---
name: endometriosis-assessment
description: 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 Assessment

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](https://github.com/FormExamples/form-examples/tree/main/forms/endometriosis-assessment) for the full implementation, clinical references, and worked examples.
- [[fertility-assessment]], [[gynecology-assessment]] for related reproductive-health assessments.