Endometriosis in adolescents. Incidence, diagnosis and treatment.
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This review examines endometriosis in adolescents, finding it a common cause of chronic pelvic pain and recommending surgical resection followed by hormonal management as initial treatment.
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Abstract
OBJECTIVE: To review the incidence and diagnosis of endometriosis in adolescents and to evaluate the surgical and medical treatment options for this special population. STUDY DESIGN: Literature research. RESULTS: Endometriosis is the most common cause of chronic pelvic pain in adolescents, affecting up to 70% of girls with chronic pelvic pain unresponsive to medical management. There may be a natural progression of endometriosis from atypical lesions in adolescents to classic lesions in adults. CONCLUSION: Endometriosis should be strongly suspected in adolescent girls with chronic pelvic pain unresponsive to oral contraceptives and nonsteroidal antiinflammatory drugs. Initial management of endometriosis involves surgical resection or destruction at the time of diagnosis followed by medical management with continuous oral contraceptives. Gonadotropin-releasing hormone agonists should be considered for adolescents over 16 years of age who have completed pubertal maturation.
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Cited by (47)
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- Comparison of Efficacy and Safety between Dienogest and Danazol in Women with Endometriosis 2022
- Pelvic Pain Arising from Pelvic Congestion Syndrome 2021
- Endometriosis in Adolescent Girls 2020
- Is Long-Term Dienogest Treatment Tolerable in Korea? 2019
- Adolescent Endometriosis: An Update 2019
- Impact of coping strategies on quality of life of adolescents and young women with endometriosis 2018
- Endometriosis: Correlation of Severity of Pain with Stages of Disease 2017
- Épidémiologie de l’endométriose 2016
- Paradigm Shift: The Realization of New Medical Alternatives to Surgery for Endometriosis 2016
- A possible link between dysmenorrhoea and the development of chronic pelvic pain 2014
- Gynecologic Etiologies of Chronic Pelvic Pain 2012
- Pain and endometriosis: Etiology, impact, and therapeutics 2012
- Dysmenorrhea in adolescents and young adults: an update on pharmacological treatments and management strategies 2012
- Endometriosis e infertilidad 2012
- Urinary Tract Endometriosis 2012
- Chronic and Recurrent Pelvic Pain 2011
- Complete laparoscopic excision of endometriosis in teenagers: is postoperative hormonal suppression necessary? 2011
- Helping “Adult Gynecologists” Diagnose and Treat Adolescent Endometriosis: Reflections on My 20 Years of Personal Experience 2011
- Pelvic Pain in Adolescents 2011
- Progression of Endometriosis in Non-medically Managed Adolescents: A Case Series 2010
- Clinical Aspects of Endometriosis 2010
- Simvastatin Induces Apoptosis and Alters Cytoskeleton in Endometrial Stromal Cells 2010
- Uterus didelphys and obstructed right hemivagina associated with ipsilateral ovarian endometriosis and renal agenesis 2009
- Correlation of high-risk human papilloma viruses but not of herpes viruses or Chlamydia trachomatis with endometriosis lesions 2009
- Simvastatin Protects against the Development of Endometriosis in a Nude Mouse Model 2009
- Dysmenorrhea in adolescents and young adults: from pathophysiology to pharmacological treatments and management strategies 2008
- Minimal access surgery in adolescent gynaecology 2008
- Diagnostik der Endometriose: Neue Tests aus peripherem Blut 2008
- Statins Inhibit Growth of Human Endometrial Stromal Cells Independently of Cholesterol Availability1 2006
- Dysmenorrhea in Adolescents and Young Adults: Etiology and Management 2006
- Health-related quality of life burden of women with endometriosis: a literature review 2006
- Economic burden of endometriosis 2006
- Adolescent Endometriosis-Related Pelvic Pain Treated with Acupuncture: Two Case Reports 2006
- Adolescent Chronic Pelvic Pain 2005
- Directive clinique de consensus sur la dysménorrhée primaire 2005
- Pelvic pain, ovarian cysts and endometriosis in adolescent girls 2004
- Selected Topics in Adolescent Gynecology 2004
- Time elapsed from onset of symptoms to diagnosis of endometriosis in a cohort study of Brazilian women 2003
- Adolescent Endometriosis 2003
- Diagnostic delay in women with pain and endometriosis 2003
- Diagnostic delay in women with pain and endometriosis 2003
- A Contemporary Approach to Dysmenorrhea in Adolescents 2002
- Avaliação do tempo decorrido entre o inicio dos sintomas e o diagnostico de endometriose 2002
- Pelvic Pain in an Adolescent 2002
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