Adolesan Endometriozis

In: Türk Üreme Tıbbı ve Cerrahisi Dergisi · 2020 · vol. 4(1) , pp. 29–38 · doi:10.24074/tjrms.2019-72881 · W4232635016
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This study investigated the diagnosis, prevalence, and etiological factors of endometriosis in adolescents, finding it a common issue requiring laparoscopic diagnosis and potentially linked to family history and congenital anomalies.

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AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text

This paper discusses endometriosis in adolescents, focusing on the need for laparoscopic and pathologic investigation for diagnosis and noting that the prevalence of laparoscopically diagnosed disease in adolescents has ranged widely from 19 to 70%, while the exact overall prevalence remains unknown. It states that diagnosis can be identified using history, physical examination, and pelvic ultrasonography, and that adolescent endometriosis should be considered in cases of persistent clinically significant dysmenorrhea or chronic pelvic pain despite medical options. The paper lists family history, obstructive genital abnormalities, and neonatal bleeding as common etiologic factors and notes that all stages, including endometrioma and deep infiltrating endometriosis, occur in adolescents. This paper is centrally about endometriosis — specifically adolescent endometriosis diagnosis, epidemiology, etiologic factors, and first-line treatment options.

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Abstract

Endometriozis adolesan ve erikin ya kadnlarnda en sk grlen jinekolojik sorunlardan birisidir. Endometriozis tans iin laparoskopik ve patolojik deerlendirme gereklidir. Adolesanlarda laparoskopik tans konan endometriozis prevalans %19-70'tir. Kesin prevalans bilinemez ve tahmin temellidir. Adolesan endometriozis tans anamnez, fizik muayene ve pelvik ultrasonografi temellidir. Endometriozis tans medikal tedavi seeneklerine direnli persistan siklik/siklik olmayan kronik pelvik ar, dismenore varlnda dnlmelidir. Adolesan endometriozisinde aile yks, obstrktif tip genital anomaliler ve yenidoan kanamalar en populer etiyolojik faktrlerdir. Endometriozis tm formlar (endometrioma ve derin infiltratif endometrioziside (DE) ieren) adolesanlarda bulunabilir. Adolesan endometriozis vakalarnda ilk tedavi seenekleri laparoskopi yaplm ise laparoskopik ablasyon/eksizyon ve medikal (NSA
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ABSTRACT Endometriosis is one of the most important gynecologic disorder in adolescent and reproductive age women. The laparoscopic and pathologic investigation is necessary for the diagnosis of endometriosis. The prevalence of laparoscopically diagnosed endometriosis in adolescents ranged widely from 19 to 70%. The exact prevalance of endometriosis in adolescent is unknown and based on estimate. The diagnosis of adolescent endometriosis has been identified based on history, physical examination, and pelvic ultrasonography. Endometriosis should be considered in patients with persistent, clinically significant dysmenorrhea, cyclic/acyclic chronic pelvic pain despite treatment with medical options. Family history, obstructive genital abnormalities and neonatal bleeding is most popular aetiologic factors in adolescent endometriosis. All stages forms of endometriosis (including endometrioma and deep infiltrating endometriosis) are found in adolescent.. The first line treatment options in adolescent endometriosis is surgical (If laparoscopy is to be undertaken) (laparoscopic ablation/excision) and medical (NSAIDs (nonsteroidal antiinflammatory drugs), progestins and COC (Combined Oral Contraceptive Pill)). Therapy must be individualized

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Condition tags

endometrioma

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