{"doi":"10.2147/ijwh.s424554","title":"Perception and Comfort with Endometriosis Management Among OB/GYN Residents","abstract":"Purpose: The diagnosis of endometriosis often takes several years, delaying appropriate care while patients suffer from pelvic pain, dysmenorrhea, and dyspareunia. Understanding whether residents in obstetrics and gynecology (OB/GYN) are being adequately exposed to and trained in the diagnosis and management of the disease is important for improving care. Methods: We conducted an online cross-sectional survey of OB/GYN residents to investigate their comfort level and familiarity with endometriosis diagnosis and management. Residency program directors and coordinators of 20 OB/GYN residency programs in California, USA were emailed to disseminate the 31-question, anonymous survey in January to February 2023. Responses were collected using Redcap and analysis was conducted using STATA. Results: 67 residents answered at least one non-demographic question and were included. A resident response rate was not calculated because we were unable to determine how many programs distributed the survey. 84% of residents felt they could recognise symptoms of endometriosis but over 30% of senior residents were not comfortable with sonographic diagnosis of endometrioma. Approximately one third of residents felt comfortable managing hypoestrogenic symptoms, osteoporotic risks, and add-back progestin for certain hormonal therapies. Academic-hospital based residents had significantly more exposure to attendings prescribing long-acting reversible contraception, GnRH antagonists, and GnRH agonists but there were no significant differences in trainee prescribing practices or comfort. More respondents would feel comfortable medically managing endometriosis (52%) than surgically managing the disease (26%) if they were in practice today, with only 39% of PGY3-4 residents feeling comfortable surgically managing endometriosis. Conclusion: There is considerable room for improvement in the education of residents in the diagnosis and medical and surgical management of endometriosis. Plain Language Summary: Given the frequent multi-year delay in the diagnosis and proper treatment of endometriosis, we wanted to evaluate whether residents in Obstetrics and Gynecology (OB/GYN) feel adequately trained to manage this disease. Through our survey, we identified that OB/GYN residents are comfortable with diagnosing endometriosis but are less confident with treatment, particularly surgical management. Only 52% of senior residents in their final 2 years of residency training report they would feel comfortable with the medical treatment of endometriosis if they were in practice today, compared to 39% reporting comfort with surgical management. Additional exposure and training during residency are essential for boosting resident comfort with disease management and therefore improving patient care. Keywords: endometriosis, resident education, GnRH antagonists, surgical training, OB/GYN, pelvic pain","journal":"International Journal of Women s Health","year":2023,"id":378020,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9643,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":243154,"name":"Marni Jacobs","orcid":"0000-0001-6649-6692","position":1,"is_corresponding":false},{"id":1141958,"name":"Manpreet Sandhu","orcid":"0000-0001-7562-0632","position":2,"is_corresponding":false},{"id":451583,"name":"D. Yvette LaCoursiere","orcid":"0000-0002-6694-4421","position":3,"is_corresponding":false},{"id":1142425,"name":"Carolina Díaz Luévano","orcid":null,"position":4,"is_corresponding":false},{"id":1141959,"name":"Charlotte Pickett","orcid":"0000-0002-7159-8981","position":5,"is_corresponding":false},{"id":622976,"name":"Sanjay K. Agarwal","orcid":"0000-0002-8046-9807","position":6,"is_corresponding":false},{"id":1141957,"name":"R Sullender","orcid":"0000-0002-0091-2187","position":0,"is_corresponding":true}],"reference_count":12,"raw_metadata":null,"created_at":"2026-07-19T01:16:44.708019Z","pmid":"38020939","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}