Endometriosis surgery counseling

Pain pattern check

This short tool helps you and your care team talk about whether pain may be mostly lesion-driven, mixed, or strongly influenced by central pain amplification.

Illustration of a patient and clinician discussing pain care

Educational use only. This is not a diagnosis, a validated prediction calculator, or a reason to deny indicated surgery. It is a conversation aid for preoperative planning.

CSI-9 score

If you have completed the CSI-9 questionnaire, enter the total score. If not, leave this blank and discuss it with your clinician.

CSI-9 total

Blank scores count as 0 for this preview.

Pain phenotype

Choose the description that best matches your usual pattern.

0 Cyclical and localized Pain seems tied to periods or a clear lesion-related area. 1 Mixed pattern Pain is both cyclical and non-cyclical. 2 Constant or widespread Pain is non-anatomic, widespread, or includes touch sensitivity.

Objective disease burden

Choose what best reflects imaging, exam findings, or prior surgical assessment.

0 Clear target Deep disease or a target strongly correlates with symptoms. 1 Partial match Moderate disease or only partial symptom correlation. 2 Poor match Minimal disease or weak lesion-symptom correlation.

Pain chronicity

How long has this pain pattern been present?

0 Less than 1 year 1 1 to 5 years 2 More than 5 years

Context factors

These do not change the score, but they can shape the counseling conversation.

May favor surgery despite high score DIE or organ involvement Reproducible mechanical pain Imaging or exam strongly correlates

May favor stronger non-surgical pain plan Prior failed excision Fibromyalgia, IBS, or bladder pain overlap Widespread pain or severe fear avoidance Severe sleep disruption

Endometriosis Pain Pattern Check

Pain pattern check

CSI-9 score

Pain phenotype

Objective disease burden

Pain chronicity

Context factors

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