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首页> 外文期刊>Qualitative health research >Circuit breaking: pathways of treatment seeking for women with endometriosis in Australia.
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Circuit breaking: pathways of treatment seeking for women with endometriosis in Australia.

机译：断路：澳大利亚寻求治疗子宫内膜异位症的治疗途径。

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摘要

Pain resulting from endometriosis is experienced as both a chronic, ongoing condition and an acute episode at time of menstruation, often occurring in association with diarrhea, vomiting, nausea, heavy bleeding, and other reactions. Women expect pain with menstruation, however, and even if they experience major disruptions as a result, they find it difficult to distinguish normal from pathological discomfort. Drawing on qualitative research conducted from 2004 to 2006, we describe the "circuit breakers" that lead Australian women to seek medical advice. These include outside intercession, major disruptions to everyday life, changes in embodied experience, and difficulties in conception and pregnancy. Women's ideas of menstrual pain as "normal" are shared by doctors, resulting in further delays before a definitive diagnosis of endometriosis is made. During this time, women move between doctors and in and out of medical care, which they described through particular narrative styles to highlight the complexity of help seeking. We explore the ways in which ideas of gender, informed by women's embodiment but also the quality of their reporting of symptoms, influence their interactions with health professionals.
机译：子宫内膜异位症引起的疼痛既是慢性疾病，又是月经时的急性发作，通常与腹泻，呕吐，恶心，大出血和其他反应有关。女人期望月经来潮时感到疼痛，即使结果造成严重的不适，她们也很难将正常不适与病理不适区分开。利用2004年至2006年进行的定性研究，我们描述了导致澳大利亚女性寻求医疗建议的“断路器”。这些包括外界的代祷，对日常生活的重大破坏，具体经验的变化以及受孕和怀孕的困难。医生们普遍认为女性的月经痛是“正常”的观念，导致在确定性子宫内膜异位症的诊断之前，进一步的延误。在这段时间里，妇女在医生之间进出医疗服务，她们通过特殊的叙事方式对其进行描述，以突显寻求帮助的复杂性。我们探索了以女性表现为基础的性别观念以及她们的症状报告质量如何影响她们与卫生专业人员的互动。

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