Endometriosis in an adolescent population: the Emory experience.

Abstract

OBJECTIVE:

To determine the incidence, clinical stage, and lesion type of endometriosis in adolescent girls.

DESIGN:

Retrospective review of patient records of adolescent girls (11-19) admitted to Emory University Affiliated Hospitals.

SETTING:

Patients from a private practice institutional setting.

PATIENTS:

67 adolescent girls who had not responded to analgesia or oral contraceptives for pelvic pain.

INFORMATION:

Laparoscopy or exploratory laparotomy to determine the etiology of pelvic pain.

MAIN OUTCOME MEASURE:

Stage of endometriosis by the American Fertility Society classification system and description of lesion type.

RESULTS:

Endometriosis was diagnosed in 49 (73%) patients. The majority of patients had stage I disease. Superficial red lesions were most commonly observed.

CONCLUSIONS:

Adolescent girls with pelvic pain have a high incidence of endometriosis. Minimal disease is most often encountered. Meticulous inspection of the pelvic peritoneal surfaces will often reveal superficial or atypical lesions.

• Authors: K A Reese, S Reddy, J A Rock
• Journal: Journal of pediatric and adolescent gynecology (J Pediatr Adolesc Gynecol) Vol. 9 Issue 3 Pg. 125-8 (Aug 1996) ISSN: 1083-3188 [Print] United States
• PMID: 8795787 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Endometriosis (classification, complications, epidemiology, surgery)
• Female
• Georgia (epidemiology)
• Humans
• Incidence
• Pelvic Pain (etiology)
• Retrospective Studies