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Andrew Selous

South West Bedfordshire

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Endometriosis and Polycystic Ovary Syndrome (PCOS)

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These are common long-term conditions that can have a significant impact on a woman’s life, and I am aware of and sympathise with the hardships faced by women who experience severe symptoms. I believe it is important to raise awareness of the impact on women not just here in the UK, but also worldwide.

To provide support, all obstetricians and gynaecologists have been trained in the diagnosis and treatment of these conditions and clinical guidelines on the diagnosis and management of endometriosis, and polycystic ovary syndrome (PCOS), have been published to assist doctors. I firmly believe these guidelines must be followed in clinical settings and education, and in primary care, so women know what to expect and doctors have the knowledge they need to support women. I also note the desire to see the NICE guideline on endometriosis updated and, while I am not aware of any current plans to do so, I will seek an update from ministerial colleagues.

I agree with ministers that it is unacceptable that the average diagnosis time for endometriosis is seven to eight years. It is imperative that we have a greater focus on women’s health to address issues like this and I warmly welcome the publication of the Government's Vision for Women's Health to tackle decades of health inequality. I was especially encouraged to see that gynaecological conditions, like endometriosis and PCOS, are a priority area in the Vision. The ambition is that every woman and girl will be able to access the right information, support and diagnosis for menstrual health and gynaecological conditions and ways to improve awareness of and care for those suffering symptoms of these conditions. More detail will be in the upcoming Women’s Health Strategy, due in spring 2022, and I look forward to learning more in due course.

I welcome the work of Endometriosis UK and Verity, the UK PCOS Charity, to raise awareness of these conditions, as well as providing sufferers with further information and access to clinical trials and the latest research. Medical Research is funded through the National Institute for Health Research (NIHR) and UK Research and Innovation (UKRI). In the last five financial years, I am encouraged to learn that the NIHR and UKRI have awarded £8.52 million for research into endometriosis and £6.60 million for research into PCOS. This includes a wide range of projects, from basic science through to applied health research into diagnosis, treatment and service delivery. It is important that women with these conditions play a vital role in this research. I am glad that funding is available for this important area of research and welcome the Minister for Patient Safety and Patient Care’s commitment to working to ensure that funding reaches the places it needs to. 

NHS England has developed units for severe endometriosis, with the expectation that all units provide women with severe endometriosis with care which meets the needs of each individual woman. I believe it is essential that care of this kind is specialised to a woman’s unique needs, and I know that Ministers want to empower people to shape and manage their own health and care and make meaningful choices.

I am glad that women were invited to share experiences of gynaecological conditions, such as endometriosis and PCOS, through the Women’s Health Strategy call for evidence and I know that issues around mental health were raised as part of this. The Vision for the Women’s Health Strategy described the Government’s aim to examine further the ways in which differential factors, including pre-existing mental or physical health conditions, may impact the likelihood of a woman developing a mental health condition, and the outcomes they experience. I look forward to learning more in due course.

I know that women might also have endometriosis elsewhere in the body, other than within the pelvic cavity. Feedback from topic experts, sought by NICE, explained that there is currently no evidence upon which to base recommendations on how to best diagnose and manage endometriosis outside the pelvis, including thoracic endometriosis. The experts explained that treatment in specialist centres may improve patient outcomes and facilitate evidence generation on how to manage endometriosis outside the pelvis. I am glad that, in December 2021, NICE made an editorial amendment to the guideline section on referral for women with suspected or confirmed endometriosis to highlight that women with endometriosis outside the pelvic cavity should be referred to a specialist endometriosis centre. While I note the desire to see changes to the NICE guideline around thoracic endometriosis, I understand that NICE has said that while they do not expect to make further changes, the issue has been added to the issue log for the guideline for consideration in future surveillance, once more evidence is available.

Finally, I am not a great signer of Early Day Motions and do not regard them as an effective way of bringing about change.

Campaign Responses

  • Access to Waterways
  • Adult Dependant Relative Visa
  • Adult Social Care
  • Afghanistan and Pakistan
  • Afghanistan: Nowzad
  • Afghanistan Refugees
  • Afghanistan Refugees (Christians)
  • Afghanistan Withdrawal
  • Age UK's Winter Warmth Campaign
  • Air Passenger Duty
  • Air Quality
  • Alcohol Duty
  • All-Party Parliamentary Groups (APPGs)
  • Animal Research
  • Animal Testing - Dogs
  • Animal Welfare Legislation
  • Animal Welfare (Kept Animals) Bill
  • Animal Welfare (Kept Animals) Bill: Cats
  • Animal Welfare (Kept Animals) Bill: Dogs
  • Animal Welfare (Sentience) Bill
  • Arms Exports
  • Arms Exports: Israel
  • Arthritis
  • ASRU Change Programme
  • Assisted Suicide
  • Asylum Support and Employment
  • Aviation Industry Concerns
  • Badgers and Bovine TB
  • BBC Funding
  • BBC World Service
  • Behaviour in Schools
  • Bite Back Better Campaign
  • Bomb Disposal and Whales
  • Bowel Cancer Awareness Month
  • Boycotts, Divestment and Sanctions
  • Breast Cancer
  • Building Safety Bill
  • Bus Deregulation
  • Business and Human Rights
  • Campaign - #CatchUpWithCancer
  • Cancer Research
  • Cancer Treatment
  • Carers and Unpaid Carers
  • Cash Availability and Acceptance
  • Channel 4
  • Child Deaths Worldwide
  • Child Maintenance Service (CMS)’s Collect and Pay Service
  • Child Poverty
  • Childhood Cancer Outcomes
  • Children with Sight Loss (Education)
  • Climate and Ecological Emergency Bill
  • Climate Change
  • Commercial Energy Prices
  • Consular Services in Afghanistan
  • Conversion Therapy
  • COP26
  • COP26 Commitments (100 Days)
  • Coronavirus: Clinically Extremely Vulnerable
  • Coronavirus: Coronavirus Act
  • Coronavirus: Face Coverings
  • Coronavirus: Face Coverings in School
  • Coronavirus: Hospitality Support
  • Coronavirus: International Travel
  • Coronavirus: Mandatory Vaccination
  • Coronavirus: NHS and Social Care Staff (Vaccines)
  • Coronavirus: Provision of Tests
  • Coronavirus: Regulations and Living with COVID
  • Coronavirus: Self Isolation
  • Coronavirus: Support for the Self-Employed
  • Coronavirus: Testing (Childminders)
  • Coronavirus: Travel Industry Support
  • Coronavirus: Vaccines (Developing Countries)
  • Coronavirus: Vaccine Passports
  • Coronavirus: VAT Threshold
  • Cost of Living
  • Courier Employment Rights
  • Dangerous Dogs Act
  • Deaths Related to the Benefits System
  • Defibrillators and the Automated External Defibrillators (Public Access) Bill
  • Dementia Research and Diagnosis
  • Democratic Freedoms in the UK
  • Derby County Football Club
  • Diabetes
  • Disability Benefit Assessments
  • Domestic Abuse (Serial Abusers & Stalkers)
  • Domestic Abuse (Time Limits)
  • Dr Liam Fox’s Down Syndrome Bill
  • Early Years Funding
  • Education and Development Globally
  • Elections Act
  • Elections Act - Blind and Partially Sighted Voters
  • Elections Act - Electoral Commission
  • Elections Act - First Past the Post
  • Elections Act - Joint Campaigning
  • Electronic Communications Code
  • Elephants and Ivory Sales
  • End Child Poverty Coalition
  • Endometriosis and Polycystic Ovary Syndrome (PCOS)
  • Energy Price Cap
  • Energy Security Strategy
  • Environment Bill
  • Epilepsy
  • Epilepsy: Personal Independence Payment (PIP)
  • Fairtrade Fortnight Campaign
  • Fire and Rehire Tactics
  • Fireworks
  • Football Governance
  • Football Index
  • Fracking
  • Free Trade Agreement with Australia
  • Fuel Duty and Prices
  • Fuel Shortages
  • Fur and Foie Gras
  • Future of the TV Licence
  • Gambling with Credit Cards
  • Gambling Regulation
  • Gas Boilers
  • Glue Traps
  • Good Law Project & Runnymede: Mike Coupe & Dido Harding
  • Government Contracts
  • Green Alternatives to Gas Boilers
  • Green Finance
  • Green Investment - 2021 Spending Review
  • Green New Deal
  • Guidance on Boycotts (Stop BDS)
  • Hamas
  • Hate Crime (Misogyny)
  • Health and Care Bill
  • Health and Care Bill: Integrated Care Boards and Private Sector Providers
  • Health and Care Bill: Privatisation
  • Health and Care Bill: Workforce
  • Health and Disability Green Paper
  • Heat Pumps
  • Hedgehogs
  • Hedgerows
  • HGV Driver Shortage
  • HIV and AIDS
  • Holiday Lets
  • Housing and the Queen’s Speech
  • Housing Emergency (Shelter)
  • Housing First
  • HS2 and the Environment
  • HS2: Cost Transparency
  • HS2: General
  • Human Rights Act
  • Hunting Act 2004
  • Illegal Immigration (Nationality and Borders Bill)
  • Improving Access to the Countryside
  • Intellectual Property
  • Interest on Student Loans
  • Introducing Extended Producer Responsibility: Glass
  • Islamophobia
  • Israel: Amnesty International
  • Ivory Sales
  • Judicial Review
  • Keeping Primates as Pets
  • TV Licence Fee
  • Live Animal Exports
  • Living Wage and Key Workers
  • Loan Charge
  • Local Electricity Bill
  • Maternity Services
  • Meadows and Grasslands
  • Medicinal Cannabis
  • Menopause
  • Mental Health
  • Mental Health Facilities
  • Mental Health Hubs (Children and Young People)
  • Midwifery Units
  • Migrant Channel Crossings
  • Modern Slavery
  • Motor Neurone Disease
  • Multiple Sclerosis
  • National Insurance Contributions
  • Nationality and Borders Act (Accommodation for Asylum Seekers)
  • Nationality and Borders Act (Asylum and Refugees)
  • Nationality and Borders Act (Clause 9)
  • Nationality and Borders Act (Clause 11)
  • Nationality and Borders Act (Overseas Asylum Processing)
  • Nationality and Borders Act (Unaccompanied Children)
  • Nazanin Zaghari-Ratcliffe
  • Neonicotinoids
  • New Plan for Immigration
  • NHS Pay
  • NHS Preparations for Winter
  • NHS Privatisation
  • Nigeria: Mubarak Bala
  • Offshore Wind
  • Oil Drilling and Cambo Oil Field
  • Online Marketplaces (Regulation)
  • Online Safety Bill (Internet Regulation)
  • Online Safety Bill (Misinformation)
  • Online Safety Bill (Pornography)
  • Online Safety Bill (Private Communications)
  • Online Safety Bill (Protecting Children from Online Porn)
  • Online Safety Bill (Suicide and Self-Harm)
  • Online Safety Bill (Women and Girls)
  • Onshore Wind
  • Onshore Wind (Planning)
  • Palestinian Human Right Defenders
  • Palliative Care
  • Pancreatic Cancer
  • Parental Bereavement
  • Parkinson's Disease
  • Pavement Parking
  • Peat
  • Plastic Pollution
  • Police and Sarah Everard Case
  • Police, Crime, Sentencing and Courts Bill
  • Police, Crime, Sentencing and Courts Bill (Climate Protesters)
  • Police, Crime, Sentencing and Courts Bill (Courts and Tribunals)
  • Police, Crime, Sentencing and Courts Bill (Data Extraction)
  • Police, Crime, Sentencing and Courts Bill (Parliament Square)
  • Police, Crime, Sentencing and Courts Bill (Protection of Retail Workers)
  • Police, Crime, Sentencing and Courts Bill (Protests)
  • Police, Crime, Sentencing and Courts Bill (Protests and Noise)
  • Police, Crime, Sentencing and Courts Bill (Protests Tactics)
  • Police, Crime, Sentencing and Courts Bill (Unauthorised Encampments)
  • Polluter Pays Bill
  • Prescription Charges
  • Prisons (Violence) Bill
  • Private Rented Sector
  • Processing Asylum Claims in Rwanda
  • Proportional Property Tax
  • Prostate Cancer
  • Protection of Pollinators
  • Public Inquiry on COVID-19
  • Public Sector Pensions
  • Public Service Pensions and Judicial Offices Bill
  • Puppy and Kitten Sales
  • Queen's Speech - Bill of Rights and Brexit Freedoms
  • Radiotherapy
  • Rail Vs Air Travel
  • Reforming Taxi and Private Hire Vehicle Licensing
  • Right to Work Checks
  • Royal Mail
  • Sarcoma UK Drop-In Session
  • Save Our Pubs (CAMRA)
  • SEND Funding
  • Sentencing (Dangerous Driving)
  • Sexual Harassment
  • Shared Parental Leave
  • Social Care Cap (Means Test)
  • Stamp Duty Land Tax
  • State Pension
  • State Pension Age
  • Statutory Sick Pay
  • Stop and Search
  • Support for Deaf Pupils
  • Support for People with Disabilities
  • Support for Renters
  • Support for Road Hauliers
  • Support for the Pig Industry
  • Support for the Travel Industry
  • Sustainable Fishing
  • Tax Avoidance
  • Teachers’ Pay
  • Tourism and VAT
  • Training Collars for Dogs
  • Transport for Disabled People
  • Trophy Hunting
  • UK Foreign Aid
  • UK Trade and Business Commission’s First Annual Report
  • Universal Credit and Working Tax Credits - £20 per Week Uplift
  • Universal Credit Standard Allowance for Those Under 25
  • Universities: Antisemitism (IHRA Definition)
  • Uplands
  • Vaccinations for COVID-19
  • Valerie's Law
  • Vaping
  • VAT on Electric Vehicle Charging in Public Places
  • Violence Against Women and Girls
  • Voter ID
  • Voting System
  • Water Fluoridation
  • Wealth Tax
  • Welfare of Farm Animals
  • Young People’s Wellbeing

Andrew Selous MP South West Bedfordshire

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