During pelvic laparoscopy, based upon how much of, and what sort of Endometriosis the surgeon finds, the Endometriosis will be staged.
The stages of Endometriosis were developed in 1974 by G.W. Mitchell and M. Farber, who based their staging system off of what was already in use at that time to stage gynecologic cancers. The stages have undergone revisions over the years.
The current stages of Endometriosis are:
Stage I – Minimal – Few superficial implants
Stage II – Mild – Several implants which are deeper
Stage III – Moderate – Implants, cysts on ovaries, adhesions
Stage IV – Severe – Many implants, large cysts & adhesions
NOTE: The current staging system does not correlate to symptoms or pain levels.
Some people with Stage I Endometriosis can be in debilitating pain, while some who are Stage IV may experience no pain or symptoms at all.
For more info, see:
Classification/staging systems for endometriosis: the state of the art
https://gremjournal.com/wp-content/uploads/2020/02/03_Petraglia.pdf
Endometriosis classification, staging and reporting systems: a review on the road to a universally accepted endometriosis classification
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8530712/
Endometriosis Stages: Understanding the Different Stages of Endometriosis
https://www.endofound.org/stages-of-endometriosis
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