A Blind Spot in Women's Health Measurement
Gynecological conditions deserve better accounting
What the GBD Currently Counts (Global DALYs, 2021)
What's Missing from the Estimates
Zero DALYs counted:
Urinary incontinence
Vulvodynia
Dyspareunia
Menopause symptoms
Few DALYs counted:
Endometriosis
PCOS
Dysmenorrhea
Morning sickness
Three Sources of Systematic Underestimation
Source #1: Data Gaps
Electronic health records miss conditions doctors may not record
Source #2: Missing Weights
Some conditions have no disability weight assigned, so they count as zero
Source #3: Cultural Bias
Conditions deemed "normal" (like postpartum symptoms) aren't counted as "unhealthy"
Bilinski & Emanuel, The Lancet 2026