Pain symptoms and disease extent in deep infiltrating endometriosis (DIE): how to score: rASRM, ENZIAN?

Eliana Montanari; J. Keckstein; Joerg Keckstein; Gernot Hudelist

doi:10.1097/grh.0000000000000037

Pain symptoms and disease extent in deep infiltrating endometriosis (DIE): how to score: rASRM, ENZIAN?

Eliana Montanari, J. Keckstein, Joerg Keckstein, Gernot Hudelist

In: Global Reproductive Health · 2020 · vol. 5(2) , pp. e37 · doi:10.1097/grh.0000000000000037 · W3048985771

OA: hybrid CC0 ⤵ 2 in-corpus citations

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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-12 ⓘ

The ENZIAN classification, in addition to the rASRM score, is proposed to more accurately stage deep infiltrating endometriosis and correlate its extent with specific pain symptoms and their severity.

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Abstract

Deep infiltrating endometriosis is not fully taken into account by the currently most widely used classification system of endometriosis, the revised American Society for Reproductive Medicine (rASRM) score, and rASRM stages correlate only poorly with presence and severity of different pain symptoms. Therefore, the ENZIAN classification was developed in addition to the rASRM score. Infiltration of certain ENZIAN compartments by endometriotic tissue was found to be associated with the presence of different pain symptoms and lesion size in specific ENZIAN compartments correlated with symptom severity. Accurate staging of endometriosis, especially deep infiltrating endometriosis, appears to be facilitated with the additional use of the revised ENZIAN score.

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Outcome instruments

rASRM Enzian

Condition tags

endometriosisdie_deep_infiltrating

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 ]

References (7)

Cited by (2)

Source provenance

openalex: last seen: 2026-06-10T17:14:06.276822+00:00

License: CC0 · commercial use OK

[1] Association between disease extent and pain symptoms in patients with deep infiltrating endometriosis via openalex

[2] Association between endometriosis stage, lesion type, patient characteristics and severity of pelvic pain symptoms: a multivariate analysis of over 1000 patients via openalex

[3] Endometriosis classification according to pain symptoms: can the ASRM classification be improved? via openalex

[4] Enzian classification: does it correlate with clinical symptoms and the rASRM score? via openalex

[5] [ENZIAN-score, a classification of deep infiltrating endometriosis] via openalex

[6] Prediction of pregnancy in infertile women based on the American Society for Reproductive Medicine's revised classification of endometriosis via openalex

[7] W2401134385 via openalex