[Classification of endometriosis]

G. Schultes, Schultes G
Wiener medizinische Wochenschrift (1946) · 1999 · vol. 149(13) , pp. 361–5 · PMID:10568017 · W143121368
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The ASRM classification of endometriosis, while detailed and improved with color photographs, does not reliably predict pregnancy outcomes and requires further research for improved fertility and pain management.

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Abstract

Since 1985 the revised American Fertility Society (r-AFS) classification (renamed later American Society for Reproductive Medicine's classification--ASRM classification) has been a widely accepted system of categorizing the extent of endometriosis. The scoring system gives a detailed description of the location and the severity of the case and correlates to some extent with the degree of pain caused by endometriosis. Based upon collected data the classification was not found sensitive in predicting pregnancy according to the stage and after treatment of the disease. In view of this lack of sensitivity the ASRM has proposed not to change the scoring system, but additional color photographs are provided to assure consistency in describing the appearance of endometriosis. Changes in assessing cul-de-sac obliteration have been suggested to avoid future intra- and interobserver variations. Due to our insufficient understanding of the pathophysiology of endometriosis only a few new biomarkers can be offered for the prediction of fertility and management of pelvic pain. Animal studies and further controlled trials are needed to develop future parameters.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Female Female Genitalia, Female Genitalia, Female Genitalia, Female Humans Humans Infertility, Female Infertility, Female Infertility, Female Infertility, Female Laparoscopy Laparoscopy Pregnancy Pregnancy Prognosis

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

Cited by (5)

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