It is a little known fact that endometriosis adenomyosis and adenomas are affecting an increasing younger cohort of younger women. It is no longer a disease of middle age or perimenopausal women. Unfortunately a hysterectomy is the only effective long term treatment option. Concerningly these conditions can also mask uterine. Ovarian and peritoneal cancers. There needs to be more funding directed towards gynaecological diseases affecting womens fertility.