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Endometriosis in adolescents.

D L Chatman, A B Ward

    The Journal of Reproductive Medicine
    |March 1, 1982
    PubMed
    Summary

    Endometriosis is not rare in teenagers, with a 65% incidence found in symptomatic adolescents undergoing laparoscopy. Early diagnosis and treatment are crucial for this common condition.

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    Area of Science:

    • Gynecology
    • Adolescent Medicine
    • Surgical Pathology

    Background:

    • Traditional views suggest endometriosis is rare in adolescent populations.
    • Recent studies indicate a higher prevalence, with teenagers comprising 8.5% of endometriosis cases in some series.
    • This challenges established beliefs regarding the disease's occurrence in younger individuals.

    Purpose of the Study:

    • To prospectively analyze the incidence and presentation of endometriosis in symptomatic teenagers.
    • To evaluate the utility of diagnostic laparoscopy in this demographic.
    • To advocate for early diagnosis and aggressive management of endometriosis in adolescents.

    Main Methods:

    • Prospective analysis of 43 consecutive diagnostic laparoscopies in symptomatic teenagers.
    • Systematic evaluation of patient symptoms and physical findings.
    • Documentation of endometriosis incidence during surgical procedures.

    Main Results:

    • A high incidence of 65% for endometriosis was observed in the studied cohort of symptomatic teenagers.
    • Analysis of presenting symptoms and physical examination findings associated with adolescent endometriosis.
    • Laparoscopy proved effective in diagnosing the condition.

    Conclusions:

    • Endometriosis is significantly more common in symptomatic teenagers than previously thought.
    • Diagnostic laparoscopy is recommended for early detection in this age group.
    • Aggressive preventive treatment is advised to mitigate the long-term impact of this potentially debilitating illness.

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