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Some of these have already been discussed, including the need to follow a clinical hierarchy of diagnoses, the variability of the symptoms and impacts of endometriosis, concerns about laparoscopy, managing trials of treatment (as sanctioned in the National Institute for Health and Care Excellence [NICE] guidance), 17 and supporting women who, at points in their care journey do not want referral (for example, if their symptoms are well controlled in primary care)
Robey BS, Peery AF, Dellon ES
