My gynecologist recommended that I have an endometriosis mapping with Enzian, but I don’t know what that is. Do you perform it?
This question was originally submitted in Spanish and has been translated for publication.
Endometriosis
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I had to look this up during my own diagnosis too. From what I understand, the Enzian classification is a way doctors map deep endometriosis in detail especially when it involves areas like the bowel, ligaments, or pelvic spaces. It basically helps them plan treatment or surgery more precisely.
If your gynecologist suggested it, it’s probably to get a clearer picture of where the disease might be. It might be worth asking them how it would change your treatment plan.
Enzian is not a method of mapping nor a radiologic technique. Enzian is a hotel in Austria where endometriosis experts have repeatedly met to discuss a classification that could be a better alternative to the old American Fertility Society classification, and that would include all pelvic and extra pelvic locations of the disease.
Most of this work however was performed before the AAGL classification of endometriosis was published and validated between 2020 and
2022.
Most surgeons in the United States do not currently follow the Enzian classification: they still ose the old AFS classification or the new AAGL classification.
Ultimately, all your surgeon is asking for is to have a clear idea of where the endometriosis may be hiding outside of the reproductive tract. That’s all.