High levels of anxiety and depression can amplify the severity of pain. Women who suffer from pelvic pain will experience high levels of anxiety and depression, loss of working ability, limitations in social activities and a poor quality of life (Laganà et al., 2017). In addition to pain endometriosis can cause infertility in women. The cause of infertility can range from anatomical distortions due to adhesions and fibrosis to endocrine abnormalities and immunological disturbances. Fifty percent of women with mild endometriosis will be able to conceive without treatment, whereas in women with moderate disease, only 25 percent will conceive spontaneously, and few spontaneous conceptions occur in severe disease. Superficial peritoneal lesions are closely related to infertility. Extensive disease with pelvic adhesions and obliteration of the cul‐de‐sac can result in infertility due to obstruction of the tubal ostium compromising sperm passage that is further intensified by the embedding of the ovaries in adhesions. Endometriosis can cause infertility through multiple pathways, including peritoneal inflammation and endocrine derangements, which interfere with ovarian function and ultimately reduce oocyte