Classification of Endometriosis

Damario MA, 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
Full text JSON View on OpenAlex View on PubMed View at publisher
⚙ 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.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 · read from full text ⓘ

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.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

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.
Full text 838 characters · extracted from oa-doi-fallback · 2 sections · click to expand

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.

Keywords

Endometriosis - classification - staging - pathophysiology

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

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)

Source provenance

europepmc
last seen: 2026-07-29T06:27:48.050232+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:10:52.568893+00:00
License: CC0 · commercial use OK