Endometriosis in Adolescents: A Systematic Review

Abstract

sis was first described in teenagers as early as the 1940s (4), early studies suggested that endometriosis was rare during adolescence (5). Since endometriosis can only be diagnosed at laparoscopy, the true prevalence of endometriosis among adolescents remains unknown. Furthermore, there has been limited research on endometriosis in adolescents. The aim of this paper is to present a systematic review of characteristics and management of endometriosis in adolescents. Materials and methods The literature review was done using the electronic database PubMed focusing on the terms 'adolescents', 'endometriosis', 'teenagers', 'pain', 'infertility', 'quality of life', 'medical' and 'surgical management'. The search of literature was set from 1980 onward because the international classification of endometriosis was revised in 1979 by the revised American Fertility Society (rAFS). It was limited to articles in English language that addressed the research question at hand. Articles were only included if they reported original research. The reference lists of all selected articles were reviewed to identify additional papers. Results Abstracts and full manuscripts were reviewed for detailed evaluation after screening the titles and excluding studies that

Mapping the evidence and gaps of interventions for pediatric chronic pain to inform policy, research, and practice: A systematic review and quality assessment of systematic reviews

“…8,37,[41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58] Reviews focused on single populations most frequently examined abdominal pain (n = 10; 21.3%), 10,35,39,40,57,[59][60][61]77,78 headaches or migraines (n = 5; 10.6%), [62][63][64][65][66] rheumatological conditions (e.g., juvenile idiopathic arthritis, lupus; n = 4; 8.5%), [67][68][69][70] cancer-related pain (n = 3; 6.4%), [71][72][73] or sickle cell disease (n = 2; 4.3%). 74,75 Single reviews focused on patellar tendon pain/Osgood-Schlatter's (n = 1; 2.1%), 76 cerebral palsy (n = 1; 2.1%), 80 endometriosis (n = 1; 2.1%), 79 or joint hypermobility/ Ehlers-Danlos/osteogenesis imperfecta (n = 1; 2.1%).…”

“…botanicals (peppermint oil), diet (fiber, lactose avoidance), CBT + biofeedback + fiber ? ?Yeung et al, 201779 NSAIDs, TCAs, SSRIs, trazodone or amitriptyline, cyclobenzaprine, laparoscopy, laparoscopic excision or treatment, surgical ablation or excision, surgery Zernikow et al, 201237 and Häuser et al, 201236 CBT, trauma therapy, family therapy, other psychotherapy, aerobic exercises, qi-gong, psychological + physical therapy -behavioral therapy; -= no studies; NSAID = nonsteroidal anti-inflammatory drug; ?? = unclear/unknown; TCA = tricyclic antidepressants; SSRI = selective serotonin re-uptake inhibitor; FODMAP = fermentable oligosaccharides, disaccharides, monosaccharides and polyols; -= no studies.…”

Dysmenorrhea. How to improve the quality of life?

“…Средний ИМТ составил 22,9±0,74 (18,9) кг/м 2 . Дефицита массы тела не было ни у одной пациентки, нормальная масса тела (ИМТ 18,5-24,9 кг/м 2 ) -у 154 (69%), избыточный вес -у 69 (31%), из них избыток массы тела (ИМТ 25-30 кг/м 2 ) был у 44 (63,8%), ожирение 1-й степени (ИМТ 30-35 кг/м 2 ) -у 14 (20,3%), ожирение 2-й степени (ИМТ 35-40 кг/м 2 ) -у 9 (4,0%), ожирение 3-й степени (ИМТ>40 кг/м 2 ) -у 2 (2,9%).…”

Endometrioma surgery and possibilities of early disease control

“…This delay is attributable to several factors including a puzzling clinical picture such as the presence of both cyclic and acyclic pain [52] , lower proportion of incidental findings (23%) as compared to adults [53] , or lesions which are difficult to identify laparoscopically due to clear color and benign appearances [37] . Yet, up to 80% of adolescents with chronic pelvic pain refractory to medical treatment end up with a diagnosis of endometriosis [54] . Currently, the diagnostic pathway involves presence of relevant symptoms (i.e., chronic pelvic pain, dysmenorrhea), response/no response to medical treatment, and finally diagnostic laparoscopy [37] .…”