Endo-Teach: An innovative secondary school teaching package to educate on menstrual health and to build awareness of endometriosis in Switzerland

Introduction: Endometriosis, a chronic inflammatory disease often beginning in adolescence, significantly impacts quality of life. Delayed diagnosis contributes to prolonged suffering, educational disruption, and high healthcare costs. Promoting menstrual health education in schools may aid early recognition and intervention. This study aimed to implement and evaluate Endo-Teach , a menstrual health and endometriosis education program for seventh and eighth grade students, assessing its effectiveness in improving their understanding of endometriosis. Methods: The implementation of the teaching package Endo-Teach, developed by a group of specialists at the certified endometriosis center of the Bern University Hospital, Switzerland, was evaluated using a voluntary questionnaire distributed before and after the class. Results: Within a total collective of 177 students, the mean age was 14.37 years. Awareness of endometriosis among adolescents was initially low (30.4%). Just over half (50.6%) of female adolescents reported having very painful menstruation; 54.5% of the adolescents reporting very painful period or insecurity about it needed to take pain medication, and 23.6% missed school regularly due to menstrual pain. The teaching package was evaluated as clear (96.5%) and educative (97.7%). Conclusion: The teaching package Endo-Teach in its actual form is a valid option to promote awareness of menstrual health and endometriosis in secondary schools. In Switzerland, the prevalence of severe menstrual pain in secondary-school students, including the use of pain medication and school absenteeism, is high, whereas awareness of endometriosis is low. This shows that offering age-appropriate educational measures in a broader context is important to reduce the burden of the disease.