Conclusion

Endometriosis is a challenging medical condition with debilitating effects on quality of life of women, as well as their mental and emotional health. The treatment objectives include relief of pain and prevention of recurrence. The therapeutic agents should suppress the synthesis of estrogen. Surgery may be required as a primary modality when medical management fails or cannot be administered or as an adjunct to medical management Deep infiltrating endometriosis is one of the most severe forms of endometriosis and is defined as endometriosis infiltration of more than 5 mm beneath the peritoneum. Transvaginal or transrectal ultrasound, and magnetic resonance imaging, remain the mainstays of diagnosis. Surgical resection is indicated when symptoms impair quality of life and activities of daily living. Total surgery is considered the definitive option for women who completed childbearing. Experiences of living with endometriosis correlate with the symptomatology of chronic pelvic pain related to endometriosis, delayed diagnosis because of stigmatization, and late referrals to specialists, treatment of endometriosis which is delayed due to late diagnosis and lack of “one-treatment-its-all” protocols. Guidelines are essential to provide comprehensive recommendations on best course of action, based on sound scientific evidence and expert opinion.