Living With Endo…

Sana Lifestyle
Jul 10
2 min read

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 halting disease progression.

Stats & Demographics

- 10% of SA women of reproductive age.

- Studies historically show variation in documented cases within SA, with prevalence noted at roughly 2% in the Black population compared to 7% in the White population, though underdiagnosis in marginalised groups is a significant clinical concern.

- SA contributes to the worldwide burden of roughly 190 million affected individuals, with localised research highlighting the disease’s heavy toll on almost every aspect of wellbeing.

- Endometriosis is a leading cause of female infertility in the country. It accounts for a significant majority of female infertility cases treated at institutions like Cape Fertility in Cape Town.

- 30% of SA patients experience severe disease. Research by Stellenbosch University highlights that chronic fatigue is a debilitating, secondary symptom.

- Due to chronic pain and debilitating symptoms, many women are unable to work or participate fully in daily life, causing significant economic and quality-of-life losses.

Care in SA

Endo is classified as a Prescribed Minimum Benefit (PMB) by the Council for Medical Schemes. This mandates that registered medical schemes cover the diagnosis, medical management, and surgical treatment of the condition, preventing out-of-pocket expenses for designated treatments.

Medical Management

- Hormonal suppression

- GnRH Analogues

- Pain relief (NSAIDs)

Surgical Management

- Laparoscopic Excision

- Fertility surgery

- Hysterectomy (severe cases)

Lifestyle Support

- Pelvic Floor Physiotherapy

- Anti-inflammatory diet

- Psychological support