Progression of endometriosis in non-medically managed adolescents: a case series

Cecile A Unger, Cécile A. Unger, Unger CA, Laufer MR, Marc R. Laufer
Journal of Pediatric and Adolescent Gynecology · 2010 · vol. 24(2) , pp. e21–e23 · doi:10.1016/j.jpag.2010.08.002 · PMID:21126894 · W2142854141
Case report OA: closed CC0 ⤵ 51 in-corpus citations
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This case series describes the progression of endometriosis over time in adolescents who did not receive medical management for their condition.

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Abstract

BACKGROUND: Endometriosis is considered a progressive disease that can cause chronic pelvic pain and infertility. A combined medical-surgical approach is the best method to slow the progression of endometriosis. Adolescents who are not maintained on a medical regimen postoperatively may be at risk for disease progression. CASES: This is a case series of three adolescent patients who presented at 13 to 16 years of age with complaint of severe pelvic pain and were diagnosed with stage 1 endometriosis at the time of laparoscopy. They were then prescribed menstrual suppressive therapy but did not remain compliant with their regimens. RESULTS AND CONCLUSIONS: Each patient returned to the operating room and underwent a second laparoscopy which revealed that each patient's disease had progressed to a higher stage. Without combined surgical-medical management, disease worsens, and places patients at risk for severe chronic pelvic pain as well as infertility.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Disease Progression Disease Progression Endometriosis Patient Compliance Patient Compliance Adolescent Adolescent Anti-Inflammatory Agents, Non-Steroidal Anti-Inflammatory Agents, Non-Steroidal Anti-Inflammatory Agents, Non-Steroidal Contraceptives, Oral, Hormonal Contraceptives, Oral, Hormonal Contraceptives, Oral, Hormonal Endometriosis Endometriosis Endometriosis Endometriosis Female Female Humans

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 (22)

Cited by (50)

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