Evaluation of the correlation between endometriosis extent, age of the patients and associated symptomatology.
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This study evaluated 206 endometriosis patients and found that the Revised American Fertility Society classification did not correlate with symptom severity or disease extent with age.
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Abstract
Two-hundred-and-six patients newly diagnosed to have endometriosis at laparoscopy were evaluated in order to see if endometriosis-associated symptoms are proportional to the extent of the disease, as assessed using the Revised American Fertility Society Classification, and if the extent worsens with age. At hospital admission 81% of the patients complained of dysmenorrhea, 54% of chronic pelvic pain and 27% of dyspareunia. At laparoscopy, 39% of the patients had stage I endometriosis, 13% stage II, 35% stage III and 13% stage IV. At statistical analysis, no significant differences were found in total endometriosis scores, in active scores or in adhesion scores in different age groups. Although a difference in prevalence rate for dysmenorrhea and dyspareunia stage I versus III was found, a trend of increasing severity of symptoms with more widespread disease was not evident. There was not a significant difference in prevalence rate of symptoms for different aspects of endometriosis (implants, cysts or adhesions). Our data show that the American Fertility Society classification does not reflect the intensity of endometriosis-associated symptoms, probably underestimating the most active forms of this disease, and does not allow to follow a possible natural progression of the disease.
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Cited by (30)
- Clinical characteristics of endometriosis with and without dysmenorrhea diagnosed by laparoscopy 2025
- Endometriosis Classification, Staging and Reporting Systems: A Review on the Road to a Universally Accepted Endometriosis Classification 2021
- Endometriosis classification, staging and reporting systems: a review on the road to a universally accepted endometriosis classification, 2021
- Endometriosis classification, staging and reporting systems: a review on the road to a universally accepted endometriosis classification 2021
- Nerve fibers and endometriotic lesions: partners in crime in inflicting pains in women with endometriosis 2016
- Pain typology and incident endometriosis 2015
- Correlation of symptoms of infertile patients with endometriosis with the classification of the American Society for Reproductive Medicine 2015
- Endometriosis and the Enigmatic Question of Progression 2014
- Laparoscopy for Diagnosis and Treatment of Endometriosis 2011
- Pelvic pain 2011
- Trichostatin A, a histone deacetylase inhibitor, reduces lesion growth and hyperalgesia in experimentally induced endometriosis in mice 2010
- Dysmenorrhea: Risk Factors in Women with Endometriosis 2008
- Association between endometriosis stage, lesion type, patient characteristics and severity of pelvic pain symptoms: a multivariate analysis of over 1000 patients 2007
- Functional Imaging of Estrogen Receptors with Radiolabeled-GAP-EDL in Rabbit Endometriosis Model 2007
- Association between endometriosis stage, lesion type, patient characteristics and severity of pelvic pain symptoms: a multivariate analysis of over 1000 patients 2006
- Adhesions and pain in women with first diagnosis of endometriosis: Results from a cross-sectional study 2006
- Síntomas dolorosos de la endometriosis 2006
- Symptômes douloureux de l'endométriose 2006
- Endometriosis and pelvic pain: epidemiological evidence of the relationship and implications 2005
- COX-2 overexpression in peritoneal lesions is correlated with nonmenstrual chronic pelvic pain 2005
- Symptômes douloureux de l'endométriose 2005
- The role of laparoscopy in the diagnosis and treatment of conditions associated with chronic pelvic pain 2004
- Deep infiltrating endometriosis: relation between severity of dysmenorrhoea and extent of disease 2003
- Relation between pain symptoms and the anatomic location of deep infiltrating endometriosis 2002
- Validation study of nonsurgical diagnosis of endometriosis 2001
- Recommendations for the Design of Epidemiologic Studies of Endometriosis 2000
- Endometriosis 2000
- Chronic Pelvic Pain as a Somatoform Disorder 1999
- EPIDEMIOLOGY OF ENDOMETRIOSIS 1997
- Endometriosis: identification by carbonic anhydrase autoantibodies and clinical features. 1997
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
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- pubmed
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