Ovarian endometrioma in the adolescent: a plea for early-stage diagnosis and full surgical treatment

Gynecological Surgery
S GordtsIvo Brosens

Abstract

The incidence and severity of endometriosis in adolescent are comparable with the incidence in adult women. The mean delay between the onset of symptoms and the final diagnosis varies between 6.4 and 11.7 years. The longer the diagnosis is delayed, the more the endometriosis can progress to a more severe stage certainly in the group of patients with pelvic pain. The evolution of endometriosis and its progressivity are not predictable, and the severity of the disease is not directly related to the degree of pain. Endometriotic cysts have a detrimental effect on the ovarian reserve by the evolution in time and the surgical excision technique. Already, in small endometriotic cysts (<4 cm), loss of follicular reserve is present together with the formation of fibrosis in the cortex of the ovary. Early diagnosis of endometriosis in the adolescent deserves our full attention. Non-invasive imaging techniques like 2-D and 3-D ultrasound are helpful in the early diagnosis. Early ablative surgery is recommendable. Although laparoscopy is traditionally recommended, transvaginal laparoscopy has been shown to be most effective in ablating endometriomas with a maximum diameter of 3 cm. Early detection and intervention will contribute to a bet...Continue Reading

References

Jun 1, 1991·British Journal of Obstetrics and Gynaecology·T A MahmoodC Fraser
Jan 1, 1990·Fertility and Sterility·L FedeleG B Candiani
May 1, 1967·American Journal of Obstetrics and Gynecology·E M HantonJ H Pratt
Jan 1, 1995·Fertility and Sterility·R MatorrasF Rodríguez-Escudero
May 1, 1994·Human Reproduction·I A BrosensL Rombauts
Jun 1, 1994·Fertility and Sterility·I A BrosensJ Deprest
Nov 1, 1993·Fertility and Sterility·V MaisG B Melis
Mar 1, 1996·Obstetrics and Gynecology·S D MathiasJ F Steege
Dec 10, 1997·Journal of Pediatric and Adolescent Gynecology·M R LauferS J Emans
Aug 4, 1998·Human Reproduction·S GuerrieroG B Melis
Mar 31, 2000·Human Reproduction·V AnafJ Noel
Apr 12, 2000·Histopathology·M Fukunaga
Oct 25, 2000·The Journal of the American Association of Gynecologic Laparoscopists·A M DarwishM A El-Feky
Apr 11, 2001·International Journal of Gynecological Pathology : Official Journal of the International Society of Gynecological Pathologists·J ScurryM Healey
Apr 18, 2003·Obstetrics and Gynecology Clinics of North America·Jacques DonnezAnne Van Langendonckt
Jun 7, 2003·Acta Obstetricia Et Gynecologica Scandinavica·Gunhild Kalleberg HusbyMette Haase Moen
Aug 1, 1957·The Journal of Obstetrics and Gynaecology of the British Empire·P E HUGHESDON
Dec 4, 2003·Journal of Pediatric and Adolescent Gynecology·Ronald E Batt, Mohamed F M Mitwally
Mar 8, 2005·Fertility and Sterility·Erica E Marsh, Marc R Laufer
Apr 2, 2005·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists
Mar 18, 2006·Human Reproduction·Charles ChapronAlexandre Bricou
May 28, 2008·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·N Raine-FenningS Deb
Aug 22, 2008·BJOG : an International Journal of Obstetrics and Gynaecology·K D BallardJ T Wright
Jan 13, 2010·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J L AlcázarS Guerriero
Feb 27, 2010·Gynecologic and Obstetric Investigation·Markku H VaaralaMarkku Santala
May 18, 2010·Reproductive Biomedicine Online·Pietro G SignorileAlfonso Baldi
Jun 10, 2011·Reproductive Biology and Endocrinology : RB&E·Yuh-Ming HwuRobert Kuo-Kuang Lee
Jun 17, 2011·Journal of Cellular Physiology·Pietro G SignorileAlfonso Baldi
Jul 2, 2011·Fertility and Sterility·Kelechi E NnoahamUNKNOWN World Endometriosis Research Foundation Global Study of Women's Health consortium
Jul 19, 2011·Fertility and Sterility·Marc R Laufer, Stacey A Missmer
Aug 2, 2011·Fertility and Sterility·Michio KitajimaJacques Donnez
Sep 13, 2011·Journal of Pediatric and Adolescent Gynecology·Iacopo TandoiMassimo Candiani
Nov 5, 2011·Journal of Pediatric and Adolescent Gynecology·M GogaczA Semczuk
May 1, 2012·The Journal of Obstetrics and Gynaecology Research·Masako KurodaTakashi Yao
Jul 27, 2012·Journal of Pediatric and Adolescent Gynecology·Yunpeng YangJinghe Lang

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Citations

Feb 5, 2016·Cell and Tissue Research·Djana HarpWinston Thompson
Feb 1, 2017·Chinese Medical Journal·Feng ZhouSong-Ying Zhang
Sep 27, 2018·International Journal of Adolescent Medicine and Health·Berna SeckinHuseyin Yesilyurt
Jan 27, 2019·Nature Reviews. Disease Primers·Cynthia M FarquharJacky Boivin
Nov 9, 2019·Journal of Ovarian Research·Krzysztof GałczyńskiAndrzej Semczuk
Jul 15, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Milan TerzicAntonio Cianci
Jan 25, 2019·Current Stem Cell Research & Therapy·Huang JiayuGao Ying
Oct 13, 2020·Frontiers in Cell and Developmental Biology·Yu LiuWenpei Xiang
Nov 5, 2017·Fertility and Sterility·Stephan GordtsIvo Brosens
May 13, 2021·Minerva Obstetrics and Gynecology·Philippe R KoninckxArnaud Wattiez

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Methods Mentioned

BETA
biopsy
contraception

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