Preface

A silent and debilitating disease, endometriosis has long been thought to affect mostly adult women. However, it does not discriminate against age. Rates of video laparoscopically confirmed endometriosis among adolescent females with pelvic pain ranging from 19% to 73% [1–3] as well as roughly 10–15% of all reproductive-aged women and approximately 35–50% of women with pelvic pain and infertility. Lack of awareness by both physicians and patients can lead to delayed diagnosis and potentially erroneous recommendations. Ill advice, such as “diet has nothing to do with endometriosis” or referring a patient to a psychiatrist because her severe pain is not responding to a particular treatment, can have devastating long-term consequences particularly in adolescents. Women with endometriosis have been shown to have higher likelihoods of prolonged use of opioids and concomitant use with benzodiazepines compared to women without endometriosis [4]. “How much or how bad is my endometriosis?” Let’s put it like this, a little bit of cyanide or a lot of cyanide is not good. —Ceana H. Nezhat MD Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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