title: Endometriomas in adolescents and young women.
abstract: OBJECTIVE
  To evaluate clinical aspects of endometriomas encountered in late adolescent females and young women and to review the issues specifically related to the disease in this age group.
  
  
  METHODS
  Retrospective medical chart review study.
  
  
  METHODS
  Adolescent gynecology and infertility clinic of a tertiary care hospital with women's health focus.
  
  
  METHODS
  Sixty-three late adolescent females and young women aged ≤ 24 years with endometrioma.
  
  
  METHODS
  Operative laparoscopy for endometriomas.
  
  
  METHODS
  Baseline clinical characteristics of the patients including age, marital status, body mass index, symptoms on admission, family history of endometriosis, past medical history, CA-125 levels, presence of a müllerian anomaly, endometriosis characteristics at the time of surgery, and correlation between ASRM scores and patient characteristics.
  
  
  RESULTS
  The mean age and body mass index of the patients were 22 ± 2 (range 17-24) years and 20.8 ± 2.6 (range 16.6-28.5) kg/m(2) respectively. Chronic pelvic pain was the most common symptom (44%). Two patients had a diagnosis of genital malformation. Forty-one (65%) patients had endometrioma on the right ovary, and 14 (22%) patients had bilateral endometriomas. Only one patient had posterior cul-de-sac completely obliterated. Fifty-five (87%) patients had score <16 points for adnexal adhesions calculated according to the revised American Society for Reproductive Medicine classification.
  
  
  CONCLUSIONS
  Endometriomas, although rare, can be encountered in adolescents and young women. The disease in adolescent patient group offers particular importance since early intervention is essential in order to decrease pain, prevent progression of the disease and enhance future fertility.
authors.affiliation: Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey. sebnemsenozyer@yahoo.com
authors.forename: Sebnem
authors.initials: S
authors.lastname: Özyer
authors.forename: Özlem
authors.initials: Ö
authors.lastname: Uzunlar
authors.forename: Nagihan
authors.initials: N
authors.lastname: Özcan
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Yeşilyurt
authors.forename: Rana
authors.initials: R
authors.lastname: Karayalçin
authors.forename: Ayla
authors.initials: A
authors.lastname: Sargin
authors.forename: Leyla
authors.initials: L
authors.lastname: Mollamahmutoğlu
mesh_terms: D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D018394:CA-125 Antigen / Q000097:blood; D059350:Chronic Pain / Q000209:etiology; D004715:Endometriosis / Q000097:blood / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010049:Ovarian Diseases / Q000097:blood / Q000150:complications* / Q000601:surgery; D017699:Pelvic Pain / Q000209:etiology*; D010532:Peritoneal Diseases / Q000097:blood / Q000150:complications* / Q000601:surgery; D012189:Retrospective Studies; D012720:Severity of Illness Index; D014599:Uterus / Q000002:abnormalities; D014621:Vagina / Q000002:abnormalities; D055815:Young Adult
chemical_list: D018394:CA-125 Antigen