Evaluation of combined endoscopic and pharmaceutical management of endometriosis during adolescence.
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This study evaluated the efficacy of combined endoscopic surgery and pharmaceutical treatments (Danazol, GnRH analogues, oral contraceptives) for adolescent endometriosis.
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Abstract
Laparoscopy is the most frequent surgical approach in gynecologic patients with acute or chronic pelvic pain. The symptomatology is frequently related to a specific gynecological pathology such as endometriosis or associated adhesive disease. During an eight year period, January 1990 to December 1997, 26 patients (aged 16-20 years) with endometriosis were diagnosed endoscopically and managed pharmaceutically in our clinic. The disease was evaluated and staged according to the American Society of Reproductive Medicine. The disease was evaluated as first stage in 16 patients (61.6%), as second stage in eight patients (30.8%), as third stage in one patient (3.8%) and as fourth stage in one patient (3.8%). Patients underwent adhesiolysis and management according to their laparoscopic findings. Postoperative pharmaceutical treatment (Danazol, GnRH analogues, Oral Contraceptives) was given. Patients were followed for the evaluation of the treatment. The efficacy of the combination of endoscopic and pharmaceutical management of the disease is discussed.
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Cited by (6)
- Ovarian Endometrioma in an 11-Year-Old Girl before Menarche: A Case Study with Literature Review 2011
- Endométriose et adolescente 2006
- Clinical approach for Iranian patients with endometriosis 2004
- Pelvic pain, ovarian cysts and endometriosis in adolescent girls 2004
- Endometriosis from thelarche to midteens: pathogenesis and prognosis, prevention and pedagogy 2003
- Endometriosis 2003
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