Questioning patients about their adolescent history can identify markers associated with deep infiltrating endometriosis

Chapron, Charles; Lafay-Pillet, Marie-Christine; Monceau, É.; Borghese, Bruno; Ngô, Charlotte; Souza, Carlos Augusto Bastos de; Ziegler, Dominique de

doi:10.1016/j.fertnstert.2010.10.027

Cited by 125 publications

(91 citation statements)

References 44 publications

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“…17 The importance of endometriosis in patients with a higher educational level was also noted in this study, as 72.7% of patients had been attending high school, which has also been observed by other authors. [17][18][19] We noted that the average time elapsed between onset of symptoms of pain and the diagnostic confirmation was 2.96 ± 2.93 years, varying from six months to four years, and the age of onset of symptoms was 15.28 In over half the cases evaluated in our study, the adolescents had moderate or disabling intensity dysmenorrhea (VAS over 5), with 16 of them being part of their initial complaint. Chronic pelvic pain was also noted in the majority of patients (66.6%).…”

Section: Discussionmentioning

confidence: 61%

Endometriosis is an important cause of pelvic pain in adolescence

Andres

Podgaec

Carreiro³

et al. 2014

Rev. Assoc. Med. Bras.

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Objective: despite endometriosis being a common disease, where early detection is key to preventing its progression, it is a condition often overlooked in adolescents. The aim of this study was to report the clinical characteristics of adolescent patients with endometriosis monitored in a tertiary hospital. Methods: a retrospective study of 394 patients undergoing surgery with a histological diagnosis of endometriosis at the Endometriosis Division of the Gynecology Department at the Hospital das Clínicas of the University of São Paulo Medical School from 2008 to 2013. 21 adolescents were included (aged under 21 years). Results: the age ranged from 17.95 ± 1.48 years, the average time for diagnostic confirmation was 2.96 ± 2.93 years, and the age at the onset of symptoms was 15.28 ± 3.03 years on average. The sites affected were ovarian (38%), peritoneal (47.6%) and retrocervical (23.8%). Dysmenorrhea was found in 80.9 % of adolescents (severe in 33.3% of cases) and chronic pelvic pain in 66.6%. Conclusion: endometriosis in adolescents is an important differential diagnosis from pelvic pain and ovarian cysts, mainly among those with no response to conventional treatment. The main forms of involvement are peritoneal and ovarian. Despite the onset of symptoms in adolescence and advances in imaging methods, the diagnosis of this disease is still delayed.

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Section: Discussionmentioning

confidence: 61%

Endometriosis is an important cause of pelvic pain in adolescence

Andres

Podgaec

Carreiro³

et al. 2014

Rev. Assoc. Med. Bras.

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“…In our patients, after laparoscopic examination 3 out of 4 patients had findings of endometriosis (2/3 with stage I-minimal endometriosis and 1/3 with stage II-mild endometriosis). Endometriosis could be identified early in adolescent years by using clinical findings such as primary dysmenorrhea [17,18]. Although, no endometriotic findings were identified in a case series including 22 adolescents with vaginal malformations [19], in another case series endometriosis was present in 5/18 examined adolescents with vaginal obstructing anomalies [20].…”

Section: Discussionmentioning

confidence: 99%

Management of hematocolpos in adolescents with transverse vaginal septum

Deligeoroglou

Iavazzo

Sofoudis

et al. 2011

Arch Gynecol Obstet

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“…A study by Chapron et al [20] found that women with DE were more likely to have a history of absenteeism from school and that they were more likely to start the COC pill before 18 years of age due to severe dysmenorrhoea. On the basis of these findings, these authors concluded that DE had its roots in adolescence and that endometriosis which started in teenage years progressed to DE in the long term.…”

Section: Clinical Features and Natural Historymentioning

confidence: 99%

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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Questioning patients about their adolescent history can identify markers associated with deep infiltrating endometriosis

Cited by 125 publications

References 44 publications

Endometriosis is an important cause of pelvic pain in adolescence

Endometriosis is an important cause of pelvic pain in adolescence

Management of hematocolpos in adolescents with transverse vaginal septum

Adolescent endometriosis

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