Adolescent endometriosis

Brosens I, Gordts S, Benagiano G. Endometriosis in adolescents is a hidden, progressive and severe disease that deserves attention, not just compassion. Hum Reprod. 2013 Aug;28(8):2026-31

Endometriosis in the adolescent has, in recent years, been discovered to be a challenging problem in gynaecology. Although the pain may start at a young age, even before the onset of menstruation, the diagnosis by laparoscopy is almost always postponed for several years, by which time destructive lesions have affected the tubo-ovarian structures and severely compromised fecundability. Several factors may play a role, but one important reason for this disease progression is likely to be the delay in diagnosis. Therefore, transvaginal ultrasounds and transvaginal access with a less invasive needle endoscopy are recommended for exploration of the pelvis, diagnosis of endometriosis and treatment at an early stage before severe lesions develop.

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Templeman C. Adolescent endometriosis. Curr Opin Obstet Gynecol. 2012 Oct;24(5):288-92.

Endometriosis, the presence of glands and stroma outside the uterus, is an enigmatic disease about which there is an ever-increasing body of literature. There are many unanswered questions regarding pathophysiology, risk factors, disease treatment and progression in adult women and these issues are magnified when dealing with adolescents. The typical adolescent presents with chronic pelvic pain and she along with her family are anxious for answers about the diagnosis, treatment and prognosis of these symptoms. These are the questions that this review will address from the current literature.

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Dovey S, Sanfilippo J. Endometriosis and the adolescent. Clin Obstet Gynecol. 2010 Jun;53(2):420-8.

The majority of women with endometriosis report symptoms starting in adolescence, yet endometriosis is often a delayed diagnosis in this patient population. Given that endometriosis is felt to be a progressive disease with increasing morbidities over time, such as structural defects and infertility, being more aggressive with pursuing the diagnosis is warranted. Once the diagnosis of endometriosis is made, various medical and surgical treatment modalities are available, and this article will review the most current treatment recommendations.

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More PubMed results on endometriosis.

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