Endométriose et adolescente

Bourdel, N.; Matsusakï, S.; Roman, H.; Lenglet, Y.; Botchorischvili, R.; Mage, G.; Canis, M.

doi:10.1016/j.gyobfe.2006.07.008

Cited by 14Endometriosis Research and TreatmentGynecological conditions and treatmentsMenstrual Health and Disorders

Endométriose et adolescente

Bourdel, N., Matsusakï, S., Roman, H., Lenglet, Y., Botchorischvili, R., Mage, G., Canis, M.·2006·Gynécologie Obstétrique & Fertilité

DOI 10.1016/j.gyobfe.2006.07.008

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Abstract

Endometriosis has long been considered as a disease of women over 30 years old. However, recent data from the literature demonstrated its high incidence in teenagers. Endometriosis in teenagers is generally associated with chronic pelvic pains and cyclical signs are less common than in adults. The persistence of the pain despite an estroprogestative contraception associated with non-steroidal anti-inflammatory drugs is a strong argument for the diagnosis and justifies a laparoscopic exploration. During this laparoscopy, the search for atypical lesions, which are much more common than typical ones, is essential. Biopsies of these lesions is mandatory in every patient to rule out false positives and false negatives which are common in atypical lesions. The aim of the treatment is to improve the pain. The first line of medical treatment is based on the estroprogestative contraception and non-steroidal anti-inflammatory drugs. The prescription of GnRH should be the ultimate solution because the bone reserve increases until the age of 18 to 20. The laparoscopic treatment, when required, should be as complete as possible. Early diagnosis and medical management may prevent the development of the disease. However, further studies in the teenager are essential to improve the current empirical management.

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Endometriosis: Epidemiology, Classification, Pathogenesis, Treatment and Genetics (Review of Literature)
Smolarz, B., Szyłło, K., & Romanowicz, H. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms221910554 · Cited by 560 · see citing works
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Authors: Bourdel, N., Matsusakï, S., Roman, H., Lenglet, Y., Botchorischvili, R., Mage, G., & Canis, M.
Affiliations: Centre Hospitalier Universitaire de Clermont-Ferrand (FR)
Centre Hospitalier Universitaire de Rouen (FR)
Corresponding author: Canis, M.
ORCID: Bourdel, N.
Roman, H.
Canis, M.
Venue: Gynécologie Obstétrique & Fertilité
Publisher: Elsevier BV
Published: 2006-09
Volume: 34
Issue: 9
Pages: 727-734
ISSN: 1297-9589 (ISSN-L)
DOI: 10.1016/j.gyobfe.2006.07.008
OpenAlex: W1978652541
Cited by: 14
References: 74
Citations by year: 2023: 2 · 2021: 1 · 2017: 1 · 2015: 1 · 2013: 2 · 2012: 3
FWCI: 0.16
Type: journal article
Language: fr
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Gynécologie Obstétrique & Fertilité (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
Keywords: endometriosis, adolescent endometriosis, chronic pelvic pain, endometriosis diagnosis, laparoscopy, fertility preservation, estrogen-progestin contraception, nonsteroidal anti-inflammatory drugs, progestins, GnRH agonist, surgical treatment, decision tree
MeSH terms: Adolescent, Adult, Anti-Inflammatory Agents, Non-Steroidal, Contraceptives, Oral, Combined, Diagnosis, Differential, Endometriosis, Estrogens, Female, Humans, Gonadotropin-Releasing Hormone, Laparoscopy, Progestins, Pelvic Pain

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Endométriose et adolescente

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