Clinical Evaluation and Preoperative Considerations in Adolescent Girls with Endometriosis

Endometriosis is an important cause of pelvic pain among adolescent girls. A thorough history, physical exam, and a strong index of suspicion are required for a timely diagnosis. A 6-month trial of NSAIDs and hormonal therapy are recommended prior to consideration of laparoscopy for a definitive diagnosis and surgical management of this chronic disease. An understanding of the variable appearance of endometriosis at the time of surgery is key to solidifying the diagnosis. Long-term hormonal therapy following confirmation and surgical management of endometriosis by a skilled gynecologist or pediatric surgeon is recommended to reduce risk of disease recurrence and progression. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

Nezhat C, Nezhat F, Nezhat C. Endometriosis: ancient disease, ancient treatments. Fertil Steril. 2012;98(6 Suppl):S1–62. Giudice LC, Kao LC. Endometriosis. Lancet (London, England). 2004;364(9447):1789–99. Practice Committee of American Society for Reproductive M. Treatment of pelvic pain associated with endometriosis. Fertil Steril. 2008;90(5 Suppl):S260–9. Templeman C. Adolescent endometriosis. Curr Opin Obstet Gynecol. 2012;24(5):288–92. Hardin AP, Hackell JM. Age limit of pediatrics. Pediatrics. 2017;140(3):e20172151. Janssen EB, Rijkers AC, Hoppenbrouwers K, Meuleman C, D'Hooghe TM. Prevalence of endometriosis diagnosed by laparoscopy in adolescents with dysmenorrhea or chronic pelvic pain: a systematic review. Hum Reprod Update. 2013;19(5):570–82. Marsh EE, Laufer MR. Endometriosis in premenarcheal girls who do not have an associated obstructive anomaly. Fertil Steril. 2005;83(3):758–60. Gogacz M, Sarzynski M, Napierala R, Sierocinska-Sawa J, Semczuk A. Ovarian endometrioma in an 11-year-old girl before menarche: a case study with literature review. J Pediatr Adolesc Gynecol. 2012;25(1):e5–7. Signorile PG, Baldi A. Endometriosis: new concepts in the pathogenesis. Int J Biochem Cell Biol. 2010;42(6):778–80. Andres Mde P, Podgaec S, Carreiro KB, Baracat EC. Endometriosis is an important cause of pelvic pain in adolescence. Rev Assoc Med Bras (1992). 2014;60(6):560–4. Sampson JA. Peritoneal endometriosis due to the menstrual dissemination of endometrial tissue into the peritoneal cavity. Am J Obstet Gynecol. 1927;14(4):422–69. Song AH, Advincula AP. Adolescent chronic pelvic pain. J Pediatr Adolesc Gynecol. 2005;18(6):371–7. Laufer MR. Premenarcheal endometriosis without an associated obstructive anomaly: presentation, diagnosis, and treatment. Fertil Steril. 2000;74(3):S15. 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(4):199–202. Dessole M, Melis GB, Angioni S. Endometriosis in adolescence. Obstet Gynecol Int. 2012;2012:869191. Benagiano G, Guo SW, Puttemans P, Gordts S, Brosens I. Progress in the diagnosis and management of adolescent endometriosis: an opinion. Reprod Biomed Online. 2018;36(1):102–14. Al-Jefout M, Nawaiseh N. Continuous norethisterone acetate versus cyclical drospirenone 3 mg/ethinyl estradiol 20 mug for the management of primary dysmenorrhea in young adult women. J Pediatr Adolesc Gynecol. 2016;29(2):143–7. Simpson JL, Elias S, Malinak LR, Buttram VC Jr. Heritable aspects of endometriosis. I. Genetic studies. Am J Obstet Gynecol. 1980;137(3):327–31. Committee Opinion No ACOG. 760: dysmenorrhea and endometriosis in the adolescent. Obstet Gynecol. 2018;132(6):e249–e58. Dovey S, Sanfilippo J. Endometriosis and the adolescent. Clin Obstet Gynecol. 2010;53(2):420–8. Balik G, Ustuner I, Kagitci M, Sahin FK. Is there a relationship between mood disorders and dysmenorrhea? J Pediatr Adolesc Gynecol. 2014;27(6):371–4. Nur Azurah AG, Sanci L, Moore E, Grover S. The quality of life of adolescents with menstrual problems. J Pediatr Adolesc Gynecol. 2013;26(2):102–8. Laufer MR. Helping “adult gynecologists” diagnose and treat adolescent endometriosis: reflections on my 20 years of personal experience. J Pediatr Adolesc Gynecol. 2011;24(5 Suppl):S13–7. Vercellini P, De Giorgi O, Aimi G, Panazza S, Uglietti A, Crosignani PG. Menstrual characteristics in women with and without endometriosis. Obstet Gynecol. 1997;90(2):264–8. Saridogan E. Adolescent endometriosis. Eur J Obstet Gynecol Reprod Biol. 2017;209:46–9. Harel Z. Dysmenorrhea in adolescents and young adults: etiology and management. J Pediatr Adolesc Gynecol. 2006;19(6):363–71. Laufer MR, Sanfilippo J, Rose G. Adolescent endometriosis: diagnosis and treatment approaches. J Pediatr Adolesc Gynecol. 2003;16(3):S3–S11. Dun EC, Kho KA, Morozov VV, Kearney S, Zurawin JL, Nezhat CH. Endometriosis in adolescents. JSLS. 2015;19(2). Revised American Society for Reproductive Medicine classification of endometriosis: 1996. Fertil Steril. 1997;67(5):817–21. Laufer MR. Identification of clear vesicular lesions of atypical endometriosis: a new technique. Fertil Steril. 1997;68(4):739–40. Duffy JM, Arambage K, Correa FJ, Olive D, Farquhar C, Garry R, et al. Laparoscopic surgery for endometriosis. Cochrane Database Syst Rev. 2014(4):Cd011031. Pundir J, Omanwa K, Kovoor E, Pundir V, Lancaster G, Barton-Smith P. Laparoscopic excision versus ablation for endometriosis-associated pain: an updated systematic review and meta-analysis. J Minim Invasive Gynecol. 2017;24(5):747–56. Healey M, Cheng C, Kaur H. To excise or ablate endometriosis? A prospective randomized double-blinded trial after 5-year follow-up. J Minim Invasive Gynecol. 2014;21(6):999–1004. Hart RJ, Hickey M, Maouris P, Buckett W. Excisional surgery versus ablative surgery for ovarian endometriomata. Cochrane Database Syst Rev. 2008(2):Cd004992. Fedele L, Bianchi S, Zanconato G, Bettoni G, Gotsch F. Long-term follow-up after conservative surgery for rectovaginal endometriosis. Am J Obstet Gynecol. 2004;190(4):1020–4. Gambone JC, Mittman BS, Munro MG, Scialli AR, Winkel CA. Consensus statement for the management of chronic pelvic pain and endometriosis: proceedings of an expert-panel consensus process. Fertil Steril. 2002;78(5):961–72. Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2020 Springer Nature Switzerland AG About this chapter Cite this chapter Chuba, N., Pasic, R. (2020). Clinical Evaluation and Preoperative Considerations in Adolescent Girls with Endometriosis. In: Nezhat, C.H. (eds) Endometriosis in Adolescents. 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