Endometriosis in adolescents--analysis of 6 cases.

OBJECTIVE: To study the characteristics, diagnosis and treatment of endometriosis in adolescent patients. METHOD: Six cases of adolescent endometriosis in our hospital were reviewed retrospectively. RESULT: Endometriosis is the most common cause of chronic pelvic pain in adolescents. There may be a natural progression of endometriosis from atypical lesions in adolescents to classic lesions in adults. Congenital abnormalities of the reproductive tract are the main reasons for the adolescent endometriosis. CONCLUSION: Endometriosis should be strongly suspected in adolescent girls with chronic pelvic pain, especially unresponsive to oral contraceptives and nonsteroidal anti-inflammatory drugs. The treatment involves the operations and medicines.