third of post-operative patients were lost to follow-up. Lifestyle modification was the most common non-surgical intervention advised to patients. Conclusion: Aligning medical practices with patient-centered guidelines is crucial for early diagnosis and prompt management of endometriosis. Emphasis must be given on individualizing treatment in collaboration with the patient. Raising awareness of both patient and health-care providers on the various treatment strategies, especially fertility preservation, are essential. Improving patient education and support is vital to address poor follow-up. Advocating for an Endometriosis Clinic in every hospital is a vital step towards providing a multi-disciplinary and holistic approach to the care of individuals with endometriosis.