Clinical Characteristics of Adolescent Endometrioma

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This paper describes the clinical characteristics of adolescent endometriomas, focusing on diagnostic and treatment approaches for this specific patient population.

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Abstract

Study objectiveTo evaluate the clinical characteristics of endometrioma in adolescent women compared to women of other age groups.DesignCross-sectional study.SettingA university hospital.ParticipantsThree-hundred seventy-six women.InterventionWomen of reproductive age who underwent surgery for the treatment of endometrioma were classified into 4 groups according to age (group 1, ≤20 years; group 2, 21-30 years; group 3, 31-40 years; group 4, 41-45 years), and compared.Main outcome measureClinical characteristics including demographic factors, menstrual patterns, and characteristics of endometriosis.ResultsGroup 1 (adolescent females) experienced menarche at earlier age compared to other groups (P < .005 for all comparisons). In group 1, main symptom was pain (77%) and the proportion of incidental detection (23%) was low, similar to findings for group 2. However, the proportions of incidental detection (45%) and infertility (10%) were increased in group 3, and the proportion of incidental detection (60%) was even higher than that of pain (40%) in group 4 showing that the distributions of presenting symptoms differed from those of group 1. There were no differences in menstrual pattern among groups. In addition, except for the absence of coexisting gynecologic problems such as myoma or adenomyosis in group 1, other characteristics of endometrioma did not differ among groups.ConclusionAdolescents with endometrioma experience more frequent pain, but other clinical characteristics are similar to adults.

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Condition tags

endometriosischronic_pelvic_painendometrioma

MeSH descriptors

Endometriosis Ovarian Diseases Adolescent Adult Age Factors Cross-Sectional Studies Endometriosis Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Middle Aged Ovarian Diseases Ovarian Diseases Ovarian Diseases Pelvic Pain Pelvic Pain Retrospective Studies

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