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New endometriosis treatment plan to include faster treatment times and two specialist centres

The framework will be implemented on a phased basis, commencing this year.

MINISTER FOR HEALTH Stephen Donnelly has today announced the development of the National Endometriosis Framework which will set out a defined clinical care pathway for women with endometriosis.

Endometriosis is one of the most common gynaecological conditions in Ireland and affects approximately 1 in 10 women. It is characterised by a growth of endometrium-like cells outside the uterus.

Symptoms of endometriosis can vary in number and severity, but can include pelvic pain, menstruation pain, fatigue, diarrhoea, constipation, bloating and nausea.

Developed by the HSE’s National Women and Infants Health Programme (NWIHP), the Framework will be implemented on a phased basis, commencing this year.

The Department of Health have stated that the framework is built around the principle of “right care, right place, right time”, and its Model of Care proposes that women with symptoms of endometriosis be treated on the basis of presumed diagnosis.

The goal of this approach is to ensure women will receive timely, effective treatment at the appropriate level of intervention.

Given the risks associated with diagnostic surgery, the Model of Care proposed in the National Endometriosis Framework is that a woman presenting with symptoms of endometriosis should be treated on the presumption that she has endometriosis.

Speaking today, Minister Donnelly said: 

“This Women’s Health Week, I’m delighted that women in Ireland are to be provided with a clear pathway for the management of endometriosis.”

 “Since 2019, the Women’s Health Taskforce has heard testimony from women with endometriosis, who have described their experiences of the disease as ‘painful, isolating, misdiagnosed, lonely and dismissed.’ 

“This Framework, along with investment in holistic treatment teams and in two supra-regional hubs for complex cases are important steps towards improving their experiences and outcomes,” he said. 

The Department of Health has estimated that the vast majority of cases can be managed successfully at primary care level with the assistance of GPs, while some patients will require additional multi-disciplinary support at secondary care level.

This is being facilitated with the setting up of five interdisciplinary teams to support the holistic treatment of endometriosis in each of the maternity networks.

A small number of women with more complex cases will require expert treatment in two supra-regional endometriosis specialist centres which are currently in development.

Clinical Director for the National Women and Infants Health Programme Dr Cliona Murphy said:

“This Framework is a significant development in our efforts to improve endometriosis care, and it aligns with NWIHP’s overall aim of improving women’s access to quality services.”

“Together with the establishment of other specialist women’s health services such as ‘see and treat’ Ambulatory Gynaecology Services, Specialist Menopause Clinics and Regional Fertility Hubs, we are delivering tangible improvements in women’s healthcare,” she said.

It’s estimated that 47% of women who experience fertility issues have endometriosis.

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    Mute pat seery
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    May 2nd 2017, 8:06 AM

    Great work by the rescue services let’s hope that the families of. RESCUE 116 will have closure very soon

    220
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    Mute R2BApp
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    May 2nd 2017, 7:47 AM

    We’ve created an app, R2B, for scenarios like this. It’s free to download so no excuses…
    http://r2bapp.com

    188
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    Mute Thosj Carroll
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    May 2nd 2017, 10:42 AM

    30 hrs in sea and managed to survive! Amazing surfer from Ireland….

    91
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    Mute Free comment ratings
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    May 2nd 2017, 1:21 PM

    @Thosj Carroll: Pretty sure he was British.

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    Mute Free comment ratings
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    May 2nd 2017, 7:07 PM

    @Christopher Treacy: I’m not sure where is was from but I knew he wasn’t Irish all right.

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    Mute Niallers
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    May 2nd 2017, 4:13 PM

    30 hrs at sea. Crikey, I dipped my feet in the ocean yesterday and they went red with the cold after a couple of minutes.. Lucky man.

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    Mute xor
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    May 2nd 2017, 10:18 AM

    Not very bright going out on his own!

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    Mute Ger Healy
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    May 2nd 2017, 10:52 AM

    @xor: Oh shut up! I was waiting for the first condescending statement from a know it all, whose only contact with the sea is probably paddling with your shoes off.
    Did you not read the post, he was complimented by the coastguard for being prepared.

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    Mute xor
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    May 2nd 2017, 1:57 PM

    @Ger Healy: I am looking at the sea typing this, mr know it all yourself. It is SILLY to go out on your own. Shows what you know about the sea!

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    Mute Dave O Keeffe
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    May 2nd 2017, 5:23 PM

    @xor: why? Sure aren’t you watching?

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    Mute Paul Devlin
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    May 2nd 2017, 11:39 AM

    Doubt he was off the ‘Belfast coast’. The what? Anyhow, well done to the rescue crews!

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    Mute Colin Watters
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    May 2nd 2017, 3:16 PM

    @Paul Devlin: He was, but he started off on the Scottish coast! Think he was from Glasgow….

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    Mute Paul Devlin
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    May 2nd 2017, 4:18 PM

    @Colin Watters: completely missed the point there, Colin. Insofar as Belfast could be described as having a coast (ie where the Lagan enters Belfast Lough), he was nowhere near it. It’s just using the term Belfast coast sounds so ridiculous to anyone from the city. Anyhow he was about 40+ miles up north Antrim direction. Complete ignorance on the party of the journo

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    Mute Daithí Uí Ciarmhic
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    May 2nd 2017, 3:30 PM

    Glaswegian surfer just doesn’t sound cool sure it doesn’t

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    Mute Brendan McLaughlin
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    May 2nd 2017, 4:55 PM

    Just goes to prove that being well tanked up on deep fried marsbars and Buckfast can save your life.
    I wonder if he had insurance for his surfing adventure across the sea – just in case anything went wrong and he needed to have a major search and rescue operation to pay for.
    Just saying like.

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    Mute eileen boles
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    May 2nd 2017, 5:31 PM

    @Brendan McLaughlin: dont think he went out with the intention of needing to be rescued epec. as he went out on his own jus sayin!

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    Mute Brendan McLaughlin
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    May 2nd 2017, 5:57 PM

    @eileen boles: Well if you don’t think it then thats how it was. Sorry if I had a thought of my own.
    Just saying like.

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    Mute Giovanni Casermaggio
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    May 2nd 2017, 5:12 PM

    Unbelievable 32 hours in the cold water and still alive. .

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    Mute Minom Pnom
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    May 2nd 2017, 6:07 PM

    He was on his board I’d say most of the time

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    Mute Paul Culligan
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    May 2nd 2017, 6:01 PM

    Did they retreive the Surfboard? Great conversational piece for the local boozer.

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    Mute Lovely weather
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    May 2nd 2017, 4:55 PM
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    Mute Ger
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    May 2nd 2017, 4:42 PM

    Amazing that he survived! That’s a book waiting to be written.

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    Mute Niallers
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    May 2nd 2017, 4:50 PM

    @Ger: Nah. If he chewed his arm off maybe.

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    Mute Leroy
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    May 2nd 2017, 10:35 PM

    I’d say he’s brand loyal to that surfboard company for the rest of his life.

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    Mute Avina Laaf
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    May 2nd 2017, 11:43 PM

    @Leroy:
    Should be to the wetsuit company! If they had any sense they’d sign him up for an ad campaign ASAP.

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