Endometriosis in adolescents is a hidden, progressive and severe disease that deserves attention, not just compassion
Open accessAbstract
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.
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Transvaginal US is effective in diagnosing ovarian endometriosis in adolescents.
“Transvaginal US is recommended to be used in adolescents in whom it is appropriate, as it is effective in diagnosing ovarian endometriosis.”
From ESHRE guideline: endometriosis (2022) · cites this paper as Brosens et al., 2013
Early onset endometriosis in symptomatic adolescents is frequently severe and often involves extensive adhesions and even OMAs.
“A recent review study (35) on endometriosis in symptomatic adolescents has shown that early onset disease is frequently severe and often involves extensive adhesions and even OMAs.”
From Pathogenesis of deep endometriosis (2017) · cites this paper as [35]
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- Authors
- Brosens, I., Gordts, S., & Benagiano, G.
- Affiliations
- Leuven Institute for Fertility and Embryology (BE)
- Sapienza University of Rome (IT)
- Corresponding author
- Brosens, I.
- Venue
- Human Reproduction
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-06-05
- Volume
- 28
- Issue
- 8
- Pages
- 2026-2031
- ISSN
- 0268-1161 (ISSN-L)
- 1460-2350
- PMC
- PMC3712662
- OpenAlex
- W2166041952
- Cited by
- 184
- References
- 58
- Citations by year
- 2026: 15 · 2025: 17 · 2024: 14 · 2023: 14 · 2022: 12 · 2021: 14 · 2020: 16 · 2019: 18 · 2018: 9 · 2017: 17 · 2016: 9 · 2015: 12 · 2014: 12 · 2013: 5
- FWCI
- 15.29
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Human Reproduction (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Lirias (submittedVersion)
- 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 › Ectopic Pregnancy Diagnosis and Management
- Keywords
- endometriosis, adolescents, delayed diagnosis, disease progression, fecundability, transvaginal ultrasound, pelvic examination
- MeSH terms
- Adolescent, Empathy, Endometriosis, Female, Humans
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