First diagnosed endometriosis in a woman of reproductive age (clinical case)

To prevent the development, early detection, timely initiation of treatment of endometrioid disease in women of reproductive age, it is necessary to promote a healthy lifestyle, prevent abortions, and conduct medical examinations. The presented material highlights a clinical case of managing a patient who underwent surgical treatment in the gynecological department with a diagnosis of “Retrocervical endometriosis. Stage 4. Cyst of the left ovary. Pain syndrome”. The presented clinical case emphasizes the need to choose surgical treatment at the right time and in full. The treatment tactics we have chosen testifies to the positive effect of the radical removal of all lesions both to reduce pain, relapse risk and to increase pregnancy percentage. In addition, the choice of a drug for postoperative therapy is extremely important, its sufficient duration in terms of preventing endometriosis relapse. The disease is a general medical problem, as it is associated with infertility and chronic pelvic pain that impairs the quality of life of young women. Endometriosis remains one of the main pathological diseases in women of reproductive age. Patients diag-nosed with endometriosis need monitoring and constant therapy even after radical treatments throughout their lives. It is necessary to carry out adequate therapy for endometriosis and find the optimal ratio of surgical and medical treatment individually for each patient.