Abstract

Introduction: Endometriosis is a common gynecological disorder identified by the presence of ectopic endometrial tissue outside the uterus. It affects reproductive-aged women and is a major cause of pelvic pain and infertility. Aim: In this review, we explain the pathophysiology of endometriosis currently available in the literature and outline ways to diagnose and manage patients with this disease. Methodology: A major review of the literature was undertaken including a Medline search, Cochrane library search and a reference search from a number of review articles about pelvic endometriosis from 2010 to 2020. Also, we added our experience in Mansoura university hospital about diagnosis and treatment of endometriosis during same period. Conclusion: Laparoscopy is the gold standard method for diagnosis and treatment of endomeriosis. Postoperative medical treatment and a close follow-up to avoid a relapse seem to be the ideal lines of treatment.