Objective: The endometriosis combined treatment optimisation on the basis of own results. Design: The retrospective clinical study. Department: Department of Gynecology and Minimally Invasive Therapy, Na Homolce Hospital Prague. Methods: The retrospective analysis of the endometriosis treatment results on the basis of subjective severity and the inspection laparoscopy objective determination including work-up and imaging examinations. Results: Out of 586 patients, who underwent endometriosis combined (surgical and medicamentous) treatment, there were 91% of patients with no subjective severity with normal inspection laparoscopy determination in area of lesser pelvis. Conclusion: 91% of treatment success entitles us to consider that our method of the endometriosis treatment is an option for future. We plan a long term monitoring of patients after restore to health within a period of years and percentage of pregnancy success, which we monitored alongside patients with the deep-infiltrating endometriosis.

        Key words: endometriosis, surgical treatment, medicamentous treatment, add-back therapy, laparoscopy