The revised American Society for Reproductive Medicine (rASRM 1997) scoring system for endometriosis classifies disease based on findings at laparoscopy. Which score range defines Stage IV (severe) endometriosis?

• A Score >40 ✓
• B Score 1–5
• C Score 6–15
• D Score 16–40

Explanation

rASRM scoring: Stage I (minimal) = 1–5 points; Stage II (mild) = 6–15 points; Stage III (moderate) = 16–40 points; Stage IV (severe) = >40 points. Points are allocated based on implant size, depth, and location, as well as severity of ovarian and cul-de-sac adhesions. Stage IV typically involves extensive adhesions, bilateral endometriomas, and complete obliteration of the posterior cul-de-sac.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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