Evaluation and Management of Endometriosis in the Adolescent

Jessica Y. Shim, Laufer MR, Marc R. Laufer, Cara R King, King CR, Lee TTM, Ted T M Lee, Jon I. Einarsson, Einarsson JI, Nichole Tyson
Obstetrics and gynecology · 2023 · vol. 143(1) , pp. 44–51 · doi:10.1097/aog.0000000000005448 · PMID:37944153 · W4388517957
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This review synthesizes current knowledge on the diagnosis, evaluation, and management of endometriosis in adolescents, emphasizing the need for high suspicion due to unique symptomatology and presentation differences from adults.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-09-21 · read from full text ⓘ

This narrative review examines the diagnosis, evaluation, and management of endometriosis specifically within the adolescent population. The authors highlight that symptomatology and laparoscopic findings in adolescents often differ from those observed in adults, necessitating distinct medical and surgical treatment approaches. They emphasize that many young patients experience suboptimal care and significant diagnostic delays due to these unique clinical complexities. To address this, the paper advocates for a lower threshold for suspicion and heightened vigilance regarding signs like dysmenorrhea and pelvic pain. This paper is centrally about endometriosis — specifically focusing on the diagnostic challenges and management strategies tailored for adolescents.

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Abstract

Endometriosis is a chronic condition, with debilitating symptoms affecting all ages. Dysmenorrhea and pelvic pain often begin in adolescence, affecting school, daily activities, and relationships. Despite the profound burden of endometriosis, many adolescents experience suboptimal management and significant delay in diagnosis. The symptomatology and laparoscopic findings of endometriosis in adolescents are often different than in adults, and the medical and surgical treatments for adolescents may differ from those for adults as well. This Narrative Review summarizes the diagnosis, evaluation, and management of endometriosis in adolescents. Given the unique challenges and complexities associated with diagnosing endometriosis in this age group, it is crucial to maintain a heightened level of suspicion and to remain vigilant for signs and symptoms. By maintaining this lower threshold for consideration, we can ensure timely and accurate diagnosis, enabling early intervention and improved management in our adolescent patients.
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Evaluation and Management of Endometriosis in the Adolescent - Jessica Y. Shim - Marc R. Laufer - Cara R. King - Ted T. M. Lee - Jon I. Einarsson - Nichole Tyson Endometriosis is a chronic condition, with debilitating symptoms affecting all ages. Dysmenorrhea and pelvic pain often begin in adolescence, affecting school, daily activities, and relationships. Despite the profound burden of endometriosis, many adolescents experience suboptimal management and significant delay in diagnosis. The symptomatology and laparoscopic findings of endometriosis in adolescents are often different than in adults, and the medical and surgical treatments for adolescents may differ from those for adults as well. This Narrative Review summarizes the diagnosis, evaluation, and management of endometriosis in adolescents. Given the unique challenges and complexities associated with diagnosing endometriosis in this age group, it is crucial to maintain a heightened level of suspicion and to remain vigilant for signs and symptoms. By maintaining this lower threshold for consideration, we can ensure timely and accurate diagnosis, enabling early intervention and improved management in our adolescent patients. Understanding the unique considerations in the diagnosis and treatment of endometriosis in adolescents can lead to early intervention, minimize associated symptom burden, and reduce comorbid sequalae.

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Condition tags

dysmenorrheaendometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis

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.

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