Conclusions

In this international survey, Hispanic respondents - particularly those living outside the US - reported greater referral challenges, more financial constraints, and more geographic barriers to accessing endometriosis care compared with U.S. non-Hispanic respondents. These experiences included a lower likelihood of specialist evaluation and substantial travel burden, underscoring meaningful structural barriers to endometriosis care. Across all groups, limited perceived access to knowledgeable clinicians highlights a broader shortage of endometriosis expertise. Together, these patient-reported perspectives highlight potential targets for future interventions, including referral pathways, specialist availability, and financial and geographic barriers, to support more equitable and patient-centered endometriosis care.