Connect with others who understand.

sign up log in
About MyEndometriosisTeam

Stages of Endometriosis

Updated on February 02, 2020

Article written by
Kelly Crumrin

There are four commonly recognized stages of endometriosis. Endometriosis is staged based on the extent and severity of disease activity. Note that the stage of the endometriosis does not reflect the symptoms experienced – either pain, infertility, or other symptoms – it is based on the doctor’s observation of damage during diagnosis. For example, it is possible for a woman in stage l to experience severe pain, while a woman in stage IV may have little to no pain.

The majority of women with endometriosis are stage l or ll. Endometriosis can progress over time, especially if it is not treated.

The four stages of endometriosis

The stage of endometriosis is based on the location, amount, depth of infiltration, and size of the endometrial implants. Criteria include how far the endometrial tissue has spread in the pelvic cavity, which organs and structures are affected, how many adhesions (one organ or structure becoming stuck to another) are present, and whether the fallopian tubes have become blocked.

The classification is made during the same surgical procedure used to confirm the diagnosis, which is called a laparoscopy. During the surgery, a surgeon makes small incisions in the abdomen and inserts a tiny camera to observe the reproductive organs, intestines, and other surfaces.

Stage I (Minimal)

In the minimal stage, there may be inflammation in the pelvic cavity and small lesions on organs. There are no adhesions.

Stage II (Mild)

During the mild stage, lesions are more common, but adhesions are limited. There may be shallow implants on the ovaries.

Stage III (Moderate)

In the moderate stage, there are deeper implants on the ovaries and the walls of the pelvic cavity. The fallopian tubes may be involved. Lesions and scarring may be widespread, and there are multiple adhesions.

Stage IV (Severe)

The severe stage describes disease in which deep endometrial implants are found in the ovaries and pelvic lining. The ovaries may be affected by endometriomas (blood-filled cysts). Adhesions can cause distortion of the organs. The bowel may be involved.

Resources

External References

Kelly leads the creation of content that educates and empowers people with chronic illnesses. Learn more about her here.

A MyEndometriosisTeam Member said:

Well somtimes you could drink different kinds of teas. Linden flower helps raspberry helps and they even have chocolate tea now. You could try medical… read more

posted 20 days ago

hug (1)

Recent articles

Coronavirus
Article written by Kelly Crumrin Those of us living with pre-existing, chronic conditions such as...

Canceling Is Kindness: Keeping Safe From COVID-19 With Endometriosis

Article written by Kelly Crumrin Those of us living with pre-existing, chronic conditions such as...
Setting intentions for 2020 with endometriosis
Eat healthier. Exercise more. Learn a new skill. Pay off a credit card. Many of us have made...

Setting Intentions for 2020 With Endometriosis

Eat healthier. Exercise more. Learn a new skill. Pay off a credit card. Many of us have made...
Practicing gratitude with endometriosis
This time of the year can be overwhelming with expectations around the holidays, and living with...

Practicing Gratitude With Endometriosis

This time of the year can be overwhelming with expectations around the holidays, and living with...
1145408494976742.sjyhs5l4x8nxuu9nuaco height640
Living with endometriosis may change your holidays, but you can still have enjoyable and...

How to Enjoy the Holidays Despite Endometriosis

Living with endometriosis may change your holidays, but you can still have enjoyable and...
Mht af justdiagnosed female
We all respond differently to information about our health. After learning you have...

You’ve Just Been Diagnosed With Endometriosis. Now What?

We all respond differently to information about our health. After learning you have...
Balancing work and endometriosis
For many women with endometriosis, severe pain stands between them and their professional lives....

Balancing Work and Endometriosis

For many women with endometriosis, severe pain stands between them and their professional lives....
Resolving painful sex and improving intimacy with endometriosis
For members on MyEndometriosisTeam, pain during sexual intercouse is a common and difficult...

Resolving Painful Sex and Improving Intimacy with Endometriosis

For members on MyEndometriosisTeam, pain during sexual intercouse is a common and difficult...
Mht af good boundaries woman
There is an old saying: “Good fences make good neighbors.” Having healthy boundaries in...

How Good Boundaries Make Life With Endometriosis Easier

There is an old saying: “Good fences make good neighbors.” Having healthy boundaries in...
Scale 403585 1920 %281%29
Many members on MyEndometriosisTeam experience unwanted weight gain. Weight gain is a common...

Endometriosis and Weight Gain

Many members on MyEndometriosisTeam experience unwanted weight gain. Weight gain is a common...
Mht af saying thinking 5
Living with endometriosis can mean having limited energy, time, and bandwidth. You may find...

Tap Into the Power of Directness: Use "I"

Living with endometriosis can mean having limited energy, time, and bandwidth. You may find...
MyEndometriosisTeam My endometriosis Team

Get the latest articles about endometriosis sent to your inbox.

Not now, thanks

Privacy policy
MyEndometriosisTeam My endometriosis Team

Thank you for signing up.

close