Background: Endometriosis is one of the most common gynecological diseases that can lead to infertility. The aim of this quantitative, descriptive, and cross-sectional study was to analyze the prevalence and the annual nationwide health insurance treatment cost of endometriosis in Hungary in 2010 and 2019. Methods: The data used in this study were sourced from publicly funded, national, real-world datasets administered by the National Health Insurance Administration (NHIFA). The total number of cases of endometriosis in the Hungarian population was determined by ICD codes and all types of care. The total prevalence, age-specific prevalence, and annual health insurance expenditure by age group were evaluated. Results: The highest numbers of patients and prevalence (2010: 101.9/100,000 women; 2019: 197.3/100,000 women) were found in outpatient care. Endometriosis, regardless of its type, mainly affects patients in the 30–39-year age group (number of patients—2010: 6852; 2019: 11,821). The NHIFA spent a total of EUR 1,639,612 on endometriosis treatment in 2010 and EUR 1,905,476 in 2019. The average annual health insurance expenditure per capita was EUR 574 in 2010 and EUR 426 in 2019. There was a significant correlation between length of stay and mean age of patients in both years (2010 r = 0.856, p < 0.001; 2019 r = 0.877, p < 0.001). Conclusions: The number endometriosis cases is increasing. Early diagnosis and targeted treatment would reduce endometriosis symptoms and therefore improve patients’ quality of life and reduce health insurance costs. This would be helped by the establishment of endometriosis centers.
The COVID-19 pandemic severely disrupted tourism globally, with considerable variation in impact and recovery across regions. This study examines how tourism demand, revenue, employment, and transport evolved in the Visegrád Four (V4) countries—Czechia, Hungary, Poland, and Slovakia—between 2015 and 2025, assessing recovery speed and sectoral resilience across nine indicators. The modelled window varies by indicator: 2015–2023 for revenue indicators, 2015–2024 for visitor-flow indicators, and 2015–2025 for employment and air passenger indicators. Annual data from Eurostat and the Hungarian Central Statistical Office were analysed using descriptive comparative methods, linear mixed-effects models, and interrupted time series analysis with counterfactual projections. All indicators showed sustained pre-pandemic growth followed by a statistically significant 2020 shock. International demand fell roughly twice as sharply as domestic demand, and air passenger traffic suffered the largest absolute collapse. Revenue recovered fastest, surpassing pre-pandemic levels by 2023–2024 in all countries, while guest-volume recovery is projected only by 2025–2027. Part-time employment remained below 2015 levels in three of four countries despite volume and revenue recovery, indicating structural labour market adjustment. Slovakia consistently showed non-significant post-shock recovery slopes in seven of nine indicators, emerging as the region’s weakest performer. These findings indicate that COVID-19 produced uneven, revenue-led recovery across V4, and the employment paradox and Slovakia’s underperformance underscore the need for diversified, evidence-based tourism crisis management.