Teen-age endometriosis

Management of hematocolpos in adolescents with transverse vaginal septum

“…It was believed that it is a disease seen in women after 5 years of menstruation, however it has been documented that it could be seen even in premenarcheal girls [14]. 11-40% of cases with endometriosis before 20 years of age is correlated with the presence of mullerian anomalies [15,16]. For this reason, we performed laparoscopy in all women in order to identify their status regarding endometriosis, although such a condition usually resolves after the septum's removal.…”

Laparoscopic Hemihysterectomy for Uterus Didelphys Following Laparotomy

“…24 In a series of 15 patients younger than 20 years with endometriosis, 40% also had a müllerian anomaly. 25 In contrast, Goldstein and colleagues 26 found that, of 74 cases of endometriosis diagnosed at laparoscopy in adolescents, only 11% were associated with a müllerian anomaly. Once the outflow tract obstruction has been corrected, the endometriosis also resolves without further treatment.…”

Endometriosis from thelarche to midteens: pathogenesis and prognosis, prevention and pedagogy

“…47 Nevertheless, to detect the infrequent ovarian endometrioma, as well as the rare ovarian malignancy, sonographic imaging should be considered selectively in adolescents with a pelvic mass or enlarged ovary. 2,4,36,48 …”

“…From the historical perspective of the senior author, who accompanied Vincent Capraro on pediatric and adolescent gynecology consultations at Buffalo Children's Hospital in 1962-1963, and accompanied Somers Sturgis at his weekly consultations at the Adolescent Unit of the Boston Children's Hospital Medical Center in 1963-1964, the focus on adolescent endometriosis has moved from nonrecognition, 1 random case reports, 2,3 and case series associated with and without outflow obstruction, [4][5][6] to recognition of endometriosis five months after menarche in an adolescent without outflow obstruction, 7 to the diagnosis of endometriosis before menarche, 8 to recognition of the Tanner classification of breast development as a guide to age-specific medical therapy, 9,10 to the first efforts toward disease-specific and prognosis-specific diagnoses. 11,12 In sum, adolescents with endometriosis have benefited from four decades of research.…”