Life after diagnosis. How to cope with emotions and grief after losing your health?

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You leave the doctor's office holding a note with a discharge summary or histopathology report. On it is the word "Endometriosis." You've been waiting for this moment for years, fighting for someone to finally believe your pain is real. Paradoxically, the first emotion that emerges is often overwhelming relief. "I'm not crazy," you think. "This has a name. This is real."

But moments later, when the adrenaline wears off and you get home and fire up Google, the relief gives way to something much heavier. You read about "incurability," "chronic duration," "risk of infertility." You begin to understand that this diagnosis It's not just a name, it's a life sentence with a disease. Then comes mourning. Not for someone, but for something—your health, your carefreeness, your plans that you need to reassess. It's a process that almost everyone goes through, and yet it's still not talked about enough.

Why am I crying when I should be happy about the diagnosis?

In psychology, there is a concept of "grieving for the loss of health". chronic sorrow). It's a specific kind of sadness that comes when we lose part of our identity—the part that was "healthy," "fit," and "indestructible." You have the right to feel betrayed by fate. You have the right to cry for a life where you don't have to check your period calendar before planning a vacation.

This process is similar to the classic stages of grief described by Elisabeth Kübler-Ross. First, there is denial ("Maybe the doctor made a mistake?", "It's probably just a mild inflammation.") Then comes anger (“Why me?” “Why do my friends get pregnant right away and I suffer?” “I hate my body!”). Anger is energy – it shows that you have the strength to fight, even if it is directed in the wrong direction for now. Then comes bargaining ("I'll just drink herbs and it will go away", "I'll be a good patient, just let it go away"). Until finally it comes depression – the moment you realize the disease will be with you forever. This is the darkest point, but necessary to move on to the final stage: acceptance.

The body as an enemy – how to stop hating yourself?

With endometriosis, your relationship with your body becomes toxic. You feel trapped in a machine that constantly breaks down, even though you take care of it. You start treating your body as stomach like an enemy, like a time bomb. Dissociation occurs – you separate the "I" (your head, thoughts, soul) from "that thing down there" that causes pain.

It's a natural defense mechanism, but it's destructive in the long run. You can't heal (or go into remission) a body you hate. The path to balance leads to re-inhabiting yourself. It may sound abstract, but it starts with small steps: by placing your hand on your aching belly with tenderness, not anger. By telling yourself, "My body isn't doing this to spite me. It's suffering too, and it's crying out for help." This shifts the narrative from one of war ("I'm fighting endometriosis") to one of care ("I'm taking care of myself in my illness").

Fear of the future and loss of control

Endometriosis It's a disease of great unknowns. You don't know if you'll be able to have children (though statistics are more on your side than you think!). You don't know when the next pain attack will come. You don't know if you'll need another surgery in five years. This loss of control is one of the most powerful stressors.

Living in constant "alert" mode exhausts the nervous system, leading to anxiety. To cope, you must learn to distinguish between your sphere of influence and your sphere of concern. You can't control your genetics or the existence of a disease. But you can control what you eat for dinner today, whether you go to physical therapy, and whether you allow yourself to rest. Regaining agency in small, everyday decisions is the best antidote to anxiety. This builds a sense of "I may not be in control, but I am in control."

Loneliness in a crowd of healthy people

No one who hasn't experienced the pain of endo will fully understand it. Your friends might say, "Take a pill and go party," while your partner might feel helpless and withdrawn. This creates a profound sense of isolation. You feel like an alien speaking a different language.

This is the time to find your "tribe." Support groups, foundations, and educational profiles (like EndoMe) are places where you don't have to explain anything. There, words like "EndoBelly," "adhesions," and "therapeutic menopause" are instantly understandable. Knowing that millions of women around the world feel exactly the same way as you does takes the burden of being "different" and "flawed" off your shoulders. You don't have to carry it alone.

Acceptance is not the same as resignation

Many women fear the word "acceptance" because they associate it with surrender and passivity. "If I accept my illness, it means I've stopped fighting." Nothing could be further from the truth.

In psychology, acceptance means acknowledging the facts. It's saying, "OK, I have endometriosis. This is my reality. I don't like it, I'm angry, but I won't waste any more energy pretending it doesn't exist." Only from this point can you move forward. Instead of using your energy to tilt at windmills (i.e., get angry that you have the disease), you redirect it into action: seeking a specialist, changing your lifestyle. diet, therapy. Acceptance is the moment when you stop waiting for "your old life to return" and begin building a new, good life on new terms. This life can be beautiful, full of passion and love, even if you sometimes have a stomach ache in the background.

Źródła:

  • Facchin, F., et al. (2017). Impact of endometriosis on quality of life and mental health: pelvic pain, somatic symptoms and psychological distress. – Study showing a strong correlation between endometriosis and the occurrence of anxiety, depression and a sense of helplessness.
  • Kubler-Ross, E. (1969). On Death and Dying. – The classic model of the stages of grief, which modern health psychology adapts to the process of diagnosing a chronic disease.
  • Zarbo, C., et al. (2018). Psychosocial outcomes of endometriosis. – A review of the literature on the impact of the disease on female identity, social relationships and body image.

Marta Pietrzak

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