Statement 1 Women presenting with suspected endometriosis have an abdominal and, if appropriate, a pelvic examination.
Statement 2 Women are referred to a gynaecology service if initial hormonal treatment for endometriosis is not effective, not tolerated or contraindicated.
Statement 3 Women with suspected or confirmed deep endometriosis involving the bowel, bladder or ureter are referred to a specialist endometriosis service.
NICE has developed guidance and a quality standard on patient experience in adult NHS services (see the NICE Pathway on patient experience in adult NHS services), which should be considered alongside these quality statements.
Other quality standards that should be considered when commissioning or providing endometriosis services include:
A full list of NICE quality standards is available from the quality standards topic library.