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Clinical Characteristics of Adolescent Endometrioma.
MedLine Citation:
PMID:  23337311     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To evaluate the clinical characteristics of endometrioma in adolescent women compared to women of other age groups. DESIGN: Cross-sectional study. SETTING: A university hospital. PARTICIPANTS: Three-hundred seventy-six women. INTERVENTION: 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. MAIN OUTCOME MEASURE: 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. CONCLUSION: Adolescents with endometrioma experience more frequent pain, but other clinical characteristics are similar to adults.
Authors:
Dong-Yun Lee; Hyo Jeong Kim; Byung-Koo Yoon; Dooseok Choi
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-18
Journal Detail:
Title:  Journal of pediatric and adolescent gynecology     Volume:  -     ISSN:  1873-4332     ISO Abbreviation:  J Pediatr Adolesc Gynecol     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610774     Medline TA:  J Pediatr Adolesc Gynecol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Obstetrics and Gynaecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
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