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. 2016 Apr 20;2016(4):CD012165. doi: 10.1002/14651858.CD012165

1. Staging of endometriosis, rASRM classification.

Location of endometriosis Extent Depth
< 1 cm 1‐3 cm > 3 cm
Peritoneum Superficial 1 2 4
Deep 2 4 6
Ovary R Superficial 1 2 4
Deep 4 16 20
L Superficial 1 2 4
Deep 4 16 20
Posterior cul‐de‐sac obliteration Partial Complete
4 40
Adhesions < 1/3 Enclosure 1/3‐2/3 Enclosure > 2/3 Enclosure
Ovary R Filmy 1 2 4
Dense 4 8 16
L Filmy 1 2 4
Dense 4 8 16
Tube R Filmy 1 2 4
Dense 4a 8a 16
L Filmy 1 2 4
Dense 4a 8a 16

Stage ·1 (Minimal) ‐ score 1‐5; Stage II (Mild) ‐ score 6‐15; Stage III (Moderate) ‐ score 16‐40; Stage IV (Severe) ‐ score >40

aIf the fimbriated end of the fallopian tube is completely enclosed, change the point assignment to 16 (ASRM 1997)