• Surita Mogan Language Academy, Universiti Teknologi Malaysia, ,81310 Johor Bahru,Johor, Malaysia
  • Noor Aireen Ibrahim Language Academy, Universiti Teknologi Malaysia, ,81310 Johor Bahru,Johor, Malaysia
  • Nur'ain Balqis Haladin Language Academy, Universiti Teknologi Malaysia, ,81310 Johor Bahru,Johor, Malaysia


Endometriosis, healthcare professionals, endometriosis patients, systematic review, patient-centred communication, health consultation


Patient-centred communication is healthcare professionals' (HCPs) emotional understanding of a patient's experience which manifests in their communication with patients. HCPs tend to focus more on administrating treatment and often providing personalised communication gets side-lined. In offering care to endometriosis patients, a lack of understanding of patients' experiences, emotions, and mental health, will result in communication that tend to lack humility, compassion, and respect. Resulting in patients with feelings of vulnerability and anxiety during consultations. This review examines the gaps in the research on the challenges healthcare professionals face while offering patient-centred communication with endometriosis patients. Using Google Scholar, Web of Science, and Scopus, the researchers reviewed literature published from 2000 to 2022 on providing patient-centred communication during consultation. Based on full-text availability, the researchers were able to retrieve 227 peer-reviewed papers. Fifteen articles addressing patient-centred communication were chosen based on the inclusion and exclusion criteria. A thematic approach was used to classify prevalent themes that constitute significant challenges for HCPs. Six emerging themes were identified: 1) medical knowledge, 2) authority/control, 3) acknowledging patients’ perspectives and empathy, 4) healthcare professionals’ emotional exhaustion, 5) healthcare professionals’ uncertainty and 6) patients’ shame. The review provides healthcare professionals with information on challenges faced by HCPs in balancing disease-centric communication while prioritising patient-centred communication for endometriosis patients. Significant research gaps were discovered through the systematic review, which can be used to assist researchers in identifying key study areas for future research.


Schreurs AM, Van Schaijik CI, De Bie B, Maas JW, Lambalk C, Van Der Houwen LE, Mijatovic V. Improving Patient-Centredness in Endometriosis Care: A Study Protocol for a Prospective Study with a Mixed-Methods Approach. Gynecologic and Obstetric Investigation. 2021;86(6):542-8.

Kennedy S, Bergqvist A, Chapron C, D’Hooghe T, Dunselman G, Greb R, Hummelshoj L, Prentice A, Saridogan E. ESHRE guideline for the diagnosis and treatment of endometriosis. Human reproduction. 2005 Oct 1;20(10):2698-704.

Moradi M, Parker M, Sneddon A, Lopez V, Ellwood D. Impact of endometriosis on women’s lives: a qualitative study. BMC women's health. 2014 Dec;14(1):1-2.

Ghai V, Jan H, Shakir F, Haines P, Kent A. Diagnostic delay for superficial and deep endometriosis in the United Kingdom. Journal of Obstetrics and Gynaecology. 2020 Jan 2;40(1):83-9.

Rowe HJ, Hammarberg K, Dwyer S, Camilleri R, Fisher JR. Improving clinical care for women with endometriosis: qualitative analysis of women’s and health professionals’ views. Journal of Psychosomatic Obstetrics & Gynecology. 2021 Jul 3;42(3):174-80.

Wang D, Liu C, Zhang X. Do physicians’ attitudes towards patient-centered communication promote physicians’ intention and behavior of involving patients in medical decisions?. International Journal of Environmental Research and Public Health. 2020 Sep;17(17):6393.

Raab K. Mindfulness, self-compassion, and empathy among health care professionals: a review of the literature. Journal of health care chaplaincy. 2014 Jul 1;20(3):95-108.

Banja JD. Toward a more empathic relationship in pain medicine. Pain Medicine. 2008 Nov 1;9(8):1125-9.

Kenny DT. Constructions of chronic pain in doctor–patient relationships: bridging the communication chasm. Patient education and counseling. 2004 Mar 1;52(3):297-305.

Bullo S. Exploring disempowerment in women’s accounts of endometriosis experiences. Discourse & Communication. 2018 Dec;12(6):569-86.

Howick J, Rees S. Overthrowing barriers to empathy in healthcare: empathy in the age of the Internet. Journal of the Royal Society of Medicine. 2017 Sep;110(9):352-7.

Hojat, M., 2007. Empathy in patient care: antecedents, development, measurement, and outcomes (Vol. 77). New York: springer.

Martín-Martín A, Orduna-Malea E, Thelwall M, López-Cózar ED. Google Scholar, Web of Science, and Scopus: A systematic comparison of citations in 252 subject categories. Journal of informetrics. 2018 Nov 1;12(4):1160-77.

Pollard S, Bansback N, Bryan S. Physician attitudes toward shared decision making: a systematic review. Patient education and counselling. 2015 Sep 1;98(9):1046-57.

Braun V, Clarke V. Using thematic analysis in psychology. Qualitative research in psychology. 2006 Jan 1;3(2):77-101.

Young, K., Fisher, J., & Kirkman, M. (2019). “Do mad people get endo or does endo make you mad?”: Clinicians’ discursive constructions of Medicine and women with endometriosis. Feminism & Psychology, 29(3), 337-356.

Fauconnier A, Staraci S, Huchon C, Roman H, Panel P, Descamps P. Comparison of patient-and physician-based descriptions of symptoms of endometriosis: a qualitative study. Human reproduction. 2013 Oct 1;28(10):2686-94.

Markovic M, Manderson L, Warren N. Endurance and contest: women's narratives of endometriosis. Health:. 2008 Jul;12(3):349-67.

Grundström H, Kjølhede P, Berterö C, Alehagen S. “A challenge”–healthcare professionals' experiences when meeting women with symptoms that might indicate endometriosis. Sexual & Reproductive Healthcare. 2016 Mar 1;7:65-9.

Laub R. " Allow us to show them the pain by squeezing their hand": The study of pain communication and the diagnostic delay of endometriosis.

Ballard K, Lowton K, Wright J. What’s the delay? A qualitative study of women’s experiences of reaching a diagnosis of endometriosis. Fertility and sterility. 2006 Nov 1;86(5):1296-301.

Dixon S, McNiven A, Talbot A, Hinton L. Navigating possible endometriosis in primary care: a qualitative study of GP perspectives. British Journal of General Practice. 2021 Sep 1;71(710):e668-76.

Armour M, Hyman MS, Al-Dabbas M, Parry K, Ferfolja T, Curry C, MacMillan F, Smith CA, Holmes K. Menstrual health literacy and management strategies in young women in Australia: a National Online Survey of young women aged 13-25 Years. Journal of Pediatric and Adolescent Gynecology. 2021 Apr 1;34(2):135-43.

Westeneng TL. " I didn't need to know that!": the regulation of women with endometriosis: a thesis presented in partial fulfilment of the requirements for the degree of Master of Science in Psychology (endorsement in Health Psychology) at Massey University, Wellington, New Zealand (Doctoral dissertation, Massey University).

Witzeman K, Antunez Flores O, Renzelli-Cain RI, Worly B, Moulder JK, Carrillo JF, Schneider B. Patient–physician interactions regarding dyspareunia with endometriosis: Online survey results. Journal of Pain Research. 2020 Jun 29:1579-89.




How to Cite

Mogan, S., Ibrahim, N. A., & Haladin , N. B. (2023). CHALLENGES OF PATIENT- CENTRED COMMUNICATION IN ENDOMETRIOSIS: A SYSTEMATIC REVIEW. Malaysian Journal of Public Health Medicine, 23(3), 154–161. Retrieved from