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Classification of Endometriosis (Stages)
A number of different classification systems have been developed for staging endometriosis. Although the stage (extent) of endometriosis does not relate to the severity of clinical symptoms, it may be useful in predicting a woman's chances of fertility.
Typically, endometriosis is classified as minimal, mild, moderate, or severe based upon visual observations at laparoscopy. Minimal disease is characterized by isolated implants and no significant adhesions. Mild endometriosis consists of superficial implants less than 5 cm in aggregate without significant adhesions. In moderate disease, multiple implants and scarring (adhesion) around the tubes and ovaries may be evident. Severe disease is characterized by multiple implants, including large ovarian endometriomas along with thick adhesions.
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