Endometriosis Standardized Worksheet (Leonardi Technique) Endometriosis Standardized Worksheet Based on a compartmental approach (middle, posterior, anterior) for standardized endometriosis reporting. Indication Free-text indication: Common indications (tick all that apply): Pelvic pain Dysmenorrhea (painful menses) Dyspareunia (pain with intercourse) Dysuria (pain with urination) Dyschezia (pain with defecation/constipation) Infertility Other: Technique Technique used: -- Select technique -- Transabdominal only Endovaginal only Both transabdominal and endovaginal Comparison Comparison study date: No prior pelvic ultrasound / not applicable Obstetric History (GPA) Gravida (G): Para (P): Abortions (A): Menstrual History Amenorrhea Normal periods Pre-menarche Post-menarche Perimenopausal Postmenopausal Heavy periods Painful periods Other: Surgical History Right oophorectomy Left oophorectomy Bilateral salpingo-oophorectomy (BSO) Hysterectomy Myomectomy Other: Medical Treatment Oral contraceptive pill Intrauterine device (IUD) GnRH agonist/antagonist therapy NSAIDs / analgesia Other: Symptoms Pelvic pain Dysmenorrhea Dyspareunia Dyschezia Dysuria Infertility Bloating / abdominal distension Fatigue Other: Image Findings Middle Compartment – Uterus & Adnexa Uterus Uterine dimensions (cm): Length: AP: Transverse: Uterine morphology and other findings Tick relevant features. Some combinations will feed adenomyosis comments into the impression. Definitive features of adenomyosis: Echogenic subendometrial lines and buds Myometrial cysts Hyperechoic islands Secondary / suggestive signs of adenomyosis: Globular uterus Asymmetric myometrial thickening Translesional vascularity Irregular junctional zone Interrupted junctional zone Fan-shaped shadowing Other uterine findings: Heterogeneous myometrium Bicornuate uterus Subseptate uterus Septate uterus Other description: Fibroids – three largest (if present) Dimensions in cm. Volume is calculated with an ellipsoid formula (0.523 × L × W × H). Fibroid 1 L: W: H: Volume (cm³): Location: -- Select -- Fundal Anterior wall Posterior wall Right lateral wall Left lateral wall Cervical Type: -- Select -- Intramural Subserosal Submucosal Pedunculated Fibroid 2 L: W: H: Volume (cm³): Location: -- Select -- Fundal Anterior wall Posterior wall Right lateral wall Left lateral wall Cervical Type: -- Select -- Intramural Subserosal Submucosal Pedunculated Fibroid 3 L: W: H: Volume (cm³): Location: -- Select -- Fundal Anterior wall Posterior wall Right lateral wall Left lateral wall Cervical Type: -- Select -- Intramural Subserosal Submucosal Pedunculated Fallopian Tubes Specify left and right separately. Left tube Status: -- Select -- NAD (no abnormality detected) Hydrosalpinx Hematosalpinx Pyosalpinx Lesion dimensions (cm): L: AP: Transverse: Right tube Status: -- Select -- NAD (no abnormality detected) Hydrosalpinx Hematosalpinx Pyosalpinx Lesion dimensions (cm): L: AP: Transverse: Ovaries & Ovarian Mobility Left ovary Ovarian mobility: -- Select -- Mobile Reduced mobility Fixed Dimensions (cm): L: AP: Transverse: Volume (cm³): Follicle pattern: -- Select -- Normal follicular pattern Multifollicular Polycystic-appearing ovary Reduced follicle count Vascularity: -- Select -- Normal vascularity Increased vascularity Decreased / absent vascularity Cyst / O-RADS (if applicable) Cyst present Appearance compatible with endometrioma Brief cyst description: O-RADS category: -- Select -- O-RADS 1 O-RADS 2 O-RADS 3 O-RADS 4 O-RADS 5 Right ovary Ovarian mobility: -- Select -- Mobile Reduced mobility Fixed Dimensions (cm): L: AP: Transverse: Volume (cm³): Follicle pattern: -- Select -- Normal follicular pattern Multifollicular Polycystic-appearing ovary Reduced follicle count Vascularity: -- Select -- Normal vascularity Increased vascularity Decreased / absent vascularity Cyst / O-RADS (if applicable) Cyst present Appearance compatible with endometrioma Brief cyst description: O-RADS category: -- Select -- O-RADS 1 O-RADS 2 O-RADS 3 O-RADS 4 O-RADS 5 Free fluid Free fluid in left adnexa: -- Select -- No free fluid Trace free fluid Mild free fluid Moderate free fluid Large volume free fluid Free fluid in right adnexa: -- Select -- No free fluid Trace free fluid Mild free fluid Moderate free fluid Large volume free fluid Posterior Compartment For each structure, choose NAD or suspected endometriosis lesion and provide size if present. Posterior vaginal fornix NAD Suspected endometriosis lesion Torus uterinus NAD Suspected endometriosis lesion Uterosacral ligament – left NAD Suspected endometriosis lesion Uterosacral ligament – right NAD Suspected endometriosis lesion Rectum NAD Suspected endometriosis lesion Rectosigmoid junction NAD Suspected endometriosis lesion Sigmoid colon NAD Suspected endometriosis lesion Rectovaginal septum NAD Suspected endometriosis lesion Rectouterine pouch (pouch of Douglas) NAD Suspected endometriosis lesion Anterior Compartment Bladder, ureters and ureterovesical region – treated similar to posterior compartment. Bladder NAD Suspected endometriosis lesion Ureter – left NAD Suspected endometriosis lesion Ureter – right NAD Suspected endometriosis lesion Ureterovesical junction region NAD Suspected endometriosis lesion Free-text Impression / Additional Comments Anything typed here will be appended after the structured auto-generated summary. 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