Adolescent Endometriosis in China: A Retrospective Analysis of 63 Cases

Yang, Yunpeng; Wang, Yin; Yang, Jie; Wang, Shu; Lang, Jinghe

doi:10.1016/j.jpag.2012.03.002

Cited by 55 publications

(48 citation statements)

References 15 publications

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“…In our case series published in 2006 54.5% of young girls with endometriosis had stage IV disease; two of these had rectovaginal disease, two had both rectovaginal and uterovesical disease, one had rectosigmoid disease and one ureteric disease [16]. Similarly, other reports gave significant proportion of advanced disease in teenagers with endometriosis (Davis et al [17] 50%, Vicino et al [18] 68.4% and Yang et al [13] 88.9%). The recent report from France showed 40% of 55 adolescents had stage III or IV disease, including 6 girls with deep endometriosis (DE) [11].…”

Section: Clinical Features and Natural Historysupporting

confidence: 58%

“…Ultrasound examination is highly reliable in detecting ovarian endometriomas, but is not helpful with the diagnosis of superficial endometriosis. A pelvic mass was detected in 87% (55/63) in the report from China [13] and 41.8% (23/55) in the French series [11]. Transvaginal or transrectal ultrasound examinations, when possible, may be helpful in identifying deep nodules or adherent ovaries in experienced hands.…”

Section: Diagnosis and Managementmentioning

confidence: 93%

“…The most common type of pain in adolescents with endometriosis is the classical dysmenorrhoea and chronic pelvic pain [11,13]. Adolescents may be more likely to present with non-cyclical pain, unlike adult women with endometriosis, who are more likely to complain of cyclical pain, i.e.…”

Section: Clinical Features and Natural Historymentioning

confidence: 99%

“…Fifteen of the 63 (23.8%) adolescents in a case series from China had a Mullerian anomaly, mostly an obstructive type [13]. Spontaneous resolution of endometriosis has been reported after obstruction to the menstrual flow has been surgically treated [14].…”

mentioning

confidence: 99%

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Adolescent endometriosis

Sarıdoğan

2017

European Journal of Obstetrics & Gynecology and Reproductiv

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Endometriosis is a common finding in adolescents who have a history of chronic pelvic pain or dysmenorrhoea resistant to medical treatment, however the exact prevalence is unknown. Both early/superficial and advanced forms of endometriosis are found in adolescents, including ovarian endometriomas and deep endometriotic lesions. Whilst spontaneous resolution is possible, recent reports suggest that adolescent endometriosis can be a progressive condition, at least in a significant proportion of cases. It is also claimed that deep endometriosis has its roots in adolescence. Optimum treatment is far from clear and long term recurrence is still a significant problem. The most frequently reported treatment approach in the published literature is a combination of surgery and postoperative hormonal treatment with the combined oral contraceptives, progestins, levonorgestrel intrauterine system or gonadotrophin releasing hormone analogues. Use of gonadotrophin releasing hormone analogues and long term progestins should be carefully considered due to concerns over continuing bone formation in this age group. There is currently no consensus as to whether surgery should be avoided as much as possible to prevent multiple operations in the long term, or surgical treatment should be considered at an early stage before more severe lesions develop. Further research is required to determine which approach would offer a better long term outcome.

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Section: Clinical Features and Natural Historysupporting

confidence: 58%

Section: Diagnosis and Managementmentioning

confidence: 93%

Section: Clinical Features and Natural Historymentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Adolescent endometriosis

Sarıdoğan

2017

European Journal of Obstetrics & Gynecology and Reproductiv

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“…A second-look laparoscopy was performed in 34% of the patients for persistent pain. This observation of a high rate of recurrent symptoms in adolescents after surgical treatment of endometriosis has been reported in previous studies [2,3]. The authors state that they advised medical therapy after surgical therapy; how many patients actually received any therapy, and for how long, is unclear.…”

Section: See Related Article On Page 834supporting

confidence: 61%