Presence of functioning endometrium in sites other than uterine mucosa is called endometriosis. These islands of endometriosis are composed of endometrial glands surrounded by endometrial stroma, and are capable of responding to a varying degree to cyclical hormonal stimulation. Endometriosis is a disease of contrast. It is a benign but it is locally invasive, disseminates widely. Cyclic hormones stimulate growth but continuous hormone suppress it.

The occurrences of endometriosis are genetic, multifactorial, vaginal or cervical atresia encouraging retrograde spill. The more frequent the cycles and more the bleeding, greater is  the risk of endometriosis. Risk factors are polymenorrhagia, retroverted uterus, which increases the risk of retrograde spill.

The common site of endometriosis are ovaries, the pouch of Douglas, including the utereosacral ligaments, peritoneum overlying the bladder, sigmoid colon, back of uterus, ovarian fossa, intestinal coils and appendix. Endometriosis is seen in the umbilicus following an operation, in laparotomy scar, in tubal stumps following sterilization operation, in amputated stumps of the cervix and in the scars  of the vulva and perineum.

Symptoms include  Dysmenorrhoea, Adominal pain, Dyspareunia, Infertility, Menstrual symptoms, Chronic pelvic pain, Urological and bowel symptoms.

RATIONALE OF STUDY

Endometriosis is a common gynaecological condition affecting 2-10% of women of childbearing age. At present, there is no known way to prevent endometriosis. Enhanced awareness, followed by early diagnosis and management may slow or halt the natural progression of the disease and reduce the long-term burden of its symptoms, including possibly the risk of central nervous system pain sensitisation, but currently there is no cure.

Usual allopathic treatment include hormone therapy and minimal invasive surgery. Hormone therapy suppresses endometriosis for the duration of therapy, it does not prevent recurrence. Moreover, hormone delay pregnancy by their contraceptive effect, beside the drugs being expensive. Weight gain, irregular bleeding, reduced libido, mental depression are other side effect