The rASRM score and the Enzian classification for endometriosis: their strengths and weaknesses

article OA: bronze CC0 ⤵ 138 in-corpus citations
AI-generated summary by claude@2026-06, 2026-06-06

This review examines the rASRM score and Enzian classification for endometriosis, highlighting their respective strengths in widespread use and detailed deep infiltration description, alongside their limitations.

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Abstract

The revised American Society for Reproductive Medicine (rASRM) score is currently the best-known classification of endometriosis and is the one most widely used throughout the world. It is relatively easy to use, but it does not take into account the involvement of retroperitoneal structures with deeply infiltrating endometriosis. For this reason, the Enzian classification was developed as a supplement to the rASRM score, in order to provide a morphologically descriptive classification of deeply infiltrating endometriosis. The Enzian classification currently has a poor level of international acceptance and is mainly used in the German-speaking countries. It was revised in 2011 and is now also easier to use. This article describes the strengths and weaknesses of the rASRM score and the Enzian classification and their common potential for classifying endometriosis.

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Outcome instruments

rASRM Enzian

Condition tags

mesh:D004715endometriosis

MeSH descriptors

Diagnostic Techniques, Obstetrical and Gynecological Endometriosis Endometriosis Endometriosis Endometriosis Female Humans Severity of Illness Index Societies, Medical United States

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.

References (18)

Cited by (50)

Source provenance

europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:15:58.344756+00:00
License: CC0 · commercial use OK