Abstract
Study Objective
The aim of this retrospective study was to evaluate endometriosis in adolescent and
young girls and further to review the menstrual, reproductive characteristics, and
risk factors.
Design and Setting
We reviewed the medical records of adolescent and young girls with endometriosis from
2 different countries. Data were collected and analyzed from charts of 900 patients
with endometriosis.
Participants and Interventions
Fifty-five female adolescents aged between 13 and 21 years (mean age 18.3 years) participated
in our series. This study was conducted in the Obstetric and Gynecology Department
of Venizeleio General Hospital of Crete and involved all patients diagnosed with endometriosis
between 1996 and 2016.
Main Outcome Measures
Statistical methods included χ2 and Mann-Whitney U test.
Results
Of 900 patients with endometriosis we found 55 female adolescents (6.1%). The mean
age was 18.3 ± 2.3 years, significantly younger compared with the advanced endometriosis
patients (32.7 ± 7.2; P < .001). Regarding the menstrual reproductive and others characteristics, we observed
several differences in adolescent young girls compared with the advanced age endometriosis
group. The factors associated with an increased risk for young women include age at
menarche, dysmenorrhea, history of asthma, and a positive family history of endometriosis.
Additionally, we report on 16 of 55 (32%) adolescent women with endometriosis and
congenital malformations (P < .01) and 5 patients who were diagnosed with dry eye syndrome.
Conclusion
There is an association between endometriosis in adolescent and young women and risk
factors including early menarche, early onset of dysmenorrhea, history of asthma,
previous surgical procedures, obstructive genital anomalies, and family history of
endometriosis.
Key Words
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Article info
Publication history
Published online: May 27, 2017
Footnotes
The authors indicate no conflicts of interest.
Identification
Copyright
© 2017 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.
