Endometriosis and Adenomyosis are very important causes of infertility. Treatment modalities include removal of Chocolate cysts , removal of adhesions caused by endometriosis and removal of adenomyomas. Medical therapy includes ovarian suppression with tablets or injections.. Use of Assisted reproductive techniques can help infertility treatment. It is also important to assess ovarian reserve in patients with endometriosis so that timely treatment options can be used.