Endometriosis in an Adolescent Population: the Severance Hospital in Korean Experience

Sang Wook Bai, Bai SW, Hyun Jeong Cho, Cho HJ, Hyun-Jeong Cho, Jeong Yeon Kim, Kim JY, Jeong KA, Kyung Ah Jeong, Sei Kwang Kim, Kim SK, Cho DJ, Dong Jae Cho, Song CH, Chan Ho Song, Park KH, Ki Hyun Park
Yonsei medical journal · 2002 · vol. 43(1) , pp. 48 · doi:10.3349/ymj.2002.43.1.48 · PMID:11854932 · W2015083628
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-11 ⓘ

This study reviewed 39 adolescent endometriosis patients, finding the average diagnosis occurred 5.9 years post-menarche with pelvic pain as the primary symptom and stage II disease being most common.

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This retrospective review evaluated 39 Korean adolescent patients (ages 10–21) with surgically diagnosed endometriosis at Severance Hospital between 1990 and 1999, examining age distribution, diagnosis timing, clinical stage using the revised American Fertility Society classification, presenting symptoms, and post-surgical treatment. The average interval from menarche to diagnosis was 5.9 years, with key presenting symptoms including chronic pelvic pain (27%), acute pelvic pain (21%), palpable pelvic mass (21%), and dysmenorrhea (18%); most cases were revised AFS stage II (44%), followed by stage III (28%) and stage IV (18%). Laparoscopy was performed in 51% of patients, and post-operative management most commonly involved GnRH agonists (64.1%), with some expectant management (25.7%) and limited use of OCPs or danazol. The authors’ main caveat is that the cohort is restricted to adolescents who underwent laparotomy or laparoscopy and were diagnosed at a single hospital, which may not represent all adolescents with suspected endometriosis. This paper is centrally about endometriosis — it characterizes adolescent presentation, staging, and surgical management in a Korean hospital experience.

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Abstract

The records of adolescent patients (10-21), who were admitted to the severance hospital between 1990 and 1999, were reviewed retrospectively to evaluate the age distribution, diagnosis, clinical stage, and treatment for endometriosis in adolescents. Thirty-nine patients who had undergone a laparotomy or laparoscopy and were diagnosed with endometriosis were identified. Endometriosis was classified according to the revised American Fertility Society classification (AFS). The chief symptoms leading to the diagnosis, clinical stage, age distribution, and treatment modality were reviewed. All patients, whose average age of menarche was 14.2, were diagnosed with endometriosis with an average interval of 5.9 years after menarche. The chief symptoms leading to the diagnosis were chronic pelvic pain (27%), acute pelvic pain (21%), a palpable pelvic mass (21%), and dysmenorrhea (18%). A laparoscopy was performed in 20 (51%). The majority of patients (44%) presented with the revised AFS classification stage II. Four patients (10%) presented with stage I, 11 (28%) with stage III and 7 (18%) with stage IV. Management after surgery included GnRH agonists (64.1%), expectant managements (25.7%), OCPs (5.1%) and danazol (5.1%). In adolescents with chronic pelvic pain, endometriosis is not rare. Therefore, early referral to a gynecologist to diagnose the etiology of the pelvic pain and initiate appropriate therapy is recommended.
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Published online Apr 01, 2009. https://doi.org/10.3349/ymj.2002.43.1.48 Endometriosis in an Adolescent Population: the Severance Hospital in Korean Experience Abstract The records of adolescent patients (10-21), who were admitted to the severance hospital between 1990 and 1999, were reviewed retrospectively to evaluate the age distribution, diagnosis, clinical stage, and treatment for endometriosis in adolescents. Thirty-nine patients who had undergone a laparotomy or laparoscopy and were diagnosed with endometriosis were identified. Endometriosis was classified according to the revised American Fertility Society classification (AFS). The chief symptoms leading to the diagnosis, clinical stage, age distribution, and treatment modality were reviewed. All patients, whose average age of menarche was 14.2, were diagnosed with endometriosis with an average interval of 5.9 years after menarche. The chief symptoms leading to the diagnosis were chronic pelvic pain (27%), acute pelvic pain (21%), a palpable pelvic mass (21%), and dysmenorrhea (18%). A laparoscopy was performed in 20 (51%). The majority of patients (44%) presented with the revised AFS classification stage II. Four patients (10%) presented with stage I, 11 (28%) with stage III and 7 (18%) with stage IV. Management after surgery included GnRH agonists (64.1%), expectant managements (25.7%), OCPs (5.1%) and danazol (5.1%). In adolescents with chronic pelvic pain, endometriosis is not rare. Therefore, early referal to a gynecologist to diagnose the etiology of the pelvic pain and initiate appropriate therapy is recommended.

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Condition tags

endometriosischronic_pelvic_paindysmenorrhea

MeSH descriptors

Endometriosis Adolescent Adult Endometriosis Endometriosis Female Humans Korea Korea

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.

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