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Endometriosis in Adolescents

BACKGROUND AND OBJECTIVES: Women with endometriosis often report onset of symptoms during adolescence; however, the diagnosis of endometriosis is often delayed. The aim of this study was to describe the experience of adolescents who underwent laparoscopy for pelvic pain and were diagnosed with endom...

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Autores principales: Dun, Erica C., Kho, Kimberly A., Morozov, Vadim V., Kearney, Susan, Zurawin, Jonathan L., Nezhat, Ceana H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4432718/
https://www.ncbi.nlm.nih.gov/pubmed/26005317
http://dx.doi.org/10.4293/JSLS.2015.00019
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author Dun, Erica C.
Kho, Kimberly A.
Morozov, Vadim V.
Kearney, Susan
Zurawin, Jonathan L.
Nezhat, Ceana H.
author_facet Dun, Erica C.
Kho, Kimberly A.
Morozov, Vadim V.
Kearney, Susan
Zurawin, Jonathan L.
Nezhat, Ceana H.
author_sort Dun, Erica C.
collection PubMed
description BACKGROUND AND OBJECTIVES: Women with endometriosis often report onset of symptoms during adolescence; however, the diagnosis of endometriosis is often delayed. The aim of this study was to describe the experience of adolescents who underwent laparoscopy for pelvic pain and were diagnosed with endometriosis: specifically, the symptoms, time from onset of symptoms to correct diagnosis, number and type of medical professionals seen, diagnosis, treatment, and postoperative outcomes. METHODS: We reviewed a series of 25 females ≤21 years of age with endometriosis diagnosed during laparoscopy for pelvic pain over an 8-year period. These patients were followed up for 1 year after surgery. RESULTS: The mean age at the time of surgery was 17.2 (2.4) years (range, 10–21). The most common complaints were dysmenorrhea (64%), menorrhagia (44%), abnormal/irregular uterine bleeding (60%), ≥1 gastrointestinal symptoms (56%), and ≥1 genitourinary symptoms (52%). The mean time from the onset of symptoms until diagnosis was 22.8 (31.0) months (range, 1–132). The median number of physicians who evaluated their pain was 3 (2.3) (range, 1–12). The adolescents had stage I (68%), stage II (20%), and stage III (12%) disease. Atypical endometriosis lesions were most commonly observed during laparoscopy. At 1 year, 64% reported resolved pain, 16% improved pain, 12% continued pain, and 8% recurrent pain. CONCLUSIONS: Timely referral to a gynecologist experienced with laparoscopic diagnosis and treatment of endometriosis is critical to expedite care for adolescents with pelvic pain. Once the disease is diagnosed and treated, these patients have favorable outcomes with hormonal and nonhormonal therapy.
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spelling pubmed-44327182015-05-23 Endometriosis in Adolescents Dun, Erica C. Kho, Kimberly A. Morozov, Vadim V. Kearney, Susan Zurawin, Jonathan L. Nezhat, Ceana H. JSLS Scientific Papers BACKGROUND AND OBJECTIVES: Women with endometriosis often report onset of symptoms during adolescence; however, the diagnosis of endometriosis is often delayed. The aim of this study was to describe the experience of adolescents who underwent laparoscopy for pelvic pain and were diagnosed with endometriosis: specifically, the symptoms, time from onset of symptoms to correct diagnosis, number and type of medical professionals seen, diagnosis, treatment, and postoperative outcomes. METHODS: We reviewed a series of 25 females ≤21 years of age with endometriosis diagnosed during laparoscopy for pelvic pain over an 8-year period. These patients were followed up for 1 year after surgery. RESULTS: The mean age at the time of surgery was 17.2 (2.4) years (range, 10–21). The most common complaints were dysmenorrhea (64%), menorrhagia (44%), abnormal/irregular uterine bleeding (60%), ≥1 gastrointestinal symptoms (56%), and ≥1 genitourinary symptoms (52%). The mean time from the onset of symptoms until diagnosis was 22.8 (31.0) months (range, 1–132). The median number of physicians who evaluated their pain was 3 (2.3) (range, 1–12). The adolescents had stage I (68%), stage II (20%), and stage III (12%) disease. Atypical endometriosis lesions were most commonly observed during laparoscopy. At 1 year, 64% reported resolved pain, 16% improved pain, 12% continued pain, and 8% recurrent pain. CONCLUSIONS: Timely referral to a gynecologist experienced with laparoscopic diagnosis and treatment of endometriosis is critical to expedite care for adolescents with pelvic pain. Once the disease is diagnosed and treated, these patients have favorable outcomes with hormonal and nonhormonal therapy. Society of Laparoendoscopic Surgeons 2015 /pmc/articles/PMC4432718/ /pubmed/26005317 http://dx.doi.org/10.4293/JSLS.2015.00019 Text en © 2015 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Dun, Erica C.
Kho, Kimberly A.
Morozov, Vadim V.
Kearney, Susan
Zurawin, Jonathan L.
Nezhat, Ceana H.
Endometriosis in Adolescents
title Endometriosis in Adolescents
title_full Endometriosis in Adolescents
title_fullStr Endometriosis in Adolescents
title_full_unstemmed Endometriosis in Adolescents
title_short Endometriosis in Adolescents
title_sort endometriosis in adolescents
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4432718/
https://www.ncbi.nlm.nih.gov/pubmed/26005317
http://dx.doi.org/10.4293/JSLS.2015.00019
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