Classification of endometriosis

Lee, Sang Yup; Koo, Yu-Jin

doi:10.12701/yujm.2020.00444

Cited by 73 publications

(70 citation statements)

References 21 publications

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“…Subtle and typical are the most common types of endometriosis-most prevalent among women with chronic pelvic pain or infertility (80% and 50%, respectively)-followed by cystic (25%) and deep (5%) endometriosis. Through laparoscopy and histological confirmation, surgical staging of endometriosis takes into account the location, extent, and depth of lesions on a cumulative scoring system: Stage I (minimal, 1-5 points), Stage II (mild, 6-15 points), Stage III (moderate, 16-40 points), and Stage IV (severe, >40 points) [1,23,24]. Staging does not necessarily take into account endometriosis outside of the pelvic region, and it is utilized more to assess reproductive potential than the severity of symptoms or the impact on quality of life.…”

Section: Epidemiology Natural History and Comorbiditiesmentioning

confidence: 99%

Stigma and Endometriosis: A Brief Overview and Recommendations to Improve Psychosocial Well-Being and Diagnostic Delay

Sims

Gupta

Missmer

et al. 2021

IJERPH

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Endometriosis is a chronic gynecological disease that affects approximately 1 in 10 women of reproductive age. Symptoms of severe pelvic pain, infertility, fatigue, and abnormal menstruation can cause significant negative effects on an individual’s physical and mental health, including interactions with their family, friends, and health care providers. Stigma associated with endometriosis has been under-studied and is rarely discussed in current literature. Herein, this paper aims to provide a brief overview of published literature to explore and establish the plausibility of stigma as a driver of suboptimal psychosocial well-being and diagnostic delay among individuals living with endometriosis. We present the clinical characteristics and physical and mental health consequences associated with endometriosis, highlight several theoretical constructs of stigma, and review the limited studies documenting women’s lived experiences of endometriosis-related stigma. To mitigate harmful effects of this phenomenon, we recommend increasing efforts to assess the prevalence of and to characterize endometriosis-related stigma, implementing awareness campaigns, and developing interventions that combat the multidimensional negative effects of stigma on timely care, treatment, and quality of life for individuals living with endometriosis.

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Section: Epidemiology Natural History and Comorbiditiesmentioning

confidence: 99%

Stigma and Endometriosis: A Brief Overview and Recommendations to Improve Psychosocial Well-Being and Diagnostic Delay

Sims

Gupta

Missmer

et al. 2021

IJERPH

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“…This limitation remained unaddressed in subsequent ASRM score revisions. Although the Endometriosis Fertility Index (EFI) (4) was subsequently developed to predict fertility outcomes and shown to have superior results, neither the ASRM score nor EFI were designed to reflect surgical complexity (17).…”

Section: Discussionmentioning

confidence: 99%

“…When staged according to the AAGL system, 18.7% (n=230), 26.2% (n=321), 12.0% (n=148) and 42.9% (n=525) of patients had stage I, II, III and IV disease, respectively. When staged according to the ASRM system, 23.2% (n=285), 24.4% (n=299), 17.6% (n=215) and 34.7% (n=425) of patients had stage I, II, III and IV disease, respectively.…”

Section: Comparison Of Aagl With Asrm Staging Systemsmentioning

confidence: 99%

AAGL 2021 Endometriosis Classification: An Anatomy-based Surgical Complexity Score

Abrão¹,

Andres²,

Miller³

et al. 2021

Journal of Minimally Invasive Gynecology

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Based on the VAS scores of the 50 patients, 14 patients (aged 39.51±6.02 years) had a VAS score of 0 (non-pain group), while 36 patients (aged 36.93±7.28 years) had different levels of VAS scores (pain group). EM was staged according to the American Society for Reproductive Medicine classification (17). Of the patients with EM, 11 had stage 1 disease, 14 had stage 2, 13 had stage 3 and 12 had stage 4.…”

Section: Methodsmentioning

confidence: 99%

Involvement of bradykinin and bradykinin B1 receptor in patients with endometriosis

Meng

Liu

Li³

et al. 2021

Exp Ther Med

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Endometriosis (EM), a benign aseptic inflammatory disease, is associated with the presence of endometrial foci. Pain, one of its typical symptoms, has been reported as a constant stressor, but the etiology and pathogenesis of EM-associated pain are unclear. In the present study, eutopic and ectopic endometrium samples from women with EM (n=50) and normal endometrium samples from control subjects (n=20) were collected. Serum levels of prostaglandin E 2 (PGE 2 ), prostaglandin F2α (PGF2α) and bradykinin (BK) were measured using commercial ELISA kits. The expression of the BKB1 receptor (BKB1R) protein was evaluated by immunohistochemical staining and western blot assay. The mRNA expression of BKB1R was measured by reverse transcription-quantitative PCR. The results revealed that there was a substantial increase in the protein and mRNA expression of BKB1R, as well as the release of PGE 2 , PGF2α and BK in the blood, in the EM group compared with that in the control group. Moreover, PGE 2 , PGF2α and BK levels were significantly correlated with each other, as well as with the pain intensity of EM. The increased expression levels of BKB1R protein and mRNA were positively correlated with the pain degree of EM. Thus, these data indicated that BK and BKB1R were involved in the pathological onset of EM-associated pain and that they may play an important role in EM-related pain by inducing PGE 2 and PGF2α. The data indicate a potential new therapeutic target for EM-related pain.

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Classification of endometriosis

Cited by 73 publications

References 21 publications

Stigma and Endometriosis: A Brief Overview and Recommendations to Improve Psychosocial Well-Being and Diagnostic Delay

Stigma and Endometriosis: A Brief Overview and Recommendations to Improve Psychosocial Well-Being and Diagnostic Delay

AAGL 2021 Endometriosis Classification: An Anatomy-based Surgical Complexity Score

Involvement of bradykinin and bradykinin B1 receptor in patients with endometriosis

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