The American Society for Reproductive Medicine (ASRM) revised classification of endometriosis uses a scoring system (rAFS/rASRM) based on peritoneal implants, ovarian endometriomas, and adhesions. A score of 16–40 corresponds to which stage?

• A Stage I (Minimal)
• B Stage II (Mild)
• C Stage IV (Severe)
• D Stage III (Moderate) ✓

Explanation

The ASRM revised scoring classifies endometriosis as: Stage I (1–5 points, minimal), Stage II (6–15 points, mild), Stage III (16–40 points, moderate), and Stage IV (> 40 points, severe). Scores are based on size and depth of peritoneal and ovarian implants and severity of adnexal and posterior cul-de-sac adhesions. Stage III includes moderate-sized endometriomas and dense adhesions.

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

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