Approach to Diagnosis of Adolescent Endometriosis for the Primary Care Pediatrician

In: Endometriosis in Adolescents · 2020 · pp. 739–745 · doi:10.1007/978-3-030-52984-0_44 · W3106177666
book-chapter OA: closed CC0
Full text JSON View on OpenAlex View at publisher
AI-generated summary by gemini-2.5-flash-lite+body, 2026-06-12

This chapter outlines a diagnostic approach for primary care pediatricians to identify endometriosis in adolescents, covering both typical pelvic pain and atypical systemic presentations.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text

This chapter discusses a diagnostic approach to adolescent endometriosis for primary care pediatricians, outlining “typical” presentations such as pelvic and/or menstrual pain and “atypical” presentations involving gastrointestinal, musculoskeletal, neurological, or other systemic complaints. The content is presented as an experience-based framework derived from the author’s 30 years of practice in urban pediatric private practice, incorporating knowledge refined through patient experience. A key limitation explicitly stated is that the chapter’s approach is not described as a research study, but rather as a clinical perspective based on personal practice experience. This paper is centrally about endometriosis — it focuses specifically on how adolescents may present and how a primary care pediatrician can approach diagnosis.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Full text 3,162 characters · extracted from oa-doi-fallback · 2 sections · click to expand

Abstract

This chapter will explore the diagnostic approach to endometriosis in adolescents for the primary care pediatrician. The first part will discuss “typical” presentations, i.e., adolescents presenting with pelvic and/or menstrual pain. The second part will cover “atypical” presentations, e.g., adolescents presenting with gastrointestinal, musculoskeletal, neurological, or other systemic complaints. This approach is based on my 30 years of experience in general pediatric private practice in an urban setting. My patients have taught me much over the years and have helped me refine my approach to diagnosis and management. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

American College of Obstetricians and Gynecologists. ACOG Committee Opinion. Number 310, April 2005. Endometriosis in adolescents. Obstet Gynecol. 2005;105:921. Laufer MR, Sanfilippo J, Rose G. Adolescent endometriosis: diagnosis and treatment approaches. J Pediatr Adolesc Gynecol. 2003;16(3):S3–S11. Kaskowitz A, Quint E. A practical overview of managing adolescent gynecologic conditions in the pediatric office. Pediatr Rev. 2014;35(9):371–81. GE T, Bushnell CD, Herial NA, Utley C, White L, Hafeez F. Endometriosis is associated with prevalence of comorbid conditions in migraine. Headache. 2007;47(7):1069–78. Sinaii N1, Cleary SD, Ballweg ML, Nieman LK, Stratton P. High rates of autoimmune and endocrine disorders, fibromyalgia, chronic fatigue syndrome and atopic diseases among women with endometriosis: a survey analysis. Hum Reprod. 2002;17(10):2715–24. Harris HR, Costenbader KH, Mu F, et al. Endometriosis and the risks of systemic lupus erythematosus and rheumatoid arthritis in the Nurses’ Health Study II. Ann Rheum Dis. 2016;75:1279–84. Kvaskoff M, Mu F, Terry KL, Harris HR, Poole EM, Farland L, Missmer SA. Endometriosis: a high-risk population for major chronic diseases? Hum Reprod Update. 2015;21(4):500–16. Published online 2015 Mar 11. https://doi.org/10.1093/humupd/dmv01. Yuk J-S, Park E-J, Seo Y-S, Kim HJ, Kwon S-Y, Park WI. Graves disease is associated with endometriosis: a 3-year population-based cross-sectional study. Medicine (Baltimore). 2016;95(10):e2975 . Published online 2016 Mar 11. https://doi.org/10.1097/MD.0000000000002975. Dun EC, Kho KA, Morozov VV, Kearney S, Zurawin JL, Nezhat CH. Endometriosis in adolescents. JSLS. 2015;19(2). https://doi.org/10.4293/JSLS.2015.00019. Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2020 Springer Nature Switzerland AG About this chapter Cite this chapter Maxey, J.A. (2020). Approach to Diagnosis of Adolescent Endometriosis for the Primary Care Pediatrician. In: Nezhat, C.H. (eds) Endometriosis in Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-030-52984-0_44 Download citation DOI: https://doi.org/10.1007/978-3-030-52984-0_44 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-030-52983-3 Online ISBN: 978-3-030-52984-0 eBook Packages: MedicineMedicine (R0)

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

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.

References (9)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
unpaywall
last seen: 2026-09-16T06:28:21.314993+00:00
License: CC0 · commercial use OK