title: Clinical characteristics of adolescent endometrioma.
abstract: OBJECTIVE
  To evaluate the clinical characteristics of endometrioma in adolescent women compared to women of other age groups.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  A university hospital.
  
  
  METHODS
  Three-hundred seventy-six women.
  
  
  METHODS
  Women of reproductive age who underwent surgery for the treatment of endometrioma were classified into 4 groups according to age (group 1, ≤20 years; group 2, 21-30 years; group 3, 31-40 years; group 4, 41-45 years), and compared.
  
  
  METHODS
  Clinical characteristics including demographic factors, menstrual patterns, and characteristics of endometriosis.
  
  
  RESULTS
  Group 1 (adolescent females) experienced menarche at earlier age compared to other groups (P < .005 for all comparisons). In group 1, main symptom was pain (77%) and the proportion of incidental detection (23%) was low, similar to findings for group 2. However, the proportions of incidental detection (45%) and infertility (10%) were increased in group 3, and the proportion of incidental detection (60%) was even higher than that of pain (40%) in group 4 showing that the distributions of presenting symptoms differed from those of group 1. There were no differences in menstrual pattern among groups. In addition, except for the absence of coexisting gynecologic problems such as myoma or adenomyosis in group 1, other characteristics of endometrioma did not differ among groups.
  
  
  CONCLUSIONS
  Adolescents with endometrioma experience more frequent pain, but other clinical characteristics are similar to adults.
authors: Department of Obstetrics and Gynaecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors: Dong-Yun
authors: DY
authors: Lee
authors: Hyo Jeong
authors: HJ
authors: Kim
authors: Byung-Koo
authors: BK
authors: Yoon
authors: DooSeok
authors: D
authors: Choi
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D003430:Cross-Sectional Studies; D004715:Endometriosis / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology; D008875:Middle Aged; D010049:Ovarian Diseases / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery; D017699:Pelvic Pain / Q000209:etiology; D012189:Retrospective Studies; D055815:Young Adult