Markers of Adult Endometriosis Detectable in Adolescence

Chapron, Charles; Borghese, Bruno; Streuli, Isabelle; Ziegler, Dominique de

doi:10.1016/j.jpag.2011.07.006

Cited by 35 publications

(23 citation statements)

References 48 publications

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“…Primary Dysmenorrhea is associated with anovulatory cycles and usually presents 6-12 months post-menarche (8). Pain is due to increased uterine contractility and elevated prostaglandin levels as the ischemic endometrial lining is sloughed off (1,9,20). menstrual cycle and pathophysiology of dysmenorrhea.…”

Section: Primary Dysmenorrheamentioning

confidence: 99%

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Dysmenorrhea, Endometriosis and Chronic Pelvic Pain in Adolescents

Sachedina¹,

Todd²

2020

Jcrpe

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Most adolescents will experience discomfort during menstruation. Due to normalization of dysmenorrhea, there is delay to diagnosis and treatment. Non-steroidal anti-inflammatories are a first line treatment. Adolescents can safely be offered menstrual suppression with combined hormonal contraception, and progestin-only options. When the above are ineffective, gonadotropin releasing hormone agonists with add back treatment can be considered. Transabdominal ultrasound is indicated when first line treatments do not improve symptoms. Endometriosis should be considered in adolescents who experience ongoing pain despite medical treatment. If laparoscopy is performed and endometriosis visualized, it should be treated with either excision or ablation. Women with endometriosis should be counselled on menstrual suppression until fertility is desired. Management of chronic pain requires the involvement of a multidisciplinary team.

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Section: Primary Dysmenorrheamentioning

confidence: 99%

“…The majority (70-93%) of adolescents have discomfort associated with menstruation (1,2). Dysmenorrhea is the most common reason for missed school and activities (3).…”

Section: Introductionmentioning

confidence: 99%

Dysmenorrhea, Endometriosis and Chronic Pelvic Pain in Adolescents

Sachedina¹,

Todd²

2020

Jcrpe

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“…Epidemiological risk factors for endometriosis have been consistently reported: a low body mass index (BMI), a family history of endometriosis, a personal history of severe and lasting dysmenorrhea at the time of adolescence, and the need to use oral contraceptives for alleviating dysmenorrhea that failed to respond to nonsteroidal anti-inflammatory drugs [3–5]. It is useful to gather this information when evaluating women experiencing infertility and/or pelvic pain [6]. …”

Section: Introductionmentioning

confidence: 99%

ABO and Rhesus Blood Groups and Risk of Endometriosis in a French Caucasian Population of 633 Patients Living in the Same Geographic Area

Borghese

Chartier

Souza

et al. 2014

BioMed Research International

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Objectives. The identification of epidemiological factors increasing the risk of endometriosis could shorten the time to diagnosis. Specific blood groups may be more common in patients with endometriosis. Study Design. We designed a cross-sectional study of 633 Caucasian women living in the same geographic area. Study group included 311 patients with histologically proven endometriosis. Control group included 322 patients without endometriosis as checked during surgery. Frequencies of ABO and Rhesus groups in the study and control groups were compared using univariate and multivariate analyses. Results. We observed a higher proportion of Rh-negative women in the study group, as compared to healthy controls. Multivariate analysis showed that Rh-negative women are twice as likely to develop endometriosis (aOR = 1.90; 95% CI: 1.20–2.90). There was no significant difference in ABO group distribution between patients and controls. There was no difference when taking into account either the clinical forms (superficial endometriosis, endometrioma, and deep infiltration endometriosis) or the rAFS stages. Conclusion. Rh-negative women are twice as likely to develop endometriosis. Chromosome 1p, which contains the genes coding for the Rhesus, could also harbor endometriosis susceptibility genes.

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“…Isolated, each marker is rather unspecific, but the physician can be alerted to an increased risk of endometriosis by combining the markers in a thorough medical history. A set of markers are summarized in Table 1, modified and extended from Chapron et al (2). The World Endometriosis Research Foundation has recently demonstrated that symptombased models can be helpful in predicting endometriosis, especially in the moderate to severe stages, among adult women with endometriosis-associated symptoms (8).…”

Section: Markers Of Predictive Valuementioning

confidence: 99%

Endometriosis in adolescence: predictive markers and management

Steenberg

Tanbo

Qvigstad

2013

Acta Obstet Gynecol Scand

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Endometriosis has long been thought mostly to affect the adult female population. However, awareness of possible endometriosis already in adolescence is now receiving increasing attention. It seems that certain markers in adolescence are associated with a subsequent diagnosis of the disease. These include chronic pelvic pain, severe dysmenorrhea, dysmenorrhea resistant to non-steroidal anti-inflammatory drugs and oral contraceptive pills, and pain interfering with daily activity. Based on current knowledge, it should be possible to diagnose endometriosis before adulthood, thereby alleviating symptoms and possibly limiting sequelae. To do so, knowledge of adolescent endometriosis has to be improved among both health professionals and the public.

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Markers of Adult Endometriosis Detectable in Adolescence

Cited by 35 publications

References 48 publications

Dysmenorrhea, Endometriosis and Chronic Pelvic Pain in Adolescents

Dysmenorrhea, Endometriosis and Chronic Pelvic Pain in Adolescents

ABO and Rhesus Blood Groups and Risk of Endometriosis in a French Caucasian Population of 633 Patients Living in the Same Geographic Area

Endometriosis in adolescence: predictive markers and management

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