Uteri randagi, o: dal mito dell’isteria all’endometriosi - quando la medicina non ascolta.

Se ogni mese svenissi dal dolore e ti dicessero “è normale”, quanto ci metteresti a dubitare di te?In questo episodio di Bioetica da Bar partiamo da una follia storica - il mito del “grembo vagante” e la diagnosi-ombrello di isteria - per arrivare a una realtà attualissima: l’endometriosi, una malattia che colpisce circa 1 donna su 10 e che spesso viene diagnosticata con anni di ritardo. Io sono un uomo: l’endometriosi l’ho imparata attraverso mia moglie. Posso capire, non sentire. Qui non parlo “al posto di”: parlo per allargare lo spazio, e poi cedo il banco a chi il dolore lo conosce da dentro.In questa puntata parliamo di dolore invisibile, di bias nella gestione del dolore, di diagnosi tardive, e di perché la medicina di genere non è un fiocchetto rosa: è una correzione di rotta.Fonti:Griffith 1898, “The Petrie papyri; hieratic papyri from Kahun and Gurob” (https://babel.hathitrust.org/cgi/pt?id=uc1.b000766831&view=1up&seq=174 )Worton e Wilson-Tagoe 2004, “National Healths: Gender, Sexuality and Health in a Cross-Cultural Context”.Tasca, Rapetti, Carta e Fadda 2012, “Women And Hysteria In The History Of Mental Health” (http://dx.doi.org/10.2174/1745017901208010110 ).Francis 1856, “The extant works of Aretaeus, the Cappadocian” (https://archive.org/details/aretaioukappadok00aret ).Caciola 2003, “Discerning spirits” (https://www.jstor.org/stable/10.7591/j.ctvrf8bcv).Shetty, Chandini, Fernandes e Safeekh 2020, “Hysteria. A Historical Perspective” (https://journals.lww.com/armh/fulltext/2020/08020/hysteria__a_historical_perspective.29.aspx ).Pearce 2016, “Sydenham on Hysteria” (https://doi.org/10.1159/000450605).Maines 1999, “The Technology of Orgasm”. Meyer e Fetters 2018, “Victorian-Era Orgasms and the Crisis of Peer Review” (https://www.theatlantic.com/health/archive/2018/09/victorian-vibrators-orgasms-doctors/569446/ ).Lieberman and Schatzberg 2018, “A failure of academic quality control: The technology of orgasm” (https://www.semanticscholar.org/paper/A-failure-of-academic-quality-control%3A-The-of-Lieberman-Schatzberg/e4661d3a661a74844c538bd2e309841b9afeb4cd)Sheehan 1981, “Victorian Clitoridectomy: Isaac Baker Brown and His Harmless Operative Procedure” (https://www.jstor.org/stable/647794 ).Scull and Favreau 1986, “The Clitoridectomy Craze” (https://www.jstor.org/stable/40970415).Jackson 2019, “Pain and Prejudice” (https://en.wikipedia.org/wiki/Pain_and_Prejudice).Micale 1993, “On the disappearance of hysteria: a study in the clinical deconstruction of a diagnosis” (https://www.jstor.org/stable/235644 ).Lippi, Habiba e Benagiano 2022, “A History of Endometriosis” (https://link.springer.com/chapter/10.1007/978-3-030-97236-3_1 ).Chen et al. 2008, “Gender Disparity in Analgesic Treatment of Emergency Department Patients with Acute Abdominal Pain” (https://doi.org/10.1111/j.1553-2712.2008.00100.x ).Guzikevits et al. 2024, “Sex bias in pain management decisions” (https://doi.org/10.1073/pnas.2401331121 ).Hoffmann e Tarzian 2021, “The Girl Who Cried Pain: A Bias against Women in the Treatment of Pain” (https://doi.org/10.1111/j.1748-720x.2001.tb00037.x ).Türkçüoğlu et al. 2008, “Presumed nasolacrimal endometriosis” (https://pubmed.ncbi.nlm.nih.gov/18209641/).Rahmioglu e Zondervan 2024, “Endometriosis: disease mechanisms and health disparities” (https://pubmed.ncbi.nlm.nih.gov/39611194/).Spitale et al. “"Still Hysterical?": Endometriosis and the Gendered Failure of Medicine” (https://zenodo.org/records/17962253).