New research highlights a troubling pattern known as medical gaslighting—when clinicians dismiss or misattribute patients’ pain. The conversation around this issue is growing, especially for women with chronic gynecological pain. Experts say gender bias, gaps in medical training, and underfunding of women’s health research contribute to the problem, a concern echoed in studies summarized by The Conversation.
In Thailand, social taboos around sexual and reproductive health can silence discussion and delay care. Conditions such as endometriosis and vulvodynia affect about one in ten women worldwide, yet many patients report skepticism from healthcare providers. Phrases like “just relax” or “it’s all in your head” are still heard by some patients seeking help.
Chronic gynecological pain can be severe enough to disrupt daily life—sitting, cycling, or wearing certain clothing can be painful. Pelvic exams and sex can become unbearable. A 2024 U.S. clinic study found that 45% of vulvovaginal pain patients were told to “just relax,” 39% were made to feel “crazy,” and more than half considered giving up care. A 2023 meta-analysis likewise found frequent dismissiveness toward women’s pain.
Thai health workers and advocates say many patients move from doctor to doctor without a diagnosis, a journey that resonates across Asia where cultural norms make private health matters harder to discuss. The issue is not limited to the West; researchers in Asia note similar barriers, with women often facing skepticism about their pain and its causes.
Medical gaslighting is rooted in long-standing gender biases. Earlier medical traditions once labeled women’s pain as psychosomatic. While modern training rejects these myths, their legacy remains. Personal stories from patients illustrate the emotional toll of not being believed, alongside the physical pain.
The consequences go beyond delayed treatment. Patients may experience anxiety, depression, and trust deficits toward the healthcare system. In Thai communities, where family support for “invisible” illnesses varies, these effects can be especially damaging. Local advocates report similar distress among patients with fibromyalgia and chronic pelvic pain.
Funding gaps worsen the issue. A January 2025 U.S. National Academies report shows conditions affecting women, like endometriosis, receive less research funding than male-dominated conditions. Thailand faces similar underfunding, limiting data and treatment advances. This pattern complicates diagnosis and care for reproductive and pelvic pain conditions.
Disparities in pain recognition also involve race and class. Historical studies highlight myths among medical trainees that lead to undertreatment of pain in minority patients. While Thailand’s context differs, rural and minority groups often face longer waits and fewer referrals for specialists, underscoring the need for equitable care.
Experts emphasize that pain in chronic pelvic and vulvovaginal conditions is real and biologically grounded. Yet many patients still experience dismissive responses. Thai gynecologists and educators have started conversations about better training, clearer guidelines, and stronger doctor-patient dialogue to address these concerns.
Addressing medical gaslighting requires more than minor adjustments. Medical schools, including those in Thailand, are urged to teach future clinicians to recognize bias, listen to patients’ lived experiences, and acknowledge uncertainty when a definitive answer is not immediately available. Empathetic listening is repeatedly highlighted as a crucial skill.
For Thai patients and families, practical steps include self-education through credible resources, joining peer support networks, and seeking second opinions if skepticism persists. Families and caregivers can help by documenting symptoms and accompanying patients to appointments, reducing isolation and frustration.
A culturally balanced approach that respects Thai traditions while embracing evidence-based care offers the best path forward. There is growing momentum in Thailand’s major hospitals to expand pain management services with multidisciplinary teams, including psychologists and physical therapists. Ongoing advocacy remains essential to ensure research funding keeps pace with real-world needs and that care pathways are free from bias.
Takeaway for readers: chronic pain is real, and dismissing patients is unacceptable. If you encounter skepticism, consider seeking a second opinion and connecting with reputable patient organizations. Clinicians should listen deeply, validate experiences, and pursue appropriate referrals when necessary. As Thai medical practice gradually adopts more compassionate, evidence-based care, informed patients and proactive families will drive lasting improvements.
Cited context (integrated within the narrative):
- Research summarized by The Conversation on how doctors sometimes fail to believe patients’ pain
- Bangkok Post reporting on fibromyalgia care and pain relief
- National Academies’ report on funding gaps in women’s health research
- PubMed studies on women’s experiences with chronic pelvic pain
- Thai Royal College of Obstetricians and Gynaecologists guidelines
- Asia-Pacific research on pain management disparities