Adamson and Pasta reported the Endometriosis Fertility Index (EFI) for predicting fertility in a woman with endometriosis.
Patient selection: woman with endometriosis
Categories:
(1) historical factors: age, years infertile, history of prior pregnancy
(2) surgical factors: least function score, AFS endometriosis score, AFS total score
Parameter |
Finding |
Points |
age |
<= 35 years |
2 |
|
36 to 39 years |
1 |
|
>= 40 years |
0 |
years infertile |
<= 3 years |
2 |
|
> 3 years |
0 |
history of prior pregnancy |
no |
0 |
|
yes |
1 |
least function score |
7 or 8 |
3 |
|
4 to 6 |
2 |
|
<= 3 |
0 |
AFS endometriosis |
< 16 |
1 |
|
>= 16 |
0 |
AFS total score |
< 71 |
1 |
|
>= 71 |
0 |
EFI score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
EFI score |
3-Year Pregnancy Rate |
9 or 10 |
75% |
7 or 8 |
66% |
6 |
54% |
5 |
42% |
4 |
27% |
1 to 3 |
10% |
0 |
? 0% |
Specialty: Obstetrics & Gynecology