Adolescent endometriosis

Ertan Sarıdoğan, Sarıdoğan E
European journal of obstetrics, gynecology, and reproductive biology · 2016 · vol. 209 , pp. 46–49 · doi:10.1016/j.ejogrb.2016.05.019 · PMID:27342684 · W4230403433
article OA: closed CC0 ⤵ 41 in-corpus citations
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This paper discusses adolescent endometriosis, examining its prevalence, diagnostic challenges, and therapeutic approaches in young individuals.

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Abstract

Endometriosis is a common finding in adolescents who have a history of chronic pelvic pain or dysmenorrhoea resistant to medical treatment, however the exact prevalence is unknown. Both early/superficial and advanced forms of endometriosis are found in adolescents, including ovarian endometriomas and deep endometriotic lesions. Whilst spontaneous resolution is possible, recent reports suggest that adolescent endometriosis can be a progressive condition, at least in a significant proportion of cases. It is also claimed that deep endometriosis has its roots in adolescence. Optimum treatment is far from clear and long term recurrence is still a significant problem. The most frequently reported treatment approach in the published literature is a combination of surgery and postoperative hormonal treatment with the combined oral contraceptives, progestins, levonorgestrel intrauterine system or gonadotrophin releasing hormone analogues. Use of gonadotrophin releasing hormone analogues and long term progestins should be carefully considered due to concerns over continuing bone formation in this age group. There is currently no consensus as to whether surgery should be avoided as much as possible to prevent multiple operations in the long term, or surgical treatment should be considered at an early stage before more severe lesions develop. Further research is required to determine which approach would offer a better long term outcome.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Pelvic Pain Adolescent Contraceptives, Oral, Combined Contraceptives, Oral, Combined Disease Management Endometriosis Endometriosis Female Humans Intrauterine Devices, Medicated Levonorgestrel Levonorgestrel Pelvic Pain Pelvic Pain

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.

References (26)

Cited by (40)

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License: CC0 · commercial use OK