Related Experiment Video
Updated: Apr 23, 2026
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Advanced stage endometriosis in adolescents and young women
Noam Smorgick1, Sawsan As-Sanie1, Courtney A Marsh1
1Department of Obstetrics and Gynecology, University of Michigan Health System, Ann Arbor, MI.
Study Objective:
To describe the prevalence and characteristics of advanced stage endometriosis in adolescents and young women treated in a tertiary referral center.
Design:
Retrospective cohort.
Setting:
Tertiary referral center.
Patients And Interventions:
86 adolescents and young women (≤22 y) who underwent surgery for endometriosis. The operative reports were reviewed for endometriosis stage, surgical findings, surgical procedures, and pathology.
Main Outcome Measures:
Endometriosis stage reported according to the revised American Fertility Society classification.
Results:
Early stage endometriosis (stage I or II) was found in 66 (76%) and advanced stage endometriosis (stage III or IV) in 20 (23%). The surgical findings in the 20 patients with advanced stage endometriosis included ovarian endometriomas in 14 cases, rectovaginal nodule in 1 case, and diaphragmatic and pulmonary endometriosis in 1 case. Women with advanced stage endometriosis were found to be slightly older at time of diagnosis than those with early stage disease (mean age 20.4 ± 1.4 y vs 18.7 ± 2.2 y respectively, P < .001).
Conclusion:
In adolescents and young women with endometriosis, advanced stage disease is not uncommon. The main presentation of advanced stage endometriosis in this age group is ovarian endometriomas rather than extensive peritoneal or adhesive disease.
More Related Videos
07:20Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
Published on: December 21, 2012
08:07Establishment of an Experimental Mouse Model of Endometrioma to Study its Related Infertility
Published on: April 5, 2024
Related Concept Videos
02:07Oogenesis
01:24Disorders of the Female Reproductive System
01:28Infertility in Females
Endometriosis, a condition characterized by abnormal growth of...
01:30Hormonal Control of the Ovarian Cycle
Before puberty, the hypothalamus releases GnRH in a low frequency, low amplitude pulsatile manner. This along with the immature hypothalamic-pituitary-gonadal axis activity, results in low estrogen levels and the absence of a fully functional ovarian cycle. At puberty, GnRH secretion increases in both frequency and...