Endometriosis in adolescents. Incidence, diagnosis and treatment
Review
OA: closed
CC0
⤵ 47 in-corpus citations
AI-generated summary
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.
One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works
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.
My notes (saved in your browser only)
Condition tags
MeSH descriptors
Citation neighborhood (2-hop)
Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]
Cited by (45)
- Intraoperative Care and Complications of Symptomatic Adolescent and Young Adult Patients Undergoing Laparoscopy to Diagnose and/or to Treat Endometrioses: A Multi-Institutional Review 2025
- Characteristics and Preoperative Management of Adolescent Patients with Pathology-Confirmed Endometriosis: A Multi-Institutional Study 2025
- 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
- Adolescent Endometriosis: An Update 2019
- Is Long-Term Dienogest Treatment Tolerable in Korea? 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
- Paradigm Shift: The Realization of New Medical Alternatives to Surgery for Endometriosis 2016
- Épidémiologie de l’endométriose 2016
- A possible link between dysmenorrhoea and the development of chronic pelvic pain 2014
- Urinary Tract Endometriosis 2012
- Gynecologic Etiologies of Chronic Pelvic Pain 2012
- Dysmenorrhea in adolescents and young adults: an update on pharmacological treatments and management strategies 2012
- Endometriosis e infertilidad 2012
- Pain and endometriosis: Etiology, impact, and therapeutics 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
- Simvastatin induces apoptosis and alters cytoskeleton in endometrial stromal cells 2010
- Clinical Aspects of Endometriosis 2010
- Progression of endometriosis in non-medically managed adolescents: a case series 2010
- Simvastatin protects against the development of endometriosis in a nude mouse model 2009
- 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
- Diagnostik der Endometriose: Neue Tests aus peripherem Blut 2008
- Minimal access surgery in adolescent gynaecology 2008
- Dysmenorrhea in adolescents and young adults: from pathophysiology to pharmacological treatments and management strategies 2008
- Statins inhibit growth of human endometrial stromal cells independently of cholesterol availability 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
- Dysmenorrhea in adolescents and young adults: etiology and management 2006
- Adolescent chronic pelvic pain 2005
- Pelvic pain, ovarian cysts and endometriosis in adolescent girls 2004
- Selected Topics in Adolescent Gynecology 2004
- Adolescent endometriosis: diagnosis and treatment approaches 2003
- Diagnostic delay in women with pain and endometriosis 2003
- Time elapsed from onset of symptoms to diagnosis of endometriosis in a cohort study of Brazilian women 2003
- Diagnostic delay in women with pain and endometriosis 2003
- Avaliação do tempo decorrido entre o inicio dos sintomas e o diagnostico de endometriose 2002
- A contemporary approach to dysmenorrhea in adolescents 2002
- Management quandary. Pelvic pain in an adolescent 2002
Source provenance
- europepmc
- last seen: 2026-10-13T06:10:10.580696+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T20:59:07.345995+00:00
License: CC0
· commercial use OK