ENDOMETRIOSIS IN YOUTH

In: Journal of the American Medical Association · 1946 · vol. 131(17) , pp. 1405 · doi:10.1001/jama.1946.02870340011003 · PMID:20994364 · W2049315186
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AI-generated summary by claude@2026-06, 2026-06-10

This paper investigates the occurrence of endometriosis in patients under 20 years old, finding that 4% of "external" endometriosis cases were in this age group, challenging the common belief that endometriosis is absent in youth.

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Abstract

Four per cent of the last 225 patients with "external" endometriosis who were seen at this clinic were less than 20 years old. Four per cent is a small figure, but there are grounds for suspecting that it is less than the true one. And it is a significant, even a large percentage when weighed against the common belief that youth does not have endometriosis. Usually reports, including those of large series, either do not record the occurrence of the disease in youth or do record its absence. Thus, only 1 patient was less than 29 years old in Meigs's series1of 400 cases; theyoungest patient in the Mayo Clinic series2of 884 cases was aged 21 and Dr. Sampson himself tells me that he remembers no patient younger. Ordinarily we are advised to expect endometriosis after the age of 23, 25 or 28 or "in the

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endometriosis

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