Endometriosis in the adolescence: a six year follow-up in the General Hospital of Medellín

Catalina Cuervo Valencia, Carolina Toro Navarrete, Carolina Saldarriaga, Adriana Arango Martínez
In: MedUNAB, Vol 10, Iss 1, Pp 33-37 (2007) · 2007 · W4292690370
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This retrospective study of 34 adolescents diagnosed with endometriosis between 1998-2003 found an incidence of 2.7%, with dysmenorrhea and chronic pelvic pain as primary complaints, and laparoscopy and oral contraceptives as common treatments.

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This descriptive, retrospective longitudinal study followed 34 female patients aged 11–22 who were diagnosed with endometriosis in 1998–2003 at the General Hospital of Medellín and had at least two evaluations with complementary diagnostic studies. The authors reported an incidence of 2.7%, with dysmenorrhea and chronic pelvic pain as the main complaints, menstrual cycle alterations in 41.2%, and a largely normal physical exam in 32.4%; laparoscopy was the most used surgical diagnostic/therapeutic approach and oral contraceptives were the main medical treatment. Over the follow-up period, symptoms improved in 55.9% of patients, with the key limitation being the small sample size and retrospective design based on records from a single hospital. This paper is centrally about endometriosis — it describes incidence, clinical manifestations, diagnosis, treatment, and symptom follow-up in adolescents with endometriosis.

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Abstract

Background: Endometriosis is a disease that can get to be highlyincapacitating and with lethal consequences in the reproductive future of women. Objective: To know the incidence and to describe theclinical manifestations, diagnosis and treatment in a specific population group. Methodology: Descriptive, retrospective, longitudinal study in 34 patients, whose criteria of inclusion were: female sex, age between 11 and 22, diagnosis of endometriosis between 1,998 and 2,003 HGM (Medellin General Hospital) and having attended to a minimum of two evaluations where complementary diagnostic studies were asked for. Results: The found incidence was 2.7%. The main complaints were dysmenorrhea and chronic pelvic pain.41.2% of the studied patients referred at least one alteration in their menstrual cycles; the physical examination was normal in 32.4%.Laparoscopy was the most used surgical diagnostic and therapeuticmethod. The main medical treatment was the oral contraceptives(ACOs). During the follow-up period, symptoms improved in 55.9%of the patients. Conclusion: Endometriosis is a frequent pathologyin the gynecological consultation. The pain was the main reason forconsultation and it is the most frequent fi nding of clinical examination. The laparoscopy and the ACOs are part of the first class handling, showing improvement of the symptoms in most of the studied group.
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MedUNAB (May 2007) Endometriosis in the adolescence: a six year follow-up in the General Hospital of Medellín Abstract Background: Endometriosis is a disease that can get to be highlyincapacitating and with lethal consequences in the reproductive future of women. Objective: To know the incidence and to describe theclinical manifestations, diagnosis and treatment in a specific population group. Methodology: Descriptive, retrospective, longitudinal study in 34 patients, whose criteria of inclusion were: female sex, age between 11 and 22, diagnosis of endometriosis between 1,998 and 2,003 HGM (Medellin General Hospital) and having attended to a minimum of two evaluations where complementary diagnostic studies were asked for. Results: The found incidence was 2.7%. The main complaints were dysmenorrhea and chronic pelvic pain.41.2% of the studied patients referred at least one alteration in their menstrual cycles; the physical examination was normal in 32.4%.Laparoscopy was the most used surgical diagnostic and therapeuticmethod. The main medical treatment was the oral contraceptives(ACOs). During the follow-up period, symptoms improved in 55.9%of the patients. Conclusion: Endometriosis is a frequent pathologyin the gynecological consultation. The pain was the main reason forconsultation and it is the most frequent fi nding of clinical examination. The laparoscopy and the ACOs are part of the first class handling, showing improvement of the symptoms in most of the studied group.

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endometriosischronic_pelvic_paindysmenorrhea

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