Open AccessClassifications of endometriosis
Author(s) -
Edvard Karpovich Aylamazyan,
Айламазян Эдуард Карпович,
Maria I. Yarmolinskaya,
Ярмолинская Мария Игоревна,
А. С. Молотков,
Молотков Арсений Сергеевич,
Д. З. Цицкарава,
Цицкарава Дмитрий Зурабович
Publication year - 2017
Publication title -
žurnalʺ akušerstva i ženskihʺ boleznej
Language(s) - English
Resource type - Journals
eISSN - 1684-0461
pISSN - 1683-9366
DOI - 10.17816/jowd66277-92
Subject(s) - endometriosis , medicine , adenomyosis , infertility , disease , pelvic pain , clinical practice , gynecology , intensive care medicine , bioinformatics , pathology , physical therapy , radiology , pregnancy , biology , genetics
In the article a review of the main classifications of endometriosis is presented. Main drawbacks of existing classifications have been revealed. A need for a new classification of the disease, which has to be empirical, evidence-based, containing terms that have unambiguous definitions, applicable for various clinical situations, taking into account new clinical forms and able to predict a course of the disease (including the development of pain syndrome and infertility), it’s outcomes and a risk of recurrence is stressed. The new classification of endometriosis has to be based on resolutions of a consensuses and applicable for new guidelines for diagnosis and treatment. For the new classification it is essential to be approachable and easy-to-use in routine clinical practice. It has to allow a physician to determine a stage the disease promptly and meaningfully. A new Protocol taking into account a combination of different forms of endometriosis (superficial, deep infiltrative, adenomyosis, endometriomas, extragenital), color of endometriotic lesions, special aspects of clinical course, results of hormonal examination, reproductive plans and prior hormonal therapy is proposed.