Endométriose et adolescente

Nicolas Bourdel, Bourdel N, N Bourdel, S Matsusakï, Matsusakï S, Shimpei Matsusaki, Horace Roman, H. Roman, Roman H, Y. Lenglet, Lenglet Y, Botchorischvili R, R. Botchorischvili, Mage G, G. Mage, Michel Canis, M Canis
Gynecologie, obstetrique & fertilite · 2006 · vol. 34(9) , pp. 727–734 · doi:10.1016/j.gyobfe.2006.07.008 · PMID:16950643 · W1978652541
review OA: closed CC0 ⤵ 10 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper discusses endometriosis in adolescents, reviewing its prevalence, symptoms, diagnostic challenges, and management strategies specific to this age group.

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Abstract

Endometriosis has long been considered as a disease of women over 30 years old. However, recent data from the literature demonstrated its high incidence in teenagers. Endometriosis in teenagers is generally associated with chronic pelvic pains and cyclical signs are less common than in adults. The persistence of the pain despite an estroprogestative contraception associated with non-steroidal anti-inflammatory drugs is a strong argument for the diagnosis and justifies a laparoscopic exploration. During this laparoscopy, the search for atypical lesions, which are much more common than typical ones, is essential. Biopsies of these lesions is mandatory in every patient to rule out false positives and false negatives which are common in atypical lesions. The aim of the treatment is to improve the pain. The first line of medical treatment is based on the estroprogestative contraception and non-steroidal anti-inflammatory drugs. The prescription of GnRH should be the ultimate solution because the bone reserve increases until the age of 18 to 20. The laparoscopic treatment, when required, should be as complete as possible. Early diagnosis and medical management may prevent the development of the disease. However, further studies in the teenager are essential to improve the current empirical management.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Adolescent Adult Anti-Inflammatory Agents, Non-Steroidal Anti-Inflammatory Agents, Non-Steroidal Contraceptives, Oral, Combined Contraceptives, Oral, Combined Diagnosis, Differential Endometriosis Endometriosis Endometriosis Estrogens Estrogens Female Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Humans Laparoscopy Pelvic Pain Progestins

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (82)

Cited by (10)

Source provenance

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License: CC0 · commercial use OK