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[Endometriosis in adolescence - characteristic features].
Akusherstvo I Ginekologiia
|April 6, 2001
Summary
Endometriosis often begins 3-4 years post-menarche, particularly in young females with congenital abnormalities or early menarche. Diagnosis involves non-invasive methods like sonography and CA-125, alongside invasive laparoscopy for definitive assessment.
Area of Science:
- Gynecology
- Reproductive Medicine
- Pediatric Surgery
Background:
- Endometriosis is a condition where uterine lining-like tissue grows outside the uterus.
- Early onset of endometriosis is observed in adolescents, often linked to specific risk factors.
- Understanding the typical presentation and diagnostic pathways is crucial for timely intervention.
Purpose of the Study:
- To retrospectively analyze the onset and characteristics of endometriosis in young females.
- To identify key diagnostic methods for endometriosis in this age group.
Main Methods:
- Retrospective analysis of patient data.
- Non-invasive diagnostics: Sonography and CA-125 tumor marker.
- Invasive diagnostics: Laparoscopy.
Main Results:
- Endometriosis onset typically occurs 3-4 years after menarche.
- Common in girls aged 12-20 with congenital uterine/urinary tract abnormalities or early menarche (before age 11).
- Primary sites include sacrouterine ligaments and pelvic peritoneum; red lesions are predominant.
- Symptoms include cyclic menstrual pain, nausea, vomiting, and abdominal pain.
Conclusions:
- Endometriosis in adolescents has a characteristic onset and presentation.
- Congenital abnormalities and early menarche are significant risk factors.
- A combination of non-invasive and invasive methods aids in diagnosis.