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

Fertil Steril. 1997 May;67(5):822-9. doi: 10.1016/s0015-0282(97)81392-1.

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Embryo Implantation
  • Endometriosis / classification*
  • Endometriosis / complications*
  • Endometriosis / surgery
  • Female
  • Humans
  • Infertility, Female / etiology
  • Infertility, Female / therapy*
  • Logistic Models
  • Pregnancy
  • Reproduction
  • Retrospective Studies
  • Societies, Medical
  • Tissue Adhesions / etiology
  • Treatment Outcome
  • United States