الفهرس 
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Abstract
Introduction: Endometriosis, usually called as “cancer of the career-woman”, is being recognized as a “social disease” for its prevalence and its debilitating impact on young women, leading to a high socio-economic burden of the disease. It is defined as the presence of endometrial tissue outside the uterus and is found in women of all ethnic and social groups. The prevalence has been reported around 10% of the general female population and up to 50% in women with pelvic pain or infertility.
Aim of the Work: To assess the impact of endometriosis-related symptoms on work productivity and health-related quality of life (HRQoL) in Egypt.
Materials and Methods: This is a cross sectional study that was performed from December 2016 to July 2017 at the Department of Gynecology and Obstetrics at Ain Shams University, anonymous questionnaires were administered individually to a total of 250 women with surgically diagnosed endometriosis. The questionnaires consisted of three sections: Patient Health Survey (SF-12), the Endometriosis Health Profile (EHP-5), and the Work Productivity and Activity Impairment Survey (WPAI).
Results: The study confirm that endometriosis has a significant negative impact on work productivity and HRQoL of affected women, leading to high economic burden and huge costs to society, the WPAI showed absenteeism 16% of work time. Presenteeism 44% impairment. Percent overall work impairment due to health: 15.6%. Percent activity impairment due to health: 51% of regular daily activities disturbed.
Conclusion: Although endometriosis is not a life-threatening disease, this study confirmed that it can substantially affect women’s work productivity and HRQOL. Thus, endometriosis can be both physically and emotionally debilitating. Therefore it is time to make serious investment in preventing this debilitating condition in the next generation of women improving the collective level of awareness of endometriosis, its detection, and its treatment.