**2.9. Endoscopic techniques in endometriosis**

Infertility and pelvic pain in its various forms are the main expressions of endometriosis. The fallopian tubes and ovaries may adhere to the lining of the pelvis or to each other, restricting their movement. Another factor which cause infertility with Endometriosis, may be the over-production of prostaglandins. No laboratory findings are particularly helpful in making or confirming a diagnosis of endometriosis. Treatment of endometriosis, medical or surgical, is directed at ameliorating the symptoms and severity of the pelvic pain and infertility. Some of the options for treatment to conceive include:


Surgery may include lysis of adhesions, restoration of normal anatomy and ablation of all endometriotic implants, cystectomy or resection of endometriomas and in extreme cases even the removal of the ovaries and the uterus. During laparoscopy can remove endometrial growths, scar tissue, and adhesions caused by the endometriosis. This is not a really cure, and endometriosis may return later. However, some women will have increased fertility for up to 6- 9 months after surgery.
