Adolescence endometriosis diagnosis and treatment

The incidence rate of adolescence endometriosis ranges from 19% to 73%;BMI and menstrual are its two major risk factors.The diagnosis rate of adolescence endometriosis is not high in China,both patients and doctors need to get attention.Early diagnosis and treatment can block the development of the disease and the incidence of infertility,more meaningful to adolescent patients.The pathogenesis is of a variety of theories,mainly related to the abnormalities of Mullerian structure.The earliest age of onset is just before menarche when the breast began to develop.The main symptoms are periodic and non-periodic abdominal pain,may be associated with the gastrointestinal tract and bladder symptoms,and irregular menstruation.Atypical lesions are the mainly pathology.The most common lesion is the rectal uterine pouch.Ultrasound can be used as the first choice of teenagers with chronic pelvic pain,and MRI have important diagnostic value on adolescent reproductive tract abnormalities.Serum CA125 levels can be used to assist in the diagnosis,serum CA199 level is usually as a therapeutic effect monitoring indicators;Laparoscopy is the best method of diagnosis and treatment.Medication,the same time combined with psychotherapy and comprehensive treatment should be used after operation until the completion of childbearing.