Clinical characteristics of adolescent endometriosis

G. H. Davis, G D Davis, Davis GD, Thillet E, E Thillet, J Lindemann, Lindemann J
The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 1993 · vol. 14(5) , pp. 362–368 · doi:10.1016/s1054-139x(08)80008-0 · PMID:8399247 · W1984086036
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This paper describes the clinical characteristics of endometriosis in adolescent patients.

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Abstract

Our study objective was to describe the appearance, stage, and treatment of endometriosis in adolescents undergoing laparoscopic treatment of severe dysmenorrhea and endometriosis. We designed a retrospective analysis of adolescents with endometriosis whose primary symptom was severe dysmenorrhea. We studied patients in a private practice associated with a residency program. Forty-nine adolescents with histologically confirmed endometriosis underwent laparoscopy. Thirty-six of these patients (mean age, 16.6 +/- 1.4 years; range, 13-20 years) presented with severe dysmenorrhea in a non-emergency state and were refractory to prior therapy. All patients underwent laparoscopic surgery. We classified endometriosis implants as typical implants, red lesions, and occult lesions in thirty-six adolescents. We excised infiltrating lesions (defined as implants penetrating greater than 3-5 mm) and vaporized or coagulated superficial lesions (defined as surface implants or those penetrating < 3 mm). All adolescents underwent postsurgical ovulation suppression with a daily birth control pill. The need for reoperation at any time or the use of GnRH analogs, Danazol, or large doses of progestins served to indicate treatment failure. The presence or absence of red lesions was recorded in this group and compared to the presence or absence of such lesions in an older population of patients undergoing definitive therapy for endometriosis during the same time period. Our results showed that red lesions are the predominant implant type in adolescents. Adolescents with cyclic pain and those who complain of abdominal pain, nausea, constipation, and diarrhea, during menses had the largest proportion of red lesions.(ABSTRACT TRUNCATED AT 250 WORDS)

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Condition tags

dysmenorrheaendometriosis

MeSH descriptors

Endometriosis Pelvic Neoplasms Uterine Neoplasms Adolescent Adult Dysmenorrhea Dysmenorrhea Dysmenorrhea Dysmenorrhea Electrocoagulation Electrocoagulation Endometriosis Endometriosis Endometriosis Female Follow-Up Studies Humans Hysterectomy, Vaginal Hysterectomy, Vaginal Laparoscopes

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 (21)

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