What Stage Endometriosis Do You Have?

froubaby · 01-13-2009, 01:49 PM

Just as the title for the thread says, what stage Endometriosis do you have? Ask your doctor after going through laparoscopy surgery. Here are two ways of determining stages:

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Endometriosis severity is measured in stages.

Stage 1 is referred to as minimal endometriosis and may or may not have an effect on fertility. Stage 1 endometriosis is usually treated with medications unless you are trying to conceive. If you are having trouble conceiving, then even minimal amounts of endometrial implants and lesions may need to be surgically removed. Another reason to treat stage 1 endometriosis is because it is progressive and can lead to dangerous organ damage down the line.
Stage 2 endometriosis is mild, but more than just the occasional lesion or implant is visible. Stage 2 endometriosis usually means that at least one of the ovaries has endometriosis present. This can lead to your fallopian tubes being blocked by scar tissues or the ovaries themselves being compromised by the present implants.
Stage 3 endometriosis is considered moderate. Stage 3 is used to describe endometriosis, usually on both ovaries as well as the uterus. Implants and lesions may be deeper and take up more area than stage 2 implants and lesions. Surgical treatment of stage 3 and stage 4 endometriosis historically has had the greatest impact on fertility associated with endometriosis.
Stage 4 is the most severe. Stage 4 is used to describe endometriosis that is prominent in the abdominal cavity. Stage 4 endometriosis can affect many surrounding organs and be very dangerous. This is the stage most commonly associated with infertility.

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The Stage or Severity of Endometriosis
Surgery also helps determine the severity of endometriosis in a patient. Doctors commonly diagnose endometriosis in stages. Here are the common stages of endometriosis:

Stage 1: Endometriosis in stage one is classified as minimal. Most patients will get a score of 1 to 5 points, meaning there are isolated incidents of endometrial tissue growth outside the uterus.
Stage 2: Endometriosis in stage two is considered mild. A patient having a score of 6 to 15 points has mild endometriosis. A doctor makes this diagnosis when there are several small implants and a few small areas of scar tissue or adhesions.
Stage 3: Stage the endometriosis is moderate. Patients with 16 to 40 points have moderate endometriosis. The implants in stage three must be superficial and deep. There must also be several prominent areas of scar tissue or adhesions. Typically the symptoms of endometriosis are common in patients with moderate Stage III endometriosis.
Stage 4: This is the most severe stage of endometriosis, with over 40 points needed for diagnosis. Patients with stage IV endometriosis will have many superficial and deep implants as well as large adhesions. Endometriosis symptoms including infertility are common in patients with stage IV endometriosis.