Endometriose bij een adolescent

Huibertien Oosterlee, A.L.M. Lagro‐Janssen
In: Huisarts en wetenschap · 2012 · vol. 55(1) , pp. 36–38 · doi:10.1007/s12445-012-0015-9 · W2000028312
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⚙ AI-generated summary by gemini-2.5-flash-lite+body, 2026-06-12 ⓘ

This clinical lesson demonstrates that dysmenorrhea in adolescents can stem from underlying conditions like endometriosis, which can be diagnosed by a gynecologist after a pelvic examination reveals palpable resistance.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This clinical lesson describes how dysmenorrhoea in adolescents can be caused by an underlying condition such as endometriosis, using a high-level approach to differential diagnosis. It outlines that most causes of dysmenorrhoea can be excluded with a gynaecological examination and basic laboratory tests (BSE, hCG, urinalysis), and that palpable resistance on pelvic palpation warrants referral to a gynaecologist for further investigation. A stated limitation is that the diagnostic pathway relies on clinical and basic testing rather than more advanced diagnostic confirmation in the article itself. Relevance to endometriosis: the paper is explicitly focused on endometriosis in an adolescent presenting with dysmenorrhoea, though it frames the contribution as a general clinical lesson about evaluating adolescent dysmenorrhoea.

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Anstract Oosterlee HC, Lagro-Janssen ALM. An adolescent with endometriosis. Huisarts Wet 2012;55(1):36-8. This clinical lesson shows that dysmenorrhoea in adolescents can result from an underlying condition like endometriosis. The differential diagnosis of dysmenorrhoea is relatively clear-cut, and most conditions can be discarded on the basis of a gynaecological examination and laboratory investigations (BSE, hCG, urinalysis). On pelvic examination, detection of resistance on palpation is reason to refer the patient to a gynaecologist. Once the diagnosed is established, the GP can resume management of the patient and should note whether the patient expresses a desire to have children in the future. Samenvatting Oosterlee HC, Lagro-Janssen ALM. Endometriose bij een adolescent. Huisarts Wet 2012;55(1):36-8. In deze klinische les laten wij zien dat dysmenorroe bij een adolescent soms het gevolg kan zijn van een ander onderliggend lijden, zoals endometriose. De differentiaaldiagnose van dysmenorroe is niet moeilijk te stellen; de meeste onderliggende aandoeningen zijn uit te sluiten op basis van lichamelijk (gynaecologisch) onderzoek en enig laboratoriumonderzoek (BSE, hCG-test, urine). Vindt men een palpabele weerstand in het kleine bekken, dan is dat een indicatie voor nader onderzoek door een gynaecoloog. Heeft deze de diagnose endometriose eenmaal gesteld, dan kan de huisarts de begeleiding weer op zich nemen, met speciale aandacht voor een eventuele kinderwens in de toekomst. Similar content being viewed by others Literatuur Peters AAW, Weijenborg PhThM. Buikpijn. In: Heineman MJ, Evers JLH, Massuger LFAG, Steegers EAP (redactie). Obstetrie en gynaecologie: De voortplanting van de mens. 6e dr. Maarssen: Elsevier Gezondheidszorg, 2007. Barnhoorn PC, Eekhof JAH, Knuistingh Neven A. Dysmenorroe. Huisarts Wet 2005;48:28–30. Lagro-Janssen ALM, Smulders MMT. Menstruatieklachten. Maarssen: Elsevier Gezondheidszorg, 2002. Harel Z. Dysmenorrhea in adolescents. Ann N Y Acad Sc 2008;1135:185–95. Hickey M, Balen A. Menstrual disorders in adolescence: Investigation and management. Hum Reprod Update 2003;9:493–504. Laufer MR, Sanfilippo J, Rose G. Adolescent endometriosis: Diagnosis and treatment approaches. J Pediatr Adolesc Gynecol 2003;16:S3–11. Attaran M, Falcone T, Goldberg J. Endometriosis: Still tough to diagnose and treat. Cleve Clin J Med 2002;69:647–53. Kennedy S, Bergqvist A, Chapron C, D’Hooghe T, Dunselman G, Greb R, et al. ESHRE Guideline for the diagnosis and treatment of endometriosis. Hum Reprod 2005;10:2698–704. Farquhar C. Endometriosis. BMJ 2007;334:249–53 Mounsey AL, Wilgus A, Slawson DC. Diagnosis and management of endometriosis. Am Fam Physician 2006;74:594–600. Pugsley Z, Ballard K. Management of endometriosis in general practice: The pathway to diagnosis. Br J Gen Pract 2007;57:470–6. Solnik MJ. Chronic pelvic pain and endometriosis in adolescents. Curr Opin Obstet Gynecol 2006;18:511–8. Giudice LC. Endometriosis. N Engl J Med 2010;362:2389–98. Vercellini P, Fedele L, Aimi G, Pietropaolo G, Consonni D, Crosignani PG. Association between endometriosis stage, lesion type, patient characteristics and severity of pelvic pain symptoms: A multivariate analysis of over 1000 patients. Hum Reprod 2007;22:266–71. Chapron C, Fauconnier A, Dubuisson J, Barakat H, Vieira M, Breart G. Deep infiltrating endometriosis: Relation between severity of dysmenorrhoea and extent of disease. Hum Reprod 2003;18:760–6. Van Weering HGI, Mijatovic V, Groot J, Hompesen PGA, Brolman HAM. ‘Pelvic inflammatory disease’ en een geabcedeerde endometriosecyste: Een diagnostisch probleem en een therapeutisch dilemma. Ned Tijdschr Geneeskd 2007;151:725–9. Simsa P, Mihalyi A, Kyama CM, Mwenda JM, Fülöp V, D’Hooghe TM. Future of endometriosis research. Womens Health (Lond Engl) 2007;3:647–54. Harvey J, Warwick I. Endometriosis. BMJ 2010;340:c2661. Denny E. Women’s experience of endometriosis. J Adv Nurs 2004;46:641–8. World Endometriosis Research Foundation. WERF funded Global Study of Women’s Health shows endometriosis significantly impacts women’s productivity at work [internet]. London: World Endometriosis Research Foundation, 2006–2010.www.endometriosisfoundation.org/press_gswh_june10.php. Author information Authors and Affiliations Additional information Mogelijke belangenverstrengeling: niets aangegeven. kaderhuisarts Urogynaecologie kaderhuisarts Urogynaecologie, hoogleraar Vrouwenstudies About this article Cite this article Oosterlee, H.C., Lagro-Janssen, A.L.M. Endometriose bij een adolescent. HUISARTS WETENSCHAP 55, 36–38 (2012). https://doi.org/10.1007/s12445-012-0015-9 Published: Issue date: DOI: https://doi.org/10.1007/s12445-012-0015-9

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