Adolescent endometriosis

Donald P. Goldstein, D P Goldstein, Goldstein DP, C De Cholnoky, Corinne de Cholnoky, De Cholnoky C, S. Jean Emans, S J Emans
Journal of adolescent health care : official publication of the Society for Adolescent Medicine · 1980 · vol. 1(1) , pp. 37–41 · doi:10.1016/s0197-0070(80)80007-6 · PMID:6458589 · W4210926077
article OA: closed CC0 ⤵ 99 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper reviews the pathophysiology, diagnosis, and management of endometriosis in adolescents, focusing on its unique challenges and treatment considerations.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Endometriosis was encountered in 66 of 140 patients (47%) who underwent laparoscopy for chronic pelvic pain at Boston Children's Hospital Medical Center. Pelvic pain associated with this diagnosis was both cyclic and acyclic and typically began 2.9 years after menarche. Other symptoms included irregular menses, gastrointestinal and bladder symptoms, and increased vaginal discharge. The diagnosis of endometriosis had not been made preoperatively in the majority of patients despite repeated pelvic examinations and thorough evaluation of the gastrointestinal and urinary tracts. Psychiatric referral had been recommended for 10 patients. The most constant physical finding preoperatively was tenderness with or without cul-de-sac nodularity. Eleven patients (17%) with biopsy-proved endometriosis has normal pelvic examinations. Fifty-eight percent of patients had early and minimal disease (stage I). In the remaining patients, the disease was more extensive, involving the ovaries, tubes, and/or adjacent pelvic structures (stages II-IV). Although in most instances the implants were typical in appearance, in 13 patients (20%) the disease was not recognizable grossly, but was confirmed morphologically. The regimens utilized as primary treatment were based on the stage of the disease and consisted of either ovulation suppression alone or surgery with or without subsequent ovulation suppression. A satisfactory outcome was achieved in 47 patients (71%). The remaining 19 patients (28%) who did not respond to primary treatment were either operated on or treated symptomatically and are being carefully followed.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Adnexal Diseases Endometriosis Fallopian Tube Neoplasms Ovarian Neoplasms Adnexal Diseases Adnexal Diseases Adolescent Adult Child Endometriosis Endometriosis Endometriosis Fallopian Tube Neoplasms Fallopian Tube Neoplasms Female Humans Laparoscopy Ovarian Neoplasms Ovarian Neoplasms Pain

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 (7)

Cited by (50)

Source provenance

europepmc
last seen: 2026-07-27T06:15:28.040536+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:10:10.897782+00:00
unpaywall
last seen: 2026-07-27T06:55:32.580041+00:00
License: CC0 · commercial use OK