THE REVISED AMERICAN FERTILITY SOCIETY CLASSIFICATION OF ENDOMETRIOSIS - REPRODUCIBILITY OF SCORING

Objective: To assess the reproducibility in staging endometriosis usin g the revised American Fertility Society (AFS) classification of endom etriosis. Design: Visual documentation of laparoscopies of 315 women w ith endometriosis was scored by the investigators and a blinded review er. Setting: Patients from private practice institutional setting. Par ticipants: Patients who participated in a multicenter trial to study t he efficacy and safety of a GnRH agonist (GnRH-a). Interventions: Lapa rascopic visual documentation of the extent of endometriosis before an d after 6 months of GnRH-a therapy. Main Outcome Measure: The reproduc ibility of the AFS classification system comparing scoring during lapa roscopy and by a blinded reviewer. Results: Good to fair agreement sco ring endometriosis between the investigator and the blinded reviewer w as noted. Conclusions: Visual documentation may be used to determine t he stage of endometriosis using the revised AFS classification guideli nes.