Classification of Endometriosis

M A Damario, Mark A. Damario, J A Rock, John A. Rock
Seminars in reproductive endocrinology · 1997 · vol. 15(03) , pp. 235–244 · doi:10.1055/s-2008-1068753 · PMID:9383832 · W2012075909
review OA: closed CC0 ⤵ 14 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

The 1985 American Fertility Society endometriosis classification system, modeled after cancer grading, had limitations in reproducibility, correlation with pain, and predictability of outcome, which are now being addressed.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 ⓘ

This paper reviews how endometriosis classification systems have evolved and critiques approaches that modeled severity after malignant disease grading. It describes the 1985 revised American Fertility Society system as having scoring arbitrariness, susceptibility to observational error, limited reproducibility, omission of lesion morphologic type, and poor correlation with pelvic pain, leading to only modest outcome predictability. The authors state that these shortcomings are being addressed, but the excerpt does not specify a particular new system or results. This paper is centrally about endometriosis — it focuses on evaluating and improving classification and staging methods.

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Abstract

Classification systems for endometriosis continue to evolve. Past systems have been modeled primarily after those in use for grading malignant disease. Unfortunately, classification methods that attempted to quantitate the severity of disease have suffered from only modest predictability in determining outcome. The 1985 revised American Fertility Society classification system is limited by scoring arbitrariness, potential for observational error, limited reproductivity, failure to consider lesion morphologic type and a particularly poor correlation with pelvic pain. These shortcomings are being presently addressed.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Severity of Illness Index Data Collection Endometriosis Female Humans Observer Variation Pain Pain Reproducibility of Results

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.

Cited by (14)

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License: CC0 · commercial use OK