Skip to main content

Current Classifications Addressing Endometriosis in Adolescents Related to Symptoms

  • Chapter
  • First Online:
Endometriosis in Adolescents

Abstract

The classification of adolescent endometriosis is critical to research efforts and improvements in available therapies. A review of the existing systems reveals strengths and limitations, including the absence of pain as a symptom of disease. A novel system should be developed and validated, particularly with regard to the adolescent population.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Johnson NP, Hummelshoj L, Adamson GD, Keckstein J, Taylor HS, Abrao MS, Bush D, Kiesel L, Tamimi R, Sharpe-Timms KL, Rombauts L, Giudice LC, World Endometriosis Society Sao Paulo Consortium. World Endometriosis Society consensus on the classification of endometriosis. Hum Reprod. 2017;32(2):315–24. https://doi.org/10.1093/humrep/dew293.

    Article  PubMed  Google Scholar 

  2. Andres MP, Borrelli GM, Abrão MS. Endometriosis classification according to pain symptoms: can the ASRM classification be improved? Best Pract Res Clin Obstet Gynaecol. 2018;51:111–8. https://doi.org/10.1016/j.bpobgyn.2018.06.003. Epub 2018 Jun 15.

    Article  PubMed  Google Scholar 

  3. Adamson GD. Endometriosis classification: an update. Curr Opin Obstet Gynecol. 2011;23:213–20.

    Article  Google Scholar 

  4. Nezhat F, Nezhat C, Allan CJ, Metzger DA, Sears DL. Clinical and histologic classification of endometriomas. Implications for a mechanism of pathogenesis. J Reprod Med. 1992;37:771–6.

    CAS  PubMed  Google Scholar 

  5. Nezhat C, Nezhat F, Nezhat C, Seidman DS. Classification of endometriosis. Improving the classification of endometriotic ovarian cysts. Hum Reprod. 1994;9(12):2212–3.

    Article  CAS  Google Scholar 

  6. Nezhat C, Paka BE, Nezhat C, Nezhat F. Video-assisted laparoscopic treatment of endometriosis. In: Nezhat C, Nezhat F, Nezhat C, editors. Nezhat’s video-assisted and robotic-assisted laparoscopy and hysteroscopy. New York: Cambridge University Press; 2013.

    Google Scholar 

  7. American Society for Reproductive Medicine. Revised American Society for Reproductive Medicine classification of endometriosis: 1996. Fertil Steril. 1997;67:817–21. https://www.fertstert.org/article/S0015-0282(97)81391-X/pdf.

    Article  Google Scholar 

  8. Khine YM, Taniguchi F, Harada T. Clinical management of endometriosis-associated infertility. Reprod Med Biol. 2016;15(4):217–25. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5715862/.

    Article  Google Scholar 

  9. Haas D, Shebl O, Shamiyeh A, Oppelt P. The rASRM score and the Enzian classification for endometriosis: their strengths and weaknesses. Acta Obstet Gynecol Scand. 2013;92(1):3–7. https://doi.org/10.1111/aogs.12026. Epub 2012 Nov 5.

    Article  PubMed  Google Scholar 

  10. Haas D, Wurm P, Shamiyeh A, Shebl O, Chvatal R, Oppelt P. Efficacy of the revised Enzian classification: a retrospective analysis. Does the revised Enzian classification solve the problem of duplicate classification in rASRM and Enzian? Arch Gynecol Obstet. 2013;287(5):941–5. https://doi.org/10.1007/s00404-012-2647-1. Epub 2012 Dec 2.

    Article  PubMed  Google Scholar 

  11. Haas D, Chvatal R, Habelsberger A, Wurm P, Schimetta W, Oppelt P. Comparison of revised American Fertility Society and ENZIAN staging: a critical evaluation of classifications of endometriosis on the basis of our patient population. Fertil Steril. 2011;95(5):1574–8. https://doi.org/10.1016/j.fertnstert.2011.01.135.

    Article  PubMed  Google Scholar 

  12. Haas D, Oppelt P, Shebl O, Shamiyeh A, Schimetta W, Mayer R. Enzian classification: does it correlate with clinical symptoms and the rASRM score? Acta Obstet Gynecol Scand. 2013;92:562–6.

    Article  Google Scholar 

  13. Haas D, Chvatal R, Habelsberger A, Schimetta W, Wayand W, Shamiyeh A, Oppelt P. Preoperative planning of surgery for deeply infiltrating endometriosis using the ENZIAN classification. Eur J Obstet Gynecol Reprod Biol. 2013;166(1):99–103. https://doi.org/10.1016/j.ejogrb.2012.10.012. Epub 2012 Nov 2.

    Article  PubMed  Google Scholar 

  14. Adamson GD, Pasta DJ. Endometriosis fertility index: the new, validated endometriosis staging system. Fertil Steril. 2010;94:1609–15.

    Article  Google Scholar 

  15. Zeng C, Xu JN, Zhou Y, Zhou YF, Zhu SN, Xue Q. Reproductive performance after surgery for endometriosis: predictive value of the revised American Fertility Society classification and the endometriosis fertility index. Gynecol Obstet Investig. 2014;77(3):180–5.

    Article  Google Scholar 

  16. Koninckx PR, Ussia A, Adamyan L, et al. An endometriosis classification, designed to be validated. Gynecol Surg. 2011;8:1.

    Article  Google Scholar 

  17. Adamson GD. Endometriosis fertility index: is it better than the present staging systems? Curr Opin Obstet Gynecol. 2013;25(3):186–92.

    Article  Google Scholar 

  18. Knabben L, Imboden S, Fellmann B, Nirgianakis K, Kuhn A, Mueller MD. Urinary tract endometriosis in patients with deep infiltrating endometriosis: prevalence, symptoms, management, and proposal for a new clinical classification. Fertil Steril. 2015;103(1):147–52. https://doi.org/10.1016/j.fertnstert.2014.09.028. Epub 2014 Oct 28.

    Article  PubMed  Google Scholar 

  19. Khazali S. Endometriosis classification-the quest for the holy grail? J Reprod Infertil. 2016;17(2):67.

    PubMed  PubMed Central  Google Scholar 

  20. Dun EC, Kho KA, Morozov VV, Kearney S, Zurawin JL, Nezhat CH. Endometriosis in adolescents. JSLS. 2015;19(2):e2015.00019.

    Article  Google Scholar 

  21. Janssen EB, Rijkers AC, Hoppenbrouwers K, Meuleman C, D’Hooghe TM. Prevalence of endometriosis diagnosed by laparoscopy in adolescents with dysmenorrhea or chronic pelvic pain: a systematic review. Hum Reprod Update. 2013;19(5):570–82. https://doi.org/10.1093/humupd/dmt016. Epub 2013 May 31.

    Article  CAS  PubMed  Google Scholar 

  22. DiVasta AD, Vitonis AF, Laufer MR, Missmer SA. Spectrum of symptoms in women diagnosed with endometriosis during adolescence vs adulthood. Am J Obstet Gynecol. 2018;218(3):324.e1–324.e11. https://doi.org/10.1016/j.ajog.2017.12.007. Epub 2017 Dec 13.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ananth, P.K., Nezhat, C.H. (2020). Current Classifications Addressing Endometriosis in Adolescents Related to Symptoms. In: Nezhat, C.H. (eds) Endometriosis in Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-030-52984-0_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-52984-0_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-52983-3

  • Online ISBN: 978-3-030-52984-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics