Adolescents endometriosis

Laufer MR, Sanfilippo J, Rose G. Adolescent endometriosis Diagnosis and treatment approaches. J Pediatr Adolesc Gynecol 2003 16. 

Attaran M, Gidwani GP. Adolescent endometriosis. Obstet Gynecol Clin North Am 2003 30 379-390. 

Endometriosis should be suspected in any woman of reproductive age, including adolescents, with recurring cyclic or acyclic pelvic pain and/or subfertility. 

Treatment goals for endometriosis in the adolescent patient are focused on management of pain. Medical therapy is preferred... 

Side effects of these agents are typically mild and may include nausea, bloating, headache, and breakthrough bleeding. Because of this favorable side-effect profile, OCs are the drug of choice in adolescents with endometriosis. OCs do carry a risk of thromboembolism and should not be used in women with a history of thromboembolism or in smokers over the age of 35. 

Props AM, Laufer MR. Endometriosis in adolescents Incidence, diagnosis and treatment. J Reprod Med 1999 44 751-758. 

Ballweg ML. Big picture of endometriosis helps provide guidance on approach to teens Comparative historical data show endo starting younger, is more severe. J Pediatr Adolesc Gynecol 2003 16 821-26. 

Musculoskeletal Gonadorelin has been used for the management of endometriosis in adolescents [8 ]. In this group the effect on bone mineral density can be minimized by using norethindrone acetate with or without estrogen at the same time. 

Laufer MR. Current approaches to optimizing the treatment of endometriosis in adolescents. Gynecol Obstet Invest 2008 66 (Suppl 1) 19-27. 

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