Endometriosis: Medical and Surgical Treatment

INTRODUCTION. Endometriosis is a disease characterized by the presence of tissue that is histologically identical to endometrium at ectopic locations outside the uterine cavity and protean manifestations. The incidence of endometriosis is strongly influenced by the awareness of non-classical lesions and because of the long-standing interest of the group in these lesions. The prominent symptoms of the disease are chronic pelvic pain and infertility. However, some of the patients do not have clinical symptoms. Does the stage of endometriosis or its severity correlate with the pelvic pain or infertility? Patients who have minimal disease would complain of severe pain, conversely, patients who have severe lesions may not complain at all of pain. Endometriosis may not be the cause of infertility but the result of it, because many women have the disease but are not infertile.. More now than ever before, endometriosis has stimulated discussion about the best methods for recognition and treatment. The treatment of endometriosis is currently one of the most controversial issues in gynecology. When the question of whether or not mild endometriosis should be treated was debated at the 3er.World Congress on Endometriosis held in Brussels in 1992, the audience voted inconclusively: 49,9% were in favor of treatment and 50,1% were against it (1).Current concepts is