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Dr. Craig Witz: Endometriosis is enigmatic disease in which the lining of the uterus called endometrium grows outside the uterine cavity. It associates with several symptoms. The main symptoms are infertility and pelvic pain. The diagnosis of the endometriosis is usually made time of surgery or the biopsy is performed and the biopsy is reviewed by the pathologist and demonstrate in the Pap smear tissue. The symptoms associated with endometriosis typically are pelvic pain as well as infertility. Treatment of endometriosis is divided into two main categories: surgery and medical therapy. Surgery works quite well for patient who has pelvic pain for all stage of endometriosis. When it comes to infertility, surgery is most effective in patient who has advance stages of disease. With respect with medical therapy, medical therapy is mostly hormonal. This hormonal therapy unfortunately keeps patient from becoming pregnant. Nonsteroidal anti-inflammatory drugs are excellent choice for patients who have exacerbation of pelvic pain. These include medications like Ibuprofen as well as Naproxen. There is no nonsteroidal anti-inflammatory drugs which have been shown to be superior for the treatment of pain associates with endometriosis. The reproductive endocrinologists at the Houston Facility Institute are able to take care of all of the consequences that patients may experience as a result of endometriosis.