L'endométriose de l'adolescente

In: Médecine Thérapeutique. Médecine de la Reproduction, Gynécologie, Endocrinologie, 15 (3), 228-33 (2013) · 2013 · doi:10.1684/mte.2013.0476 · W1766877530
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This paper reviews the pathophysiology, diagnosis, and management of endometriosis in adolescent patients.

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This review article examines the clinical presentation and diagnostic challenges of endometriosis in adolescent populations, highlighting that symptoms often begin during puberty while formal diagnosis is typically delayed until adulthood. The authors emphasize that obtaining a thorough medical history is crucial for identifying patients who require early intervention, with severe dysmenorrhea occurring shortly after menarche serving as the primary indicator for initiating oral contraceptive therapy. Early recognition is presented as vital to mitigating the significant physical, psycho-social, and sexual repercussions associated with the disease's progression. This paper is centrally about endometriosis — specifically focusing on its manifestation, diagnostic criteria, and management strategies within the adolescent demographic.

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Abstract

peer reviewed
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Keywords

adolescence; endométriose; diagnostic précoce; dysménorrhée sévère; endometriosis; early diagnosis; severe dysmenorrhea

Abstract

[fr] L’endométriose est une pathologie chronique généralement diagnostiquée à l’âge adulte, alors que les symptômes débutent à l’adolescence. L’anamnèse est une aide précieuse au diagnostic et devrait permettre de sélectionner les patientes qui pourront bénéficier d’un traitement médical ou chirurgical. Le critère essentiel est la description d’une dysménorrhée sévère justifiant la prescription d’une contraception orale très tôt après la ménarche. Le diagnostic précoce est un enjeu majeur dans l’évolution de l’affection dont les répercussions physiques, psycho-sociales et sexuelles sont majeures. [en] Endometriosis is a chronic disease usually diagnosed at adult age, even the symptoms begin at adolescence. The medical history could help for the diagnosis and could select the patients for medical or surgical treatment. The main criterion is the description of severe dysmenorrhea necessitating the prescription of oral contraceptive pill early after the menarcha. The early diagnosis is a major issue in the evolution of the disease which is caracterized by physical, psyco-social and sexual repercussions. [en] Endometriosis is a chronic disease usually diagnosed at adult age, even the symptoms begin at adolescence. The medical history could help for the diagnosis and could select the patients for medical or surgical treatment. The main criterion is the description of severe dysmenorrhea necessitating the prescription of oral contraceptive pill early after the menarcha. The early diagnosis is a major issue in the evolution of the disease which is caracterized by physical, psyco-social and sexual repercussions. Disciplines : Reproductive medicine (gynecology, andrology, obstetrics) CLOSON, François ; Centre Hospitalier Universitaire de Liège - CHU > Gynécologie-Obstétrique CHR BRICHANT, Géraldine ; Centre Hospitalier Universitaire de Liège - CHU > Gynécologie-Obstétrique CHR TEBACHE, Linda ; Centre Hospitalier Universitaire de Liège - CHU > Frais communs chirurgie PINZAUTI, Serena NISOLLE, Michelle ; Centre Hospitalier Universitaire de Liège - CHU > Gynécologie-Obstétrique CHR Language : French Title : Endometriosis by adolescence Alternative titles : [fr] L'endométriose de l'adolescente Publication date : 2013 Journal title : Médecine Thérapeutique. Médecine de la Reproduction, Gynécologie, Endocrinologie ISSN : 2553-2367 eISSN : 1952-4102 Publisher : John Libbey Eurotext (JLE), Montrouge, France Volume : 15 Issue : 3 Pages : 228-33 Peer reviewed : Peer Reviewed verified by ORBi Available on ORBi : since 19 January 2014 Scopus citations® 1 Scopus citations® without self-citations without self-citations 0 OpenAlex citations 1 - Dessole M, Melis GB, Angioni S. Endometriosis in adolescence. Obstet Gynecol Int 2012; 2012:869191. - Leyland N, Casper R, Laberge P., Singh SS Endometriosis: diagnosis and management. Journal of Obstetrics and gynaecology Canada (JOGC) 2010; 32:S1-32. - Goldstein DP, De Cholnoky C, Emans SJ Adolescent endometrio-sis. J Adolesc Health Care 1980; 1: 37-41. - Laufer MR, Goitein L, Bush M., Cramer DW, Emans SJ Prevalence of endometriosis in adolescent girls with chronic pelvic pain not responding to conventional therapy. J Pediatr Adolesc Gynecol 1997; 10:199-202. (Pubitemid 27523730) - Sampson JA. 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