Endometriosis fertility index: the new, validated endometriosis staging system

Adamson, G. David; Pasta, David J.

doi:10.1016/j.fertnstert.2009.09.035

Cited by 367 publications

(313 citation statements)

References 19 publications

Supporting

Mentioning

280

Contrasting

Unclassified

Order By: Relevance

“…Despite numerous published reports, there is a lack of data on spontaneous pregnancy in patients with colorectal endometriosis and risk factors of infertility thereby remain poorly identified. The meta-analysis of Adamson et al., demonstrated that surgical removal of lesions in women with ASRM stage III-IV (American Society of Reproductive Medicine classification) was associated with an increased spontaneous pregnancy rate (PR) with a differential gain in pregnancy of 39% [16]. Along with the ASRM classification which is widely used to stage DIE, the ENZIAN-score was developed more recently.…”

Section: Introductionmentioning

confidence: 99%

Colorectal endometriosis and fertility

Daraı̈

Cohen

Ballester

2017

European Journal of Obstetrics & Gynecology and Reproductiv

View full text Add to dashboard Cite

Objective: The goal of this review was to assess the impact of colorectal endometriosis on spontaneous fertility and the potential benefit of Medically Assisted Reproduction (MAR) (in vitro fertilization and intrauterine insemination) and surgery on fertility outcomes.Study design: MEDLINE search for articles on fertility in women with DIE published between 1990 and December 2015 using the following terms: "deep endometriosis", "deep infiltrating endometriosis", "bowel endometriosis", "colorectal endometriosis", "fertility", "infertility", "IVF-ICSI", "Assisted Reproductive Techniques (ART)", and "MAR".Results: Spontaneous pregnancy rate (PR) in patients undergoing resection of DIE but leaving in situ colorectal endometriosis was 26.5% (95% CI = 14-39). PR after MAR was 27.4% (95% CI = 19-35) and the overall PR was 37.9% (95% CI = 29-37). After colorectal surgery, among the 855 patients with and without proved infertility, the spontaneous PR was 31.4% (95% CI = 28-34) without difference between the groups. PR after MAR was 19.8% (95% CI = 17-22). PR after MAR in patients with and without proved infertility was 21.4% (95% CI = 18-25) and 15.5% (95% CI = 11-20), respectively. The overall PR after colorectal surgery was 51.1% (95% CI = 48-54). Conclusion:Our review supports a potential benefit of surgery on fertility outcomes for women with colorectal endometriosis. Further studies are required to determine whether surgical management should be first-intention or restricted to failure of MAR.

show abstract

Section: Introductionmentioning

confidence: 99%

Colorectal endometriosis and fertility

Daraı̈

Cohen

Ballester

2017

European Journal of Obstetrics & Gynecology and Reproductiv

View full text Add to dashboard Cite

show abstract

“…Recently, a more formal approach to predicting spontaneous pregnancy after endometriosis surgery has been made with the endometriosis fertility index (EFI) [10]. Based on this, surgeons assess the reproductive function of each adnexa (Fallopian tube, fimbria, and ovary) intraoperatively and assign a score.…”

Section: Classification Systemsmentioning

confidence: 99%

Treatment of Endometriosis in Women Desiring Fertility

Mavrelos

Sarıdoğan

2015

J Obstet Gynecol India

View full text Add to dashboard Cite

Endometriosis is a common condition affecting a significant proportion of women in their reproductive age. Apart from the impact of endometriosis on the quality of life of these patients, it also can have an impact on the potential of these women to have a family. The options for treating women with endometriosis desiring a family include surgery or assisted reproduction techniques. The choice of treatment will depend on the stage of disease and the characteristics of the couple seeking help. We review here the latest evidence on the management of endometriosis in women desiring fertility and describe our current practice.

show abstract

“…The endometriosis fertility index (EFI) is a clinical tool that predicts pregnancy rates in patients with surgically documented endometriosis who attempt non-in vitro fertilization conception. 27 The EFI is a simple, robust, and validated clinical tool that provides reassurance to those patients with good prognoses and avoids wasting time and treatment for those with poor prognoses.…”

Section: Classification and Prognosismentioning

confidence: 99%

Defining Future Directions for Endometriosis Research: Workshop Report From the 2011 World Congress of Endometriosis in Montpellier, France

D’Hooghe²,

et al. 2013

View full text Add to dashboard Cite

Endometriosis, defined as estrogen-dependent lesions containing endometrial glands and stroma outside the uterus, is a chronic and often painful gynecological condition that affects 6% to 10% of reproductive age women. Endometriosis has estimated annual costs of US $12 419 per woman (approximately €9579), comprising one-third of the direct health care costs with two-thirds attributed to loss of productivity. Decreased quality of life is the most important predictor of direct health care and total costs. It has been estimated that there is a mean delay of 6.7 years between onset of symptoms and a surgical diagnosis of endometriosis, and each affected woman loses on average 10.8 hours of work weekly, mainly owing to reduced effectiveness while working. To encourage and facilitate research into this debilitating disease, a consensus workshop to define future directions for endometriosis research was held as part of the 11th World Congress on Endometriosis in September 2011 in Montpellier, France. The objective of this workshop was to review and update the endometriosis research priorities consensus statement developed following the 10th World Congress on Endometriosis in 2008. 1 A total of 56 recommendations for research have been developed, grouped under 6 subheadings: (1) diagnosis, (2) classification and prognosis, (3) clinical trials, treatment, and outcomes, (4) epidemiology, (5) pathophysiology, and (6) research policy. By producing this consensus international research priorities statement, it is the hope of the workshop participants that researchers will be encouraged to develop new interdisciplinary research proposals that will attract increased funding support for work on endometriosis.

show abstract

Endometriosis fertility index: the new, validated endometriosis staging system

Cited by 367 publications

References 19 publications

Colorectal endometriosis and fertility

Colorectal endometriosis and fertility

Treatment of Endometriosis in Women Desiring Fertility

Defining Future Directions for Endometriosis Research: Workshop Report From the 2011 World Congress of Endometriosis in Montpellier, France

Contact Info

Product

Resources

About