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 OBJECTIVE: To evaluate the clinical characteristics of endometrioma in adolescent women compared to women of other age groups. DESIGN: Cross-sectional study. SETTING: A university hospital. PARTICIPANTS: Three-hundred seventy-six women. INTERVENTION: Women 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 MEASURE: Clinical characteristics including demographic factors, menstrual patterns, and characteristics of endometriosis. RESULTS: Group 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. CONCLUSION: Adolescents 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 Adolescent Adult Adult Age Factors Age Factors Cross-Sectional Studies Cross-Sectional Studies Endometriosis Endometriosis Endometriosis Endometriosis Female Female Humans Humans Infertility, Female Infertility, Female

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (18)

Cited by (17)

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License: CC0 · commercial use OK