,,iii  #aahth ,,congress  #ast ,session 
,s4 ,,res4 #ij  ,,in ,,the ,,senate ,,of
 ,,the ,,united ,,states  ,march #a1    
#bjbc,ms4 ,duckworth 7for herself1 ,mrs4
 ,capito1 ,ms4 ,cantwell1 ,ms4          
,klobuchar1 ,mr4 ,booker1 ,mr4          
,blumenthal1 and ,ms4 ,hirono7 submitted
 the following resolution2 which was    
referred to the ,committee on the       
,judiciary  ,,resolution  ,recognizing  
the significance of endometriosis as an 
unmet chronic disease for women and     
designating ,march #bjbc as             
,endometriosis ,awareness ,month4       
,whereas more than #f1ejj1jjj women in  
the ,united ,states are living with     
endometriosis2 ,whereas endometriosis is
 a chronic disease that can be painful  
and debilitating and affects-- 7#a7     
approximately #aij1jjj1jjj women        
throughout the world2  7#b7 an estimated
 #a in #aj women of reproductive age in 
the ,united ,states2 and  7#c7 primarily
 women in their #cjs and #djs1 but can  
affect any woman who menstruates2       

,whereas the cause of endometriosis is  
not known1 but risk factors include--   
7#a7 having a mother1 sister1 or        
daughter with endometriosis2  7#b7      
menstrual cycles that started at an     
early age2  7#c7 menstrual cycles that  
are short2 and  7#d7 periods that are   
heavy and last more than #g days2       
,whereas endometriosis occurs when      
tissue similar to that of the lining of 
the uterus begins to grow outside the   
uterus2 ,whereas1 for many women1 the   
only way currently available to be      
certain of an endometriosis diagnosis is
 to have a surgical procedure known as a
 laparoscopy2 ,whereas the primary      
symptoms of endometriosis include pain  
and infertility1 and many women with    
endometriosis live with debilitating1   
chronic pain2 ,whereas symptoms of      
anxiety and depression are common among 
women with endometriosis1 with reported 
rates as high as #ge to #ij percent2    
,whereas1 although endometriosis is one 
of the most common gynecological        

disorders in the ,united ,states1 there 
is a lack of awareness and              
prioritization of endometriosis as an   
important health issue for women2       
,whereas women can suffer from          
endometriosis for up to #aj years before
 being properly diagnosed2 ,whereas     
approximately #ge percent of women with 
endometriosis experience a misdiagnosis2
 ,whereas the management of symptoms of 
endometriosis may include low-dose oral 
contraceptives1 intrauterine devices    
7,i,u,ds71 painkillers1 including       
nonsteroidal anti-inflammatory drugs    
7,n,s,a,i,ds71 and                      
gonadotropin-releasing hormone 7,gn,r,h7
 agonist therapy2 ,whereas in vitro     
fertilization 7,,ivf7 is often          
recognized as the best option for       
patients experiencing                   
endometriosis-associated infertility and
 for whom initial surgery was           
unsuccessful2 ,whereas endometriosis is 
associated with increased health care   
costs and poses a substantial burden to 

patients in the health care system2     
,whereas1 in the ,united ,states1 the   
estimated average direct health care    
cost associated with endometriosis per  
patient is more than #ac1jjj per year2  
,whereas #dj percent of women with      
endometriosis report impaired career    
growth due to endometriosis1 and        
approximately #ej percent of women with 
endometriosis experience a decreased    
ability to work2 ,whereas the ,centers  
for ,disease ,control and ,prevention   
found that the average number of bed    
days for patients with endometriosis was
 #ah days per year2 ,whereas women with 
endometriosis can lose #aa hours per    
workweek through lost productivity2     
,whereas the physical and psychological 
impact of endometriosis affects all     
domains of life1 including social life1 
relationships1 and work2 ,whereas       
medical societies and patient groups    
have expressed the need for greater     
public attention and updated resources  
targeted to public education about this 

unmet health need for women2 ,whereas   
there is a need for more research and   
updated guidelines to treat             
endometriosis2 ,whereas there is an     
ongoing need for additional clinical    
research and treatment options to manage
 this debilitating disease2 and ,whereas
 there is no known cure for             
endometriosis3 ,now1 therefore1 be it   
,that the ,senate-- 7#a7 designates     
,march #bjbc as ,endometriosis          
,awareness ,month2  7#b7 recognizes the 
importance of endometriosis as a health 
issue for women that requires far       
greater attention1 public awareness1 and
 education about the disease2  7#c7     
encourages the ,secretary of ,health and
 ,human ,services1 the ,secretary of    
,defense1 and the ,secretary of         
,veterans ,affairs-- 7,a7 to provide    
information to women1 patients1 and     
health care providers with respect to   
endometriosis1 including available      
screening tools and treatment options1  
with a goal of improving the quality of 

life and health outcomes of women       
affected by endometriosis2  7,b7 to     
conduct additional research on          
endometriosis and possible clinical     
options2 and  7,c7 to update            
information1 tools1 and studies         
currently available with respect to     
helping women live with endometriosis2  
and  7#d7 respectfully requests that the
 ,secretary of the ,senate transmit an  
enrolled copy of this resolution to the 
,secretary of ,health and ,human        
,services4