The document discusses endometriosis, including its definition, presentations, accepted causes, risk factors, symptoms, examination findings, role of tumor markers and imaging like ultrasound and MRI, indications for laparoscopy, management approaches like hormonal therapy, surgery, and conservative surgeries. It also presents two case studies on endometriosis with infertility and discusses their potential management.

1. What is definition
of Endometriosis?

2. • What are the different presentations
• of endometriosis?

3. • What is the most accepted
aetiopathogenesis of
Endometriosis ?

4. •What are the risk factors
for endometriosis ?

5. What are the
symptoms of
Endometriosis in
order of occurrence?

6. • What are the typical Findings on
Examination?
• Role of per rectal & rectovaginal
examination?

7. • ROLE OF TUMOUR MARKERS
•CA 125 / NEWER ONES

8. Role of USG
What to see?

9. ROLE OF MRI ?
WHEN IT IS USEFUL?

10. IS LAPROSCOPY A MUST ??
ITS INDICATIONS

11. See & Treat
• Prerequisites before Laproscopy
• Just before Laproscopy
• During Laproscopy
(Eyes see what the mind knows)

12. •Role of conventional COCs
When ?
Whom to Give ?
How Long to Give ?

13. Role of GnRH Agonists?
Role of Add-Back Therapy

14. Role of Aromatase Inhibitors?
(Drawbacks & Indications)

15. • Role of Anti-Angiogenic Agents

16. • Sites where it cannot be
managed Medically?

17. • What is LUNA?

18. • What is Presacral
Neurectomy & its Drawbacks?

19. Management of chocolate cyst
with infertility
Unilateral / Bilateral

20. • Conservative surgeries in
Endometriosis

21. CASE NO. 1
32 year old infertile lady married 2 years back
with h/of severe dysmenorrhoea since 3 years
pelvic pain since 2 years,no urinary & bowel
symptoms
USG shows 5 cm homogenous hyperechoic cyst
in left ovary
Investigations of partner are normal
What will be the management?

22. Case 2
A 35 years old pt. P0+0 married 4 years back
with dysmenorrhoea,dyspareunia since 3 years
Ovulatory cycles,
TVS shows left sided homogenous cyst 5 cm
HSG shows spillage only on right side ,left tube
visualized but no spillage