Endometriosis affects approximately 1 in 10 (10%) women of reproductive age in South Africa, translating to an estimated 2.8 million women. Mirroring global trends, local patients typically face an average diagnostic delay of about 8 years. Endo cannot be permanently cured, but it can be highly effectively managed. Because it is a chronic, estrogen-dependent inflammatory disease, the goal of treatment shifts from eradication to symptom suppression, fertility preservation, and