Aim: The present study aims at the determination of presentation and prevalence of endometriosis in the Kotri Pakistan.

Study design: A cross sectional study

Place and duration: This study was conducted at SESSI Hospital SITE Kotri, Pakistan from June 2019 to July 2020.

Methodology: A total of 800 patients were admitted to the gynecology ward. A total of 160 patients were suspected to have endometriosis as their signs and symptoms were indicative of the disease. The age range of the patients was from 17 to 48 years. All the patients underwent laparotomy or laparoscopy for diagnosis and treatment. Individual proforma was filled for all the patients according to the severity of the disease. The stage of the disease for each patient was identified as per American Fertility Society endometriosis staging.

Results: The symptoms of endometriosis were prevalent in 160 (20%) of the 800 patients who had been admitted to the ward. A total of 40 (25%) were diagnosed with endometriosis on laparoscopy/laparotomy.

Conclusion: The overall prevalence of endometriosis seen during the study period was 5%. Endometriosis is a common women's health issue in the population of Pakistan. Nonetheless, it is underestimated. Its prevalence is high in patients between the ages of 21 years to 30 years. The most common presentation of endometriosis is infertility. A diagnostic laparoscopy must be performed in patients who present with symptoms suggestive of endometriosis. Timely diagnosis and treatment can help in reproduction.

Keywords: Endometriosis, infertility, laparoscopy, laparotomy