Abstract

We know that Endometriosis is associated with pelvic pain, the severity of which has been poorly correlated with disease stage. This review highlights fundamental difficulties in endometriosis research with the measurement of both pain and disease. In fact, none of the many pelvic pain questionnaires used to measure outcomes in clinical studies has been validated for use in endometriosis patients. It follows that the current pathological classification of endometriosis is inappropriate in addressing the important symptom of pain in endometriosis. In medical research, graded classification is an essential means of communication between researchers and clinicians, providing a simple way of describing the severity of cases and summarizing complex data. In this article, we outline the urgent need for the development of a valid classification system for endometrosis and pelvic pain.

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