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Chapter 9 - Early-Onset Endometriosis

from Section 2 - Menstrual Disorders

Published online by Cambridge University Press:  24 November 2021

By
Giuseppe Benagiano ,
Ivo Brosens  and
Marwan Habiba
Edited by
Tahir Mahmood ,
Charles Savona-Ventura ,
Ioannis Messinis  and
Sambit Mukhopadhyay
Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona-Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
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Summary

Classically endometriosis develops sometime after menarche and has been reported in girls as early as 10 years. There is limited knowledge about early-onset endometriosis, particularly about disease progression and its effect on fertility. Patients often present with prevailing symptoms of dysmenorrhoea, cyclic or acyclical pelvic pain. NSAIDS and COCs are often used to treat non-specific nature of pelvic pain. Ultrasound is the first-line imaging modality but MRI offers better visualization of deep infiltrating endometriosis. A patient-centred approach with detailed explanation of treatment options incorporating the patient’s wishes should individualize the management plan. Medical treatment is the most preferred option and surgical intervention may be necessary in selected cases.

Keywords

early-onset endometriosisdeep infiltrating endometriosisendometriomaretrograde menstruationneonatal menstruationperitoneal disease
Type
Chapter
Information
The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Gynaecology
 , pp. 72 - 80
Publisher: Cambridge University Press
Print publication year: 2021

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References

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