The staging of peritoneal endometriosis by the type of active lesion in addition to the revised American Fertility Society classification.
OBJECTIVE
To evaluate changes in peritoneal endometriosis by the type of lesion in comparison with the scoring system of the revised American Fertility Society (AFS) classification.


METHODS
Prospective evaluation at laparoscopy before and 6 months after discontinuance of a 3-month medical therapy with either dydrogesterone or danazol.


METHODS
A general hospital.


METHODS
Forty cycling women with endometriosis and infertility. Fourteen patients could be fully evaluated by their revised AFS score and type of peritoneal lesion.


METHODS
Laparoscopy before and 6 months after discontinuance of medical therapy.


METHODS
Revised AFS score and type of peritoneal lesions.


RESULTS
The revised AFS score decreased or remained unchanged in 13 of 14 patients, whereas red papular or vesicular lesions were present at both laparoscopies in 5, absent in 4, disappeared in 3, and appeared de novo in 2. A changing pattern also was seen in other types of small peritoneal lesions.


CONCLUSIONS
In contrast with the revised AFS score, the study of the type of peritoneal lesions shows a changing pattern of activity. The significance in pathophysiological and clinical studies should be investigated further.
Department of Obstetrics and Gynecology, St. Joseph Hospital, Veldhoven, The Netherlands.
M A
MA
Wiegerinck
P A
PA
Van Dop
I A
IA
Brosens
D000328:Adult; D004715:Endometriosis / Q000473:pathology*; D005260:Female; D005298:Fertility; D006801:Humans; D010535:Laparoscopy; D009367:Neoplasm Staging / Q000379:methods*; D012955:Societies, Medical; D014481:United States