Adolescent Endometriosis: Report of a Series of 55 Cases With a Focus on Clinical Presentation and Long-Term Issues

Audebert, A; Lecointre, Lise; Afors, Karolina; Koch, A.; Wattiez, Arnaud; Akladios, Chérif

doi:10.1016/j.jmig.2015.04.001

Cited by 59 publications

(40 citation statements)

References 44 publications

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“…In a recent report from France, five of 55 (9%) girls aged between 12 and 19 years had a history of infertility [11].…”

Section: Clinical Features and Natural Historymentioning

confidence: 97%

“…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%

“…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 Historymentioning

confidence: 99%

“…For this reason some authors believe that teenage endometriosis is a progressive disease [14]. The recent French case series [11] reports rather interesting follow up data from 50 adolescents on progress; in addition to the initial diagnosis of six DE cases, nine more patients were found to have developed DE at repeat laparoscopy. Furthermore, three (50%) of the original six patients later developed recurrent DE, giving a total of 12 cases with DE during follow up.…”

Section: Clinical Features and Natural Historymentioning

confidence: 99%

“…A positive family history may be found more frequently in adolescents with endometriosis, a number of case series reporting a first degree relative with endometriosis in 25-30% of the patients [11,12].…”

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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“…In a recent report from France, five of 55 (9%) girls aged between 12 and 19 years had a history of infertility [11].…”

Section: Clinical Features and Natural Historymentioning

confidence: 97%

Section: Clinical Features and Natural Historymentioning

confidence: 99%

Section: Clinical Features and Natural Historymentioning

confidence: 99%

Section: Clinical Features and Natural Historymentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Adolescent endometriosis

Sarıdoğan

2017

European Journal of Obstetrics & Gynecology and Reproductiv

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An evidence‐based approach to assessing surgical versus clinical diagnosis of symptomatic endometriosis

Taylor

Adamson

Diamond

et al. 2018

Intl J Gynecology & Obste

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Challenges intrinsic to the accurate diagnosis of endometriosis contribute to an extended delay between the onset of symptoms and clinical confirmation. Intraoperative visualization, preferably with histologic verification, is considered by many professional organizations to be the gold standard by which endometriosis is diagnosed. Clinical diagnosis of symptomatic endometriosis via patient history, physical examination, and noninvasive tests, though more easily executed, is generally viewed as less accurate than surgical diagnosis. Technological advances and increased understanding of the pathophysiology of endometriosis warrant continuing reevaluation of the standard method for diagnosing symptomatic disease. A review of the published literature was therefore performed with the goal of comparing the accuracy of clinical diagnostic measures with that of surgical diagnosis. The current body of evidence suggests that clinical diagnosis of symptomatic endometriosis is more reliable than previously recognized and that surgical diagnosis has limitations that could be underappreciated. Regardless of the methodology used, women with suspected symptomatic endometriosis would be well served by a diagnostic paradigm that is reliable, conveys minimal risk of under- or over-diagnosis, lessens the time from symptom development to diagnosis, and guides the appropriate use of medical and surgical management strategies.

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