Review Article
Endometriosis in adolescents: a narrative review
Abstract
Background and Objective: Endometriosis is a gynecologic disease commonly presenting as chronic pelvic pain (CPP) and can occur in adolescents. The exact pathogenesis is unknown, but several risk factors have been well identified. History and physical examination may provide clues in considering endometriosis, but the definitive diagnosis is surgically determined by performing a laparoscopy. There are different treatment modalities established with the main goal of controlling pain and preventing future complications such as infertility.
Methods: An electronic search was performed on MEDLINE and PubMed to identify relevant articles from 1980 to 2019.
Key Content and Findings: This narrative review focuses on pelvic pain particularly endometriosis and the best practical approach in evaluating and managing affected adolescent females.
Conclusions: Diagnosis of endometriosis is possible in young females presenting with chronic pelvic pain. Recognition of its prevalence and risk factors increases suspicion so as not to delay diagnosis. Management entails use of appropriate analgesics and consideration for hormonal interventions. Laparoscopy is both diagnostic and therapeutic, and helpful in prevention of future complications.
Methods: An electronic search was performed on MEDLINE and PubMed to identify relevant articles from 1980 to 2019.
Key Content and Findings: This narrative review focuses on pelvic pain particularly endometriosis and the best practical approach in evaluating and managing affected adolescent females.
Conclusions: Diagnosis of endometriosis is possible in young females presenting with chronic pelvic pain. Recognition of its prevalence and risk factors increases suspicion so as not to delay diagnosis. Management entails use of appropriate analgesics and consideration for hormonal interventions. Laparoscopy is both diagnostic and therapeutic, and helpful in prevention of future complications.
