Prediction of pregnancy in infertile women based on the American Society for Reproductive Medicine's revised classification of endometriosis

David S. Guzick, Nancy Paul Silliman, G. David Adamson, Veasy C. Buttram, Michel Canis, L. Russell Malinak, Robert S. Schenken

Research output: Contribution to journalArticle

139 Scopus citations

Abstract

Objective: To estimate the empirical relationship between the revised American Society for Reproductive Medicine's classification of endometriosis and pregnancy rates after treatment. Design: Retrospective analysis. Patient(s): Patients seen by four practicing physicians. Intervention(s): Medical and/or surgical therapy for endometriosis. Main Outcome Measure(s): Pregnancy defined as ongoing or delivered. Result(s): There were no significant differences in pregnancy rates across stages of endometriosis. There was a slight decline in pregnancy rates among patients with Stage IV endometriosis, but statistical significance was not achieved. Conclusion(s): The use of an arbitrary weighted system for assigning scores to individual categories of disease, or for computing a total score, has limited the overall effectiveness of the classification system to predict pregnancy.

Original languageEnglish (US)
Pages (from-to)822-829
Number of pages8
JournalFertility and Sterility
Volume67
Issue number5
DOIs
StatePublished - May 1997
Externally publishedYes

Keywords

  • Revised American Society for Reproductive Medicine's classification of endometriosis
  • infertility
  • pregnancy rates

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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