Endometriosis: diagnosis and management

Resource impact statement

The 2024 update of NICE's guideline on endometriosis: diagnosis and management replaces the relevant parts of the original guideline published in 2017.

The guideline update sets out recommendations for treating endometriosis when fertility is a priority.

We expect that the resource impact of this update:

• for any single guideline recommendation in England will be less than £1 million per year (or approximately £1,800 per 100,000 population, based on a population for England of 56.6 million people) and
• for implementing the whole guideline in England will be less than £5 million per year (or approximately £8,800 per 100,000 population, based on a population for England of 56.6 million people).

Only minor changes were made to the existing recommendations, and these are not expected to have a significant resource impact for the NHS.

The updated guideline recommendation 1.11.2 now includes an option to offer laparoscopic drainage and ablation as an alternative to laparoscopic ovarian cystectomy.

This additional treatment option is not expected to cause a significant resource impact because both options are keyhole surgeries which merely utilise differing techniques. Procedure costs are similar. Theatre and recovery time will depend on the patient characteristics and the degree of endometriosis as opposed to the type of surgery selected. Treatment with laparoscopic drainage and ablation may lead to an increased ovarian reserve in comparison with laparoscopic ovarian cystectomy. This may reduce the requirement for future fertility treatment.

Services for people with endometriosis are commissioned by integrated care boards. Providers are NHS hospital trusts.