Endometriosis in Adolescent and Young Girls: Report on a Series of 55 Cases

Michail Matalliotakis, Matalliotakis M, Goulielmos GN, George N. Goulielmos, Matalliotaki C, Charoula Matalliotaki, Trivli A, Alexandra Trivli, Matalliotakis I, Ioannis Matalliotakis, Aydın Arıcı, Aydin Arici, Arici A
Journal of Pediatric and Adolescent Gynecology · 2017 · vol. 30(5) , pp. 568–570 · doi:10.1016/j.jpag.2017.05.007 · PMID:28559048 · W2618669311
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This case series reports findings from 55 adolescent and young girls diagnosed with endometriosis.

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Abstract

Study objectiveThe aim of this retrospective study was to evaluate endometriosis in adolescent and young girls and further to review the menstrual, reproductive characteristics, and risk factors.Design and settingWe reviewed the medical records of adolescent and young girls with endometriosis from 2 different countries. Data were collected and analyzed from charts of 900 patients with endometriosis.Participants and interventionsFifty-five female adolescents aged between 13 and 21 years (mean age 18.3 years) participated in our series. This study was conducted in the Obstetric and Gynecology Department of Venizeleio General Hospital of Crete and involved all patients diagnosed with endometriosis between 1996 and 2016.Main outcome measuresStatistical methods included χ2 and Mann-Whitney U test.ResultsOf 900 patients with endometriosis we found 55 female adolescents (6.1%). The mean age was 18.3 ± 2.3 years, significantly younger compared with the advanced endometriosis patients (32.7 ± 7.2; P < .001). Regarding the menstrual reproductive and others characteristics, we observed several differences in adolescent young girls compared with the advanced age endometriosis group. The factors associated with an increased risk for young women include age at menarche, dysmenorrhea, history of asthma, and a positive family history of endometriosis. Additionally, we report on 16 of 55 (32%) adolescent women with endometriosis and congenital malformations (P < .01) and 5 patients who were diagnosed with dry eye syndrome.ConclusionThere is an association between endometriosis in adolescent and young women and risk factors including early menarche, early onset of dysmenorrhea, history of asthma, previous surgical procedures, obstructive genital anomalies, and family history of endometriosis.

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Condition tags

dysmenorrheaendometriosis

MeSH descriptors

Endometriosis Adolescent Adult Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Female Greece Humans Menarche Menstruation Pregnancy Retrospective Studies Risk Factors Young Adult

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