Pain with periods and pain with sex are the most common symptoms of endometriosis. Diagnosis cannot be confirmed without laparoscopy but usually symptoms can be controlled with simple medical treatments with the assumption of endometriosis without the need for surgery. These treatments include medications like Ibuprofen known as NSAIDs and oral contraceptive pills which can be used continuously by skipping the placebo week and avoiding a menstrual period. Not having a period and using oral contraceptive pills can prevent worsening of symptoms, treat pain and prevent ovarian cysts.
Laparoscopy is only indicated for the following
*Severe pain not improved with medical treatment
*Large ovarian cyst
*Diagnosis unclear and need for confirmation