Management of Endometriosis in Teenagers

Endometriosis in adolescents needs unique considerations for treatment approaches, as it presents particular challenges in terms of diagnosis, variable presentation and symptoms, and choice of treatment [1]. Dysmenorrhea is the most common gynecologic issue among adolescents, occurring in 50–80% of these and causing limitation in sports and activities, poor academic performance, and long duration of resting (Fig. 6.1). In about 10% of adolescents with severe dysmenorrhea symptoms, pelvic abnormalities such as endometriosis or uterine anomalies may be found and the incidence of endometriosis has been reported between 45% and 70% in adolescents with chronic pelvic pain (CPP) [2].