Adenomyosis and endometriosis in adolescents and young women with pelvic pain: prevalence and risk factors
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This study found that adenomyosis and endometriosis affect 46.0% and 25.0% of young women with pelvic pain, respectively, with older age and specific pain symptoms associated with increased prevalence.
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Abstract
BACKGROUND: The aim of this study was to evaluate the prevalence of ultrasound diagnosis of adenomyosis and endometriosis in young women complaining of pelvic pain and to find the symptoms and clinical characteristics associated with these diseases in young women.METHODS: Cross-sectional study, including 100 young women (14-24 years) with a history of chronic pelvic pain. Women were asked detailed medical hystory and pain symptoms scores (Visual Analogue Scale) and underwent gynecological examination and ultrasound evaluation.RESULTS: The prevalence of endometriosis and adenomyosis in young women amounted to 25.0% and 46.0%, respectively. A significant correlation was found between ovarian endometriosis and adenomyosis. Dysmenorrhea and dyspareunia were risk factors for adenomyosis. Dyschezia, dyspareunia, chronic pelvic pain, presence of sonographic soft markers suggestive of pelvic adhesions, being a worker and having a previous surgery were risk factors for endometriosis. Young women (20-24 years) had a higher incidence of both adenomyosis and endometriosis than adolescents (14-19 years).CONCLUSIONS: Our outcomes strengthen the hypothesis of a progressive and common course of the natural history of endometriosis, which initially may manifest with symptoms, then with signs of pelvic adhesions and finally as adenomyosis, ovarian endometriomas or deep infiltrating endometriosis.
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Cited by (9)
- Perspectives in transvaginal sonography for the diagnosis of adenomyosis 2025
- Ultrasound Follow-Up in young women with severe dysmenorrhea predicts early onset of endometriosis 2025
- Clinical characteristics of endometriosis with and without dysmenorrhea diagnosed by laparoscopy 2025
- Surgical management of cystic adenomyosis (adenomyoma) in a 17-year-old female patient: A clinical case 2025
- Endometriosis in Adolescence: A Narrative Review of the Psychological and Clinical Implications 2025
- Clinical features and perinatal outcomes in women with adenomyosis 2025
- Questionnaire-based screening of adolescents and young adult women can identify markers associated with endometriosis 2024
- The Role of Different Medical Therapies in the Management of Adenomyosis: A Systematic Review and Meta-Analysis 2024
- Prevalence of adenomyosis in symptomatic adolescents and young women: a systematic review and meta-analysis 2024
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