NHS guidance body NICE has recommended a saliva-based diagnostic test for endometriosis, called Endotest, for use in GP surgeries and other primary care settings.
The National Institute for Health and Care Excellence (NICE) has issued updated draft guidance backing Endotest as a tool doctors can use when endometriosis is suspected. The recommendation marks a potential shift in how the condition — where tissue similar to the womb lining grows outside the uterus, causing pain and fertility problems — is identified, since diagnosis has traditionally relied on surgery or specialist referral.
Endotest analyses a saliva sample, meaning it could be carried out much earlier in the patient’s journey, without waiting for a hospital appointment.
The guidance is draft at this stage, meaning it has not yet been finalised, but NICE’s recommendations typically carry significant weight in shaping NHS practice across England, including in Kent and Medway.
Endometriosis affects roughly one in ten women and people with a uterus in the UK, according to the NHS, yet average diagnosis times have historically run to several years. A test usable in primary care could reduce that wait considerably.
Anyone in Kent who is experiencing symptoms — which can include severe period pain, pelvic pain outside of periods, pain during or after sex, or difficulty getting pregnant — should speak to their GP in the first instance. NHS 111 can also advise on next steps.
Key information
- Speak to your GP if you have symptoms that may suggest endometriosis — you do not need to wait for a referral to raise concerns
- NHS 111 (call 111 or use the online service) can provide guidance if you are unsure whether to seek help
- Endometriosis UK helpline: 0808 808 2227, offering support and information for those affected by the condition
- NICE draft guidance is open to consultation before it is finalised — check the NICE website directly for updates on the Endotest recommendation
Source: @bmj_latest