Modern concepts of endometriosis. Classification and its consequences for therapy
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The ASRM classification forms for endometriosis allow for clear documentation of disease extent and type, though their clinical utility and predictive ability require further validation.
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Abstract
OBJECTIVE: To review the development of the American Society for Reproductive Medicine (ASRM) classification forms for endometriosis and assess efforts to validate their clinical utility.
STUDY DESIGN: The relevant medical literature was reviewed.
RESULTS: ASRM has established classification forms for endometriosis in women with infertility and pelvic pain. The utility of these new forms has not been assessed. Studies using earlier versions of the ASRM classification reported that the stage of disease correlates better with pain symptoms than fertility outcome.
CONCLUSION: The ASRM classification form for infertility and the form to assist in the management of pelvic pain in women with endometriosis permit clear documentation of the extent and morphologic type of disease. Further studies are needed to refine the classification and enhance its predictive ability.
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Cited by (44)
- Bladder Endometriosis: Diagnostic, Therapy, and Outcome of a Single-Center Experience 2025
- Factors Associated With Spontaneous Conception Leading to Live Birth in Infertility Patients After Endometriosis Surgery 2025
- Genetic variations in UCA1, a lncRNA functioning as a miRNA sponge, determine endometriosis development and the potential associated infertility via regulating lipogenesis 2022
- Peritoneal natural killer cell chemotaxis is decreased in women with pelvic endometriosis 2022
- Genetic impacts on thermostability of onco-lncRNA HOTAIR during the development and progression of endometriosis 2021
- Updated guideline for clinical evaluation and management of endometriosis 2019
- Live Birth Rate after Surgical and Expectant Management of Endometriomas after In Vitro Fertilization: A Systematic Review, Meta-Analysis, and Critical Appraisal of Current Guidelines and Previous Meta-Analyses 2018
- Strategies to Preserve and Optimize Fertility for Patients with Endometriosis 2017
- Fertility and Endometriosis 2017
- The DNA methylation status of genes encoding Matrix metalloproteinases and tissue inhibitors of Matrix metalloproteinases in endometriosis 2017
- Up-regulation of ribosome biogenesis by MIR196A2 genetic variation promotes endometriosis development and progression 2016
- Adhesions and endometriosis: challenges in subfertility management : (An expert opinion of the ANGEL-The ANti-Adhesions in Gynaecology Expert PaneL-group) 2016
- Study of endometriosis in women of reproductive age, laparoscopic management and its outcome 2016
- Endometriosis - An Update 2014
- Infertility Treatment of Endometriosis Patients 2014
- Management of Endometriosis-Associated Infertility 2014
- Reproductive performance after surgery for endometriosis: predictive value of the revised American Fertility Society classification and the endometriosis fertility index 2014
- BMPR1B up-regulation via a miRNA binding site variation defines endometriosis susceptibility and CA125 levels 2013
- Endometriosis and infertility: a committee opinion 2012
- Histological assessment of impact of ovarian endometrioma and laparoscopic cystectomy on ovarian reserve 2012
- Infertility Therapies: The Role of Surgery 2011
- The translational challenge in the development of new and effective therapies for endometriosis: a review of confidence from published preclinical efficacy studies 2011
- MUC4 gene polymorphisms associate with endometriosis development and endometriosis-related infertility 2011
- Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications 2010
- Negotiating science and experience in medical knowledge: gynaecologists on endometriosis 2009
- Decreased human leukocyte antigen-DR expression in the lipid raft by peritoneal macrophages from women with endometriosis 2007
- Killer immunoglobulin-like receptor and human leukocyte antigen expression as immunodiagnostic parameters for pelvic endometriosis 2006
- [Endometriosis and infertility] 2006
- Reproductive performance, pain recurrence and disease relapse after conservative surgical treatment for endometriosis: the predictive value of the current classification system 2006
- Role of laparoscopic treatment of endometriosis in patients with failed in vitro fertilization cycles 2005
- Endometriosis in adolescence: a long-term follow-up fecundability assessment 2005
- Human leukocyte antigen expression by peritoneal macrophages from women with pelvic endometriosis is depressed but coordinated with costimulatory molecule expression 2005
- Endometriosis and infertility The Practice Committee of the American Society for Reproductive Medicine 2004
- Endometriosis and infertility 2004
- FOXO1 and c-jun transcription factors mRNA are modulated in endometriosis 2004
- Killer inhibitory receptor CD158a overexpression among natural killer cells in women with endometriosis is undiminished by laparoscopic surgery and gonadotropin releasing hormone agonist treatment 2004
- Endometriosis and infertility 2004
- Histological classification of endometriosis as a predictor of response to treatment 2003
- Deep infiltrating endometriosis: relation between severity of dysmenorrhoea and extent of disease 2003
- Coordinated but depressed expression of human leukocyte antigen-DR, intercellular adhesion molecule-1, and CD14 on peritoneal macrophages in women with pelvic endometriosis 2003
- Putting Pain to Paper: Endometriosis and the Documentation of Suffering 2003
- Increased killer inhibitory receptor KIR2DL1 expression among natural killer cells in women with pelvic endometriosis 2002
- Influence of pelvic endometriosis and ovarian endometrioma on fertility 2002
- IGFs in the Female Reproductive System 1999
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