An update for endometriosis management: a position statement

•A diagnosis of endometriosis should be already suspected among adolescents and young women with severe dysmenorrhea, interfering with daily activities and not responding to analgesic drugs or combined oral contraceptives.•There is no longer need to perform laparoscopy just to confirm and stage the disease, as endometriosis can be accurately diagnosed non-invasively by clinical presentation and imaging.•The choice of endometriosis treatment is based on characteristics of the lesion (phenotype, extension, suspicion of malignancy) and of the patient (age, previous response and tolerance to medical treatments, reproductive plans, risks of surgery).