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Endometriosis Education

Understood.
Explained.
Supported.

Endometriosis is complex. Your answers shouldn't be. Trusted guides written for patients, by people who understand the journey.

01 / INTRO
1 in 10Women Affectedworldwide
7 yrsAvg. Diagnosisdelay
~190MWomen of reproductive ageaffected globally (WHO)
02 / KEY TOPICS

Key things you need
to understand

Four pillars of endometriosis knowledge — from first symptoms to living fully with the condition.

03 / FEATURED READING

Recent Guides

View all articles

Endometriosis affects 1 in 10 women of reproductive age — yet the average time to diagnosis remains 7 years. You deserve answers that don't take a decade to find.

~190MWomen of reproductive age affected globally (WHO)
7 yrsAvg. diagnosis delay
#1Cause of pelvic pain
04 / MISSION
05 / IMPACT
Financial Reality

Why it matters — the cost no one talks about

Endometriosis is not just a health crisis — it is a financial one. The burden of delayed diagnosis falls disproportionately on women who can least afford it, creating a cycle of debt, missed opportunity, and compounding suffering.

KSh 250K+Average diagnostic cost

Specialist visits, ultrasounds, laparoscopy, and lab work before a confirmed diagnosis

7 yearsAverage diagnosis delay

Years of misdiagnosis, unnecessary treatments, and mounting medical bills

$1.8BLost productivity annually

Global economic burden from missed work, reduced output, and early career exits

What a diagnosis actually costs in Kenya

LaparoscopyAn important diagnostic option
KSh 80,000 – 200,000
Specialist consultationsMultiple visits before referral
KSh 3,000 – 15,000 per visit
Hormonal therapy (annual)Ongoing management cost
KSh 24,000 – 96,000
Surgical excisionTreatment is individualised based on symptoms, fertility priorities and patient preferences (ESHRE)
KSh 150,000 – 500,000
Mental health supportOften overlooked but essential
KSh 4,000 – 12,000/month
Fertility treatmentsEndo is a leading cause of infertility
KSh 200,000 – 800,000

* Estimates based on Nairobi private healthcare rates. Public facilities may vary. Most patients visit 3–5 specialists before diagnosis.

Bridging the gap

The 1 in 10 Initiative — also known as the Beyond the Bed Initiative — exists to close this financial gap — through advocacy, education, and partnerships that make diagnosis and treatment accessible to every woman, regardless of income.

Fund diagnostic support for low-income patients
Subsidise specialist consultations
Train healthcare workers to reduce misdiagnosis
Advocate for insurance coverage of endo care
06 / FOUNDER'S STORY

16 Years of
Surviving Endometriosis

Effie Nyaga, Founder of The 1 in 10 Initiative
Effie Nyaga
Founder, The 1 in 10 Initiative
also known as the Beyond the Bed Initiative

“Their pain is real, their symptoms matter, and they deserve to be heard.”

For the past 16 years, I have lived with endometriosis.

My journey has been defined by debilitating pain, profound fatigue, brain fog, drastic mood fluctuations, and recurrent hospital visits particularly during my menstrual cycle. Yet, perhaps one of the most difficult aspects of my experience was not simply living with the symptoms, but the prolonged journey towards receiving a diagnosis.

Despite seeking medical attention, including from some of the country's largest healthcare institutions, it took years for my symptoms to be recognised for what they were. Like so many people living with endometriosis, I experienced firsthand the consequences of delayed recognition and the profound impact that an often-invisible condition can have on everyday life.

Over time, I came to understand that my experience was not an isolated one. Behind my own story is a much larger reality: countless people navigating debilitating pain, delayed diagnosis, limited awareness, and a healthcare system that does not always recognise the seriousness of their symptoms.

The 1 in 10 Initiative was born from that lived experience.

I founded the initiative to transform what I have experienced into meaningful action — to raise awareness, amplify the voices of those living with endometriosis, and contribute to a future where no one has to spend years questioning whether their pain is real or whether they deserve to be heard.

I have lived this reality for 16 years. I understand the gaps firsthand. Now, I am committed to turning that lived experience into structured action and helping build a future in which endometriosis is recognized, understood, and addressed with the urgency it deserves.

05 / PATIENT VOICES

Real stories,
real clarity

Patient stories are coming soon.

If you would like to share your experience, please reach out via the contact page.