Diagnosis Delay and Assessment of the Quality of Life of Patients with Endometriosis Using the Endometriosis Health Profile 5 Questionnaire in a Sub-Saharan Population

Context: Endometriosis is a pathology that directly affects the daily lives of women with frequent impairment their quality life. In our environment, medical, socio-cultural, financial factors and related to organization health care system greatly delay its diagnosis. The objectives present study were determine diagnosis assess life before surgery endometriosis using specific Health Profile 5 (EHP-5) questionnaire. Methods: We carried out descriptive, observational, retrospective in 8 medical centers City Kinshasa, from January 2019 October 2022. A total 80 confirmed by laparoscopy (16 diagnostic 64 operative laparoscopies) histopathology interviewed. used revised American Society for Reproductive Medicine (rASMR) classification, Fertility Index (EFI) score was calculated infertile EHP-5 questionnaire Our data entered analyzed Statistical Analysis Software 16.1 (STATA 16.1). Results: Diagnosis on average 12 ± 4.3 years. overall mean all patients showed severe deterioration (604 235). negative relationship observed between age patient, delay, alteration over 36 years old those about 11 presenting slight alteration. Patients high social level had very impairment. Women hormonal treatment, history pregnancy, childbirth, miscarriage abortion significant (p 0.05). Conclusion: Despite some limitations, preliminary highlights sub-Saharan Africa, delayed associated Moreover, seems be restricted levels. Therefore, further efforts are required develop policy decrease potential benefits symptoms, life, fertility while limiting stigma psychological effects this debilitating pathology.