Time to move beyond surgical classification systems for endometriosis

María Isabel Hernández Cardona, Christana Ajewole, C.O. Ajewole, Hannah Lewis, Jorge F Carrillo, Mario E Castellanos, Stefanie Barish, Juan Diego Villegas‐Echeverri, Georgine Lamvu
International Journal of Gynecology & Obstetrics · 2023 · vol. 163(1) , pp. 58–62 · doi:10.1002/ijgo.14786 · PMID:37101408 · W4367175040
review OA: bronze CC0 ⤵ 8 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper reviews current endometriosis staging systems, highlighting their limitations in correlating with pain and prognosis, and proposes modifications for improved future classification.

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Abstract

Endometriosis is a common condition associated with chronic pelvic pain and infertility. Its pathogenesis is poorly understood, diagnosis relies on laparoscopy, and staging is based on extent of disease. Unfortunately, the current staging systems do not correlate well with pain severity and impact, nor do they predict prognosis, i.e., treatment success and recurrence of disease. In this article, we discuss the strengths and limitations of current staging systems and propose modifications that will enable better classification systems to be developed in the future.

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Condition tags

endometriosischronic_pelvic_paininfertility

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (35)

Cited by (8)

Source provenance

europepmc
last seen: 2026-06-12T06:13:51.797165+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-06-11T06:18:46.262221+00:00
License: CC0 · commercial use OK