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Classification of endometriosis

Yeungnam University Journal of Medicine 2021년 38권 1호 p.10 ~ 18
이수영, 구유진, 이대형,
소속 상세정보
이수영 ( Lee Soo-Young ) - Yeungnam University Hospital Department of Obstetrics and Gynecology
구유진 ( Koo Yu-Jin ) - Yeungnam University College of Medicine Department of Obstetrics and Gynecology
이대형 ( Lee Dae-Hyung ) - Yeungnam University College of Medicine Department of Obstetrics and Gynecology

Abstract


Endometriosis is a chronic disease associated with pelvic pain and infertility. Several classification systems for the severity of endometriosis have been proposed. Of these, the revised American Society for Reproductive Medicine classification is the most well-known. The ENZIAN classification was developed to classify deep infiltrating endometriosis and focused on the retroperitoneal structures. The endometriosis fertility index was developed to predict the fertility outcomes in patients who underwent surgery for endometriosis. Finally, the American Association of Gynecological Laparoscopists classification is currently being developed, for which 30 endometriosis experts are analyzing and researching data by assigning scores to categories considered important; however, it has not yet been fully validated and published. Currently, none of the classification systems are considered the gold standard. In this article, we review the classification systems, identify their pros and cons, and discuss what improvements need to be made to each system in the future.

키워드

American Society for Reproductive Medicine classification; Classification; Endometriosis; ENZIAN classification

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