This review article has focussed on identifying the evidence from rand
omized controlled trials for the medical and surgical management of en
dometriosis, A critical summary of the medical management has shown th
at there is little difference in effectiveness of various medical trea
tments, but there are differences in the side-effect profiles. Few ran
domized controlled trials have been undertaken in surgery, but these h
ave shown that surgical management is effective in the management of b
oth painful symptoms and subfertility. (C) 1998 Lippincott-Raven Publi
shers.