Endometriosis Was on the Scan—But Still Missed in the ER
In this case, a patient presented with classic endometriosis symptoms—lower back pain, chest discomfort, bladder irritation—and imaging that clearly showed disease.
And yet, her diagnosis was missed in the ER.
Dr. Karli Goldstein, DO, FACOG, discusses how this happens and why cycle-related pain continues to be ignored in emergency and primary care settings. She breaks down the kinds of questions that should be asked when patients show up with complex pelvic pain—and how awareness can shift care.
What to take away:
- Endometriosis can be visible—and still overlooked
- Questions around menstrual timing and pain patterns matter
- Asking if a patient has heard of endometriosis shouldn’t be optional
At ESSE Care, we treat these missed diagnoses with the depth and clarity they deserve. If this sounds familiar, you’re not alone—and you’re not imagining it.
Watch On-Demand: Ruptured Cyst vs. Endometriosis Flare — When to Go to the ER & How to Advocate for Care
