Clinical profile and symptoms of young women aged 10–24 years diagnosed with pelvic endometriosis: a 5-year experience of a tertiary hospital in the Philippines

Cialuj Teza A. Agbayani Cruz, Mikaela Erlinda M. Bucu
In: Journal of Endometriosis and Uterine Disorders · 2024 · vol. 8 , pp. 100085 · doi:10.1016/j.jeud.2024.100085 · W4400000157
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This study characterized the clinical profiles and symptoms of 50 young Filipino women aged 11-24 with pelvic endometriosis, finding cyclic pelvic pain as the most common symptom.

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Abstract

Data on pelvic endometriosis among young women in the Philippines remains scarce. This study aims to describe the clinical profile and symptoms of Filipino young women aged 10–24 years old diagnosed with pelvic endometriosis in the Philippine General Hospital from 2015 to 2019. A chart review was conducted among young women aged 10–24 years with a clinical and sonologic diagnosis and/or a histologic diagnosis of pelvic endometriosis. Clinical presentation, severity of disease, and management received were described. A total of 50 young women were included in the study, aged between 11 and 24 years. Majority had menarche while 3 patients were premenarchal. Eighty-six percent were nulligravid. The most common co-morbidities were polycystic ovary syndrome and bronchial asthma. Cyclic pelvic pain was the most common symptom (42%) followed by acyclic pelvic pain (24%) and heavy menstrual bleeding (24%). Half of the patients were treated using non-steroidal anti-inflammatory drugs (NSAIDS) (61%) and combined oral contraceptives (COCs) (39%). Younger women who underwent laparoscopy showed clear vesicular or white fibrotic lesions. Young Filipino women can have pelvic endometriosis that range from mild to moderate disease and should therefore be considered in those who complain of severe pelvic pain that occurs prior or within the first 6 years of menarche. The mean time from experience of first symptom to diagnosis is 1 year. Seeing an obstetrician gynecologist for the first consult shortens diagnostic delay.

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endometriosis

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