PREDICTION OF PREGNANCY IN INFERTILE WOMEN BASED ON THE AMERICAN-SOCIETY-FOR-REPRODUCTIVE-MEDICINE REVISED CLASSIFICATION OF ENDOMETRIOSIS

Objective: To estimate the empirical relationship between the revised American Society for Reproductive Medicine's classification of endomet riosis and pregnancy rates after treatment. Design: Retrospective anal ysis. Patient(s): Patients seen by four practicing physicians. Interve ntion(s): Medical and/or surgical therapy for endometriosis. Main Outc ome 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 wa s not achieved. Conclusion(s): The use of an arbitrary weighted system for assigning scores to individual categories of disease, or for comp uting a total score, has limited the overall effectiveness of the clas sification system to predict pregnancy. (C) 1997 by American Society f or Reproductive Medicine.