Endometriosis Assessment
Use when asked to administer, score, or explain an Endometriosis Assessment — revised ASRM staging plus EHP-30 quality-of-life scoring — grounded in FormExamples/form-examples.
Endometriosis evaluation using revised ASRM (American Society for Reproductive Medicine) staging and EHP-30 quality-of-life scoring, with comprehensive pelvic pain profiling and fertility assessment.
Scoring
Instruments: Revised ASRM Staging (points-based) and EHP-30 (0–100 per domain).
- Stage I (Minimal) 1–5 points; Stage II (Mild) 6–15; Stage III (Moderate) 16–40; Stage IV (Severe) > 40.
- Severity: Mild (Stage I–II), Moderate (Stage II–III), Severe (Stage III–IV), Critical (bowel/urinary obstruction or fertility crisis).
What it covers
Demographics; menstrual history; pain assessment; GI symptoms; urinary symptoms; fertility assessment; previous treatments; surgical history; quality-of-life impact; and treatment planning.
Common pitfalls
- Assuming ASRM stage correlates with pain severity — the ASRM staging system is based on the extent and location of lesions seen at surgery, and correlates poorly with reported pain severity in practice; the EHP-30 quality-of-life score exists precisely because stage alone doesn't capture patient-experienced impact.
- Delaying assessment pending surgical staging — ASRM staging formally requires laparoscopic findings, but pain profiling, EHP-30, and fertility assessment can and should proceed based on history and non-surgical findings while awaiting or considering surgery.
- Treating fertility assessment as a separate, later concern — endometriosis-related subfertility is common enough that fertility assessment belongs in the same evaluation, not deferred until after symptom management is addressed.
Learn more
- FormExamples: endometriosis-assessment for the full implementation, clinical references, and worked examples.
- Fertility Assessment, Gynecology Assessment for related reproductive-health assessments.