Endometriosis is one of the most common worldwide Encountered benign disease in women. Endometriosis is seen in various sites of the body along with intense pain (dysmenorrhea, dyspareunia). It also leads to infertility in more than 35% patients in reproductive age. Today’s treatment options are double edged sword due to various adverse effects of the drugs. Dienogest appears to be more effective in treating endometriosis along with superior safety and tolerability.