BACKGROUND: Endometriosis is a painful disease identified by unusual tissue growth external to the uterine cavity. Common symptoms include excessive, heavy menstrual bleeding, painful sexual intercourse, short menstrual cycle, and dyspareunia.

OBJECTIVE: This study assesses the level of awareness of endometriosis among Pakistani women.

MATERIAL AND METHODS: A cross-sectional study was conducted among university-going students in multiple disciplines. The study sample size was 325, calculated using Cochran's formula with 95% confidence and a 4% margin of error. Convenience sampling was used to recruit adult female residents of Pakistan aged 18 or older who were willing to participate voluntarily.

RESULT: Out of 325 participants, 92% were unmarried, while only 8 % were married females. 4.3% of the total participants reported having endometriosis. 95.7 % were reported to have no diagnosis related to endometriosis. 4.6% reported having a family member diagnosed with endometriosis, while the majority, 95.4%, denied any family history. Among those who had a family history of endometriosis, 2.7% reported their immediate family members being diagnosed with this condition. Of the 325 participants, 13.5% rated their knowledge as very poor, and 20.0% rated their understanding as poor. The largest group, 42.2%, rated their knowledge as fair.

CONCLUSION: This study's findings reveal fundamental gaps in Pakistani women's understanding and awareness of endometriosis. By offering education and awareness programs on these aspects, it is possible to increase awareness, focus efforts on early diagnosis, improve management outcomes, and enhance the quality of life for women with endometriosis.

Index Terms- Dysmenorrhea, Endometriosis, Young adults, Females