A 40-year-old primiparous woman suspected to be suffering from endometriosis is subjected to diagnostic laparoscopy. Findings indicate - uterus normal, both the ovaries show presence of chocolate cysts; endometriotic deposits are seen on the round ligament right side, both the fallopian tubes and the pouch of Douglas; moderately dense adhesions are present between the fallopian tubes and the pouch of Douglas. The treatment of choice in this case is
Total hysterectomy with bilateral salpingo-oophorectomy
Fulguration of endometriotic deposits
Progesterone therapy
Danazol therapy
Surgery indications

Severe symptoms unresponsive to hormone therapy
Severe and deeply infiltrating endometriosis which distort pelvic anatomy
Endometriomas > 4cms

Laparoscopy is done to destroy endometriotic lesions by excision or ablation or electrodiatherapy,or laser vaporization. Conservative surgical treatment improves fertility outcome.