American Society for Reproductive Medicine revised classification of endometriosis.
| Table 40-1. American Society for Reproductive Medicine revised classification of endometriosis. | ||||
| Peritoneum | Endometriosis | < 1 cm | 1-3 cm | > 3 cm |
Superficial | 1 | 2 | 4 | |
Deep | 2 | 4 | 6 | |
| Ovary | R Superficial | 1 | 2 | 4 |
Deep | 4 | 16 | 20 | |
L Superficial | 1 | 2 | 4 | |
Deep | 4 | 16 | 20 | |
| Posterior Cul-de-sac Obliteration | Partial 4 | Complete 40 | ||
| Adhesions | < 1/3 Enclosure | 1/3-2/3 Enclosure | > 2/3 Enclosure | |
| Ovary | R Filmy | 1 | 2 | 4 |
Dense | 4 | 8 | 16 | |
L Filmy | 1 | 2 | 4 | |
Dense | 4 | 8 | 16 | |
| Tube | R Filmy | 1 | 2 | 4 |
Dense | 41 | 81 | 16 | |
L Filmy | 1 | 2 | 4 | |
Dense | 41 | 81 | 16 | |
| 1If the fimbriated end of the fallopian tube is completely enclosed, change the point assignment to 16. Staging: Stage I (minimal): 1-5; stage II (mild): 6-15; stage III (moderate): 16-40; stage IV (severe): > 40. (Reproduced with permission from Revised ASRM classification. Fertil Steri 1997; 67:819.) | ||||
American Society for Reproductive Medicine revised classification of endometriosis.