{"paper_id":"ed167276-caba-48eb-8da6-133265fc93ca","body_text":"Abstract\nAs endometriosis is a chronic disease which debilitates women of reproductive age and has a negative impact on work force and quality of life in general, a disease classification would help to estimate the extent of impact on various aspects.\nThe most common classification has been established by the American Fertility Society and finally revised as American Society of Reproductive Medicine Classification. It is based on a laparoscopic evaluation and scoring and stages from I to IV can be applied, reflecting the extent of disease.\nSince this rASRM classification does not clearly reflect a prognosis for infertility patients, the endometriosis fertility index (EFI) was developed, which is eased on the rASRM classification, but in addition includes predicted ovarian and tubal function and historical parameters.\nSince these two scoring algorithms do not consider deep infiltrating endometriosis, a classification, the Enzian classification was developed according to the TNM classification for cancer. It describes the extent of disease within three different pelvic compartments classified into three sizes.\nThe development of MRI led to an accurate preoperative mapping of respective endometriotic lesions and enabled an MRI-based radiological classification system (MARIE) that reflects both the localisation of endometriosis and concomitant reproductive function.\nUp to date no classification exists that concludes all aspects of the disease, the pathophysiology, localisation, progression, pain and infertility, treatment, prognosis and recurrence.\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nSimilar content being viewed by others\nReferences\nLockyer C. Fibroids and allied tumors (Myoma and Adenomyoma): their pathology, clinical features and surgical treatment. London: Macmillan; 1918.\nSampson JA. Perforating hemorrhagic (chocolate) cysts of the ovary. 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ENZIAN-Klassifikation zur Diskussion gestellt: Eine neue differenzierte Klassifikation der tief infiltrierenden Endometriose. J Gynäkol Endokrinol. 2008;18:7–13.\nHaas D, Chvatal R, Habelsberger A, Wurm P, Schimetta W, Oppelt P. Comparison of revised American fertility Society and ENZIAN staging: a critical evaluation of classifications of endometriosis on the basis of our patient population. Fertil Steril. 2011;95:1574–8.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 2014 Springer Japan\nAbout this chapter\nCite this chapter\nTinneberg, HR. et al. (2014). Classification of Endometriosis. In: Harada, T. (eds) Endometriosis. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54421-0_21\nDownload citation\nDOI: https://doi.org/10.1007/978-4-431-54421-0_21\nPublished:\nPublisher Name: Springer, Tokyo\nPrint ISBN: 978-4-431-54420-3\nOnline ISBN: 978-4-431-54421-0\neBook Packages: MedicineMedicine (R0)","source_license":"CC0","license_restricted":false}