Cited by 119Endometriosis Research and TreatmentGynecological conditions and treatmentsEctopic Pregnancy Diagnosis and Management

Endometriosis classification: an update

Adamson, G. David·2011·Current Opinion in Obstetrics & Gynecology

Abstract

PURPOSE OF REVIEW: Endometriosis remains an enigmatic disease for many reasons, not the least being a continued inability to stage its clinical presentation so that prognosis and treatment for both pain and infertility patients can be facilitated. This article reviews issues with current staging systems. RECENT FINDINGS: The revised American Fertility Society (rAFS) classification system has historically been the only classification system. Recently, the ENZIAN classification system, developed as an adjunct to the rAFS to describe more severe disease, has been introduced but is rarely used. More recently, the Endometriosis Fertility Index (EFI) that has been validated to predict pregnancy rates in infertility patients following surgical diagnosis and treatment of endometriosis was published. Currently, the AAGL is developing a categorization system that will be more focused on pain. Novel research in imaging, biomarkers, histology, and the human genome may provide useful information to develop future classification systems. SUMMARY: The only validated endometriosis classification system that predicts a clinical outcome is the EFI. It is to be hoped that renewed interest in the importance and utility of classification systems will result in novel classification systems that are clinically useful.

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Crossref · 10.1097/gco.0b013e328348a3ba

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Authors
Adamson, G. D.
Corresponding author
Adamson, G. David
Venue
Current Opinion in Obstetrics & Gynecology
Published
2011-08
Volume
23
Issue
4
Pages
213-220
ISSN
1040-872X (ISSN-L)
OpenAlex
W2317751349
Cited by
119
References
41
Citations by year
2026: 6 · 2025: 3 · 2024: 5 · 2023: 6 · 2022: 13 · 2021: 9 · 2020: 16 · 2019: 7 · 2018: 6 · 2017: 5 · 2016: 4 · 2015: 9 · 2014: 7 · 2013: 9 · 2012: 13
FWCI
1.49
Type
journal article
Language
en
Open access
closed
Locations
  • Current Opinion in Obstetrics & Gynecology (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 › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
Keywords
endometriosis, endometriosis classification, endometriosis staging, Enzian classification, Endometriosis Fertility Index, endometriosis-associated infertility, endometriosis-associated pain, pregnancy prediction, biomarkers, imaging
MeSH terms
Endometriosis, Female, Humans, Infertility, Female, Prognosis, Pelvic Pain

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