Adolescence endometriosis with abnormal uterine bleeding: A challenging case report

Fita Maulina, Botefilia Botefilia
In: Majalah Obstetri & Ginekologi · 2020 · vol. 28(1) , pp. 32 · doi:10.20473/mog.v28i12020.32-38 · W3038232493
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⚙ AI-generated summary by claude@2026-06, 2026-06-12 ⓘ

This case report describes an early adolescent experiencing abnormal uterine bleeding, dysmenorrhea, and a suspected bleeding disorder, highlighting a challenging presentation of endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text ⓘ

This appears to be a case report titled “Adolescence endometriosis with abnormal uterine bleeding,” describing an adolescent patient with endometriosis presenting with abnormal uterine bleeding, and using a clinical narrative approach rather than a population-based design. The main reported observation is the association between adolescent endometriosis and abnormal uterine bleeding, framed as a diagnostic challenge. A major limitation of a case report is that it cannot establish prevalence or causal relationships and is constrained by the single-patient context. Relevance to endometriosis: the entire article is about “adolescence endometriosis with abnormal uterine bleeding,” directly focusing on endometriosis as the condition causing abnormal uterine bleeding in an adolescent.

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Abstract

Endometriosis is the presence of endometrial tissue outside the Uterus. The true incidence of endometriosis is not really known, but it is believed that 10-15% of all women in their reproductive age will develop endometriosis and 25-35% of all women who are infertile have endometriosis. The true incidence of endometriosis in adolescents is difficult to quantify and estimates vary among different studies. Although in the past it was assumed that endometriosis presented only after many years of menstruation, studies have shown endometriosis to occur prior to menarche and between 1-6 months after the onset of menarche. A 66% of adult women with endometriosis report the onset of pelvic symptoms prior to age 20. Although etiology and pathophysiology of endometriosis is not well‐understood, but increased rate of retrograde menstruation in patients with heavier menses as with bleeding disorder, is a possible mechanism of disease. Here, we report an early adolescent admitted with dysmenorrhea with bleeding disorder, suspected Von Willebrand disease, presenting abnormal uterine bleeding.
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endometriosisdysmenorrhea

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