Endometriosis is a complex condition of great variability and presentation. In many cases, this variability leads to difficulty and delay in making the diagnosis. Most studies report a mean duration of 8–10 years between the onset of symptoms and the diagnosis. Longer delays can occur when the symptoms begin in adolescence.

Aside from the variability in presentation, the major reasons for delays in diagnosis include the prevalence of pelvic pain symptoms in the community and a lack of awareness by many health professionals that the onset of symptoms often occurs in adolescence. However, it is widely recognized around the world that endometriosis is now the commonest cause of chronic pelvic pain in women in most industrialized societies. Treatment will be given to: relieve pain slow the growth of endometriosis tissue improve fertility prevent the disease returning. Standard medical…