Endometriosis in pediatric and adolescent gynecology

Skrzypulec, Violetta, Drosdzol, Agnieszka
1970 · W6981533970
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This article identifies endometriosis as the leading cause of chronic pelvic pain in adolescent girls, accounting for 50-70% of cases that do not respond to initial medical therapies. It outlines diagnostic protocols involving imaging and mandatory laparoscopy for treatment-resistant patients, while recommending a range of interventions from hormonal pharmacotherapy to surgical excision. The authors emphasize that early diagnosis during adolescence is critical for reducing disease progression and preventing future infertility. This paper is centrally about endometriosis — specifically its presentation, diagnosis, and management in pediatric and adolescent populations.

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Abstract

Endometrioza jest najczstsz przyczyn przewlekego blu miednicy mniejszej u dziewczt (50-70%), nieustpujcego po zastosowaniu doustnych lekw antykoncepcyjnych i niesterydowych lekw przeciwzapalnych
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Abstract

Abstract Endometriosis is the most common cause of chronic pelvic pain in adolescent girls (50-70%), unresponsive to treatment of oral contraceptives and non-steroidal anti-inflammatory drugs. The most common symptoms of the disease are: acquired or progressive dysmenorrhea, acyclic and cyclic pain, dyspareunia (in sexually active girls), urological symptoms and gastrointestinal complaints. When evaluating an adolescent with suspected endometriosis, a gynecological examination (rectal or vaginal examination) and imaging studies (ultrasonography, magnetic resonance) should be performed. Moreover, in diagnostic process laparoscopy should be carried out in all girls and teenagers with chronic pelvic pain unresponsive to medical treatment. Initial therapy of endometriosis in adolescent girls involves: surgical methods (laparoscopy/laparotomy), hormonal pharmacotherapy (combined contraceptives, progestin-only protocols), GnRH agonists (adolescents over 16 years of age), non-steroidal anti-inflammatory drugs, alternative pain therapies and psychotherapy. Early diagnosis and treatment during adolescence may decrease disease progression and prevent subsequent infertility.

Keywords

endometriosistreatment - contraceptives - oraltreatment - GnRH agonists

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endometriosis

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last seen: 2026-05-13T18:16:27.922241+00:00
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