الفهرس 
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Abstract
The aim of the work is to:
Ascertain percentage of cases with endometriosis among patients attending EL-Minia university hospital complaining of infertility, (either primary or secondary), or chronic pelvic pain.
And to evaluate the accuracy of different diagnostic tools as clinical, laparoscopic, Cal25 and creative protein in comparison to histopathological examination.
Conclusion:
We can conclude that endometriosis has a high percentage in the studied group, which was selected group. Endometriosis represented a high percentage in patients with infertility or chronic pelvic pain. (23, 7%).
So, endometriosis should be put in mind in every case of infertility or unexplained chronic pelvic pain. Suspicion of endometriosis rose when patient with infertility give history of dyspareunia or dysmenorrhoea. On examination fixed RVF, adnexal swelling, or cervical stenosis raise the suspicion of endometriosis.
Each patient complaining of infertility or chronic pelvic pain must have laparoscopic examination to prove or exclude endometriosis.
While histopathology may be done only if we have suspicioce criteria of diagnosis of endometriosis.
CA125 can’t prove or exclude endometriosis, so it must be adjuvant to laparoscopic examination. Role of CA125 may be significant in the follow up of therapy that would be given to patients with laparoscopic diagnosis of endometriosis.
CA125 may help us to avoid second lock laparoscopy to evaluate the effect of therapy. High CA125 level in patients with endometriosis will be normalized only by therapy and cure.
C-reactive protein is beneficial only in identifying active progressive inflammatory lesion from old healed endometric lesion.