[Studies on the relation between the classifications (including our private plan) and subsequent success in pregnancy...

The relationship between classifications (Beecham, Acosta, Sugimoto, AFS and private plan) and chances of subsequent gestation was studied on 26 patients with laparoscopically diagnosed endometriosis. The success in conception was judged one year after diagnosis or completion of subsequent Danazol administration. In our private plan, [A] blueberry spots, blood blebs, [B] chocolate cyst, [C] periadnexal adhesions ([C']: only less involved side was evaluated) and [D] Closing change in cul-de-sac, were designated targets of evaluation and each was divided into 4 grades. As a result, a significant difference between success and failure groups was noted in initial classification with Beecham, AFS [posterior cul-de-sac obliteration] and private plan [C'], and was also noted in post-treatment classification with AFS [posterior cul-de-sac obliteration] and private plan [D]. (2) Only in the success group, Danazol was recognized as effective in every classification, and the improvement in AFD[posterior cul-de-sac obliteration] and private plan [D] was considered to be contributory. The effects, however, on adnexal adhesive changes were not significant. (3) Whenever conception is attempted by medication, the adnexal condition of the less involved side may significantly influence the chances of subsequent pregnancy.