Reviewer’s report
Title: 
Real-world characteristics of women with endometriosis-related pain entering a multidisciplinary
endometriosis program
Version: 
0 
Date: 
23 Oct 2020
Reviewer: 
Bernardo Lasmar
Reviewer's report:
it is an interesting article that confirms the impact on the quality of life of patients with endometriosis and
the delay in diagnosis, leading to practically a decade of pain.
It would be interesting to report whether patients who underwent surgery for endometriosis did so in
specialized centers. hysterectomy and bilateral annexectomy are often performed in non-specialized
centers, and usually do not resolve patients' pain complaints.
Dysmenorrhea is often associated with endometriosis, it would be important, despite the difficulty of
being a retrospective study, to rule out the presence of adenomyosis with a more specific method, such as
magnetic resonance, since ultrasound performed in non-specialized clinics usually does not diagnose
disease.
My recommendation would be to explain a little more how a multidisciplinary endometriosis center
works, highlighting its advantages, such as pelvic physiotherapy, acupuncture, mental health, among
others, so that it is clear to the reader the difference between a multidisciplinary center and a unique
medical provider. .
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