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Hum Reprod. 2013 Aug;28(8):2026-31. doi: 10.1093/humrep/det243. Epub 2013 Jun 5.

Endometriosis in adolescents is a hidden, progressive and severe disease that deserves attention, not just compassion.

Author information

1
Leuven Institute for Fertility and Embryology, Leuven, Belgium. Ivo.brosens@med.kuleuven.be

Abstract

Endometriosis in the adolescent has, in recent years, been discovered to be a challenging problem in gynaecology. Although the pain may start at a young age, even before the onset of menstruation, the diagnosis by laparoscopy is almost always postponed for several years, by which time destructive lesions have affected the tubo-ovarian structures and severely compromised fecundability. Several factors may play a role, but one important reason for this disease progression is likely to be the delay in diagnosis. Therefore, transvaginal ultrasounds and transvaginal access with a less invasive needle endoscopy are recommended for exploration of the pelvis, diagnosis of endometriosis and treatment at an early stage before severe lesions develop.

KEYWORDS:

adolescence; adult; endometriosis; laparoscopy; pathogenesis

PMID:
23739215
PMCID:
PMC3712662
DOI:
10.1093/humrep/det243
[Indexed for MEDLINE]
Free PMC Article

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