Endometriosis is defined as the presence of endometrial-like tissue outside the uterus, which induces a chronic, inflammatory reaction. Endometrium is the inner lining of the uterus which sheds every month, resulting in menses (or periods). The same endometrium is also responsible for implantation of the embryo and causing pregnancy. In endometriosis, this endometrium starts to grow in organs such as ovaries and fallopian tubes, outer layers of uterus and sometimes in urinary bladder, intestines, lungs etc. The incidence of endometriosis is two to 10 percent in the general population and upto 50 percent in couples with fertility related issues. The hormonal changes in the menstrual cycle affect the misplaced endometrial tissue, causing the area to become inflamed and painful. This means the tissue will grow, thicken and break down. Over time, the tissue that has broken down has nowhere to go and becomes trapped in your pelvis which can later cause irritation, scar formation, adhesions, in which tissue binds your pelvic organs together, severe pain during your periods and later leads to fertility related problems. How it is diagnosed: Symptoms to watch out for Women suffering from endometriosis report to their gynaecologist with one or more of the following most common symptoms: The 5 Ds: Dysmenorrhoea or painful periods. This can also be pain in the lower abdomen before and during menstruation. Deep dyspareunia or painful intercourse. Dysfunctional uterine bleeding—abnormal or heavy periods. Difficulty in conceiving—infertility. Dyschezia—painful or difficult defecation. Pain, during periods, pelvic pain not related to periods, progressively increasing pelvic or period pain, and infertility are the major distressing factors that severely affect the quality of life of patients having endometriosis. Best Fertility Care Centre , Maternal & amp; Child Health Care Centre , Advanced Fertility Care Centre , Ashwini Hospital & amp; Fertility Centre , Moondrumavadi K.Pudur Madurai -07 , Low Cost IVF/ICSI Centre , Normal Vaginal Delivery Rs.35000/- (including medicines) LSCS Rs.50000/-(including medicines)