Cited by 850Endometriosis Research and TreatmentGynecological conditions and treatmentsEctopic Pregnancy Diagnosis and Management

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Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain

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Koninckx, Philippe R., Meuleman, Christel, Demeyere, Stephan, Lesaffre, Emmanuel, Cornillie, Freddy J.·1991·Fertility and Sterility

DOI 10.1016/s0015-0282(16)54244-7

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Abstract

In a 3-year prospective study of 643 consecutive laparoscopies for infertility, pelvic pain, or infertility and pain, the pelvic area, the depth of infiltration, and the volume of endometriotic lesions were evaluated. The incidence, area, and volume of subtle lesions decreased with age, whereas for typical lesions these parameters and the depth of infiltration increased with age. Deeply infiltrating endometriosis was strongly associated with pelvic pain, women with pain having larger and deeper lesions. Because deep endometriosis has little emphasis in the revised American Fertility Society classification and after analyzing the diagnoses made in each class, considerations for a simplifying revision with inclusion of deep lesions are suggested. In conclusion, suggestive evidence is presented to support the concept that endometriosis is a progressive disorder, and it is demonstrated that deep endometriosis is strongly associated with pelvic pain.

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Authors: Koninckx, P. R., Meuleman, C., Demeyere, S., Lesaffre, E., & Cornillie, F. J.
Affiliations: KU Leuven (BE)
ORCID: Meuleman, Christel
Lesaffre, Emmanuel
Venue: Fertility and Sterility
Publisher: Elsevier BV
Published: 1991-04
Volume: 55
Issue: 4
Pages: 759-765
ISSN: 0015-0282 (ISSN-L)
DOI: 10.1016/s0015-0282(16)54244-7
OpenAlex: W2291960606
Cited by: 849
References: 17
Citations by year: 2026: 6 · 2025: 11 · 2024: 12 · 2023: 15 · 2022: 21 · 2021: 26 · 2020: 32 · 2019: 24 · 2018: 34 · 2017: 29 · 2016: 33 · 2015: 25 · 2014: 29 · 2013: 35 · 2012: 35
FWCI: 14.00
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 11379 d)
Locations: Fertility and Sterility (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
Health Sciences › Medicine › Obstetrics and Gynecology › Ectopic Pregnancy Diagnosis and Management
Keywords: pelvic endometriosis, deep infiltrating endometriosis, disease progression, pelvic pain, lesion volume, age-related changes, infertility, diagnostic laparoscopy
MeSH terms: Aging, Dyspareunia, Endometriosis, Female, Humans, Menstruation Disturbances, Neoplasm Invasiveness, Pain, Pelvis, Prospective Studies

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Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain

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