Endometriosis is the presence of endometrial-like tissue outside the uterus, which usually induces a chronic inflammatory reaction and adhesions that may distort the pelvic anatomy of a woman. It is commonly associated with infertility. Approximately 30% of women who have infertility are associated with Endometriosis . Women suffering from infertility are 6 to 8 times more likely to have endometriosis than fertile women. Many women with endometriosis may not show any symptoms. In most women, symptoms are often most severe just before and during menstrual period.

Symptoms may include:

  • Pain
    It includes:
    • Pelvic pain.
    • Rectal pain.
    • Low backache
    • Pain during sexual intercourse.
    • Severe menstrual cramps.
  • Infertility
  • Abnormal bleeding.
    This can include:
    • Blood in urune
    • Vaginal bleeding before the start of menstrual period.
    • Blood in stool
    • Vaginal bleeding after sex.


Before treatment of infertile couple, factors such as age of the female, duration of infertility, male factor, pelvic pain, duration of medical attention, stage of endometriosis, and family history should be taken into account. For endometriosis, a combination of surgical treatments and either postoperative or preoperative medical therapy has been suggested.