Abstract:
Endometriosis has long been wrongly perceived to be rare among women of African descent. The misconception about 
the prevalence of endometriosis among African women has significantly contributed to long diagnostic delays, limited 
access to diagnosis and care, and a scarcity of research on the condition among African women. In this commentary, we 
highlight the prevalence of endometriosis among African women, the state of endometriosis care in Africa, and the gaps 
in knowledge that need to be addressed. Based on the available data, the prevalence of endometriosis in Africa is likely 
higher than previously thought, with varying subtypes. There is a long diagnostic delay of endometriosis among African 
women. Additionally, endometriosis care in Africa from the general population and health practitioners is poor; this 
can be attributed to the high diagnostic cost, scarcity of trained specialists, as well as patients’ inability to express their 
symptoms due to societal taboos surrounding menstrual health. Public sensitization on endometriosis may help improve 
endometriosis diagnosis and care in Africa