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While having a confirmed diagnosis could be a helpful tool to underpin this long-term role, it was not always seen as essential: Actually, whether you call it endometriosis, to a certain extent what you do about it is maybe more important for the woman. (GP1) GPs identified that building rapport, developing trust, and having enduring primary care relationships were central to supporting this longitudinal care process, which could be facilitated by fostering and promoting continuity of care: You try to set up a bit of rapport beforehand because even though theyll go to the gynaecologist, and maybe get their diagnosis, even then it seems that they kind of are given a treatment and discharged, and then they come back to primary care, and you sort of want to have established that rapport. (GP3) DISCUSSION Summary GPs descriptions of their assessment and support for women presenting to them with symptoms suggesting possible endometriosis reveal the complexity of this process

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