Endometriosis is the presence of endometrial-like tissue outside the uterus and it causes symptoms due to chronic, inflammatory reaction .Symptoms of pain include painful periods , pain during intercourse, non-cyclical pain , painful defecation. Some women experience infertility and sometimes some women have no symptoms at all. The exact prevalence of endometriosis is unknown but estimates range from 2 to 10% of women of reproductive age, to 50% of infertile women.
Treatment of endometriosis is to stop the cyclical bleeding and either long acting contraception (Mirena, Implanon) or pills are effective in controlling symptoms. Surgery has been known to improve the symptoms and fertility .Both IUI and IVF improve chances of pregnancy.
Pain relief can be started with simple analgesics and increased to hormonal manipulation, needing abolition of periods , so Pills, Mirena , Implant are effective treatments if the pregnancy is not a consideration.