Endometriosis in an adolescent population: the Emory experience.
OBJECTIVE
To determine the incidence, clinical stage, and lesion type of endometriosis in adolescent girls.


METHODS
Retrospective review of patient records of adolescent girls (11-19) admitted to Emory University Affiliated Hospitals.


METHODS
Patients from a private practice institutional setting.


METHODS
67 adolescent girls who had not responded to analgesia or oral contraceptives for pelvic pain.
Laparoscopy or exploratory laparotomy to determine the etiology of pelvic pain.


METHODS
Stage of endometriosis by the American Fertility Society classification system and description of lesion type.


RESULTS
Endometriosis was diagnosed in 49 (73%) patients. The majority of patients had stage I disease. Superficial red lesions were most commonly observed.


CONCLUSIONS
Adolescent girls with pelvic pain have a high incidence of endometriosis. Minimal disease is most often encountered. Meticulous inspection of the pelvic peritoneal surfaces will often reveal superficial or atypical lesions.
Reese
K A
KA
Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia 30322, USA.
Reddy
S
S
Rock
J A
JA
D000293:Adolescent; D000328:Adult; D004715:Endometriosis / Q000145:classification / Q000150:complications / Q000453:epidemiology* / Q000601:surgery; D005260:Female; D005845:Georgia / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D017699:Pelvic Pain / Q000209:etiology; D012189:Retrospective Studies