Endometriosis: A disease of Adolescence:
For most of the modern age, there was a long-standing story that endometriosis was a disease moving principally adult women. However, endometriosis is truly a disease of adolescence, a fact Dr. Camran Nezhat has been publishing about and teaching his students for several years.
His observation was also made by ancient physicians from more than 2,500 years ago, who reported on an endometriosis-like condition referred to as the ‘disease of young girls’, or the ‘disease of virgins’ because they noticed that it appeared to be more common in young ladies who had begun menstruating.
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Today, studies have currently confirmed that endometriosis is that the commonest reason for chronic girdle pain in adolescent women, and amount of pain continues to be the leading reason for faculty absences in adolescent women.
Recent retrospective studies found endometriosis in 70th to 73 of adolescents with pelvic pain that was unresponsive to medical therapy, whereas another study by Dr. Marc Laufer, found the incidence to be 95th. The youngest girl with endometriosis reported in the literature was age 7, while Dr. Nezhat’s youngest patient at this point was nine-years-old.
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Endometriosis includes a familial component thereto, with studies showing that those with a first degree relative with endometriosis (such as mother or sister) are 5 times more probable to develop the disease themselves. As for other risk factors which can predispose women and girls to endometriosis, a number of the powerfully associated factors embody early menstruation (i.e., menstruation that begins in pre-teen girls), periods lasting longer than 7 days, and heavy and or irregular menstruation.
Rare Premenarcheal endometriosis
Although rare, it’s additionally vital to point out that there are cases of premenarcheal endometriosis; that’s, endometriosis that develops before menstruation begins. a handful of cases of endometriosis in neonates (new-born infants) have also been reported.
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Such cases of premenarcheal endometriosis typically strike people as stunning, since endometriosis is thus unremarkably described as a disease of reproductive-aged women (i.e. those that are menstruating). However, even as endometriosis will occur in postmenopausal ladies, it’s also true that it’s been found in girls who haven’t yet menstruated.
This is just one of the various reasons why endometriosis is taken into account so enigmatic, with a well-regarded medical researcher, Matthew Rosser, describing its perplexing nature akin to“sticking your head in a washing machine filled with Salvador Dali and M.C Esher paintings.”
Symptoms of Adolescent endometriosis
Some of the foremost common symptoms of endometriosis in pre-teen and teenage girls are:
Pelvic (abdominal) pain near or during the period
Pelvic pain any time during the month
Early onset of menstruation (pre-teen)
Pain with bowel function
Pain with bladder function
Chronic gastrointestinal symptoms like vomiting, nausea, diarrhea, and constipation
Pain with pelvic exams
Pain with sitting
Pain that radiates down the legs
Pain that mimics appendicitis
Pain that mimics colitis, Crohn’s, or Irritable Bowel Syndrome
Pain that mimics disorder
Pain that mimics interstitial cystitis
Even though this list of symptoms is comparable to those of adult endometriosis, symptoms of adolescent endometriosis will present somewhat differently than those found in adult women.
Usually, adolescent girls experience symptoms starting with their first period. However, others might not notice symptoms until some years later.
As with adult patients, the symptoms of endometriosis in girls may be cyclic, acyclic, or constant. Having cyclic symptoms implies that pain is experienced in predictable, consistent intervals, synchronously with menstruation and/or ovulation.
How many adolescents have endometriosis?
Studies suggest that between 5-10% of menstruating girls in Australia are stricken by endometriosis. most ladies who are diagnosed with endometriosis report that their symptoms started during adolescence.
What do endometriosis lesions look like?
There are many different kinds of lesions. Early stages of endometriosis tend to be red or clear in color. As endometriosis progresses the lesions are typically black, brown or white in color. Adolescents are more possible to possess lesions that are clear or red in color and because of this, they’re sometimes harder to detect.
How will endometriosis be diagnosed?
Unfortunately, endometriosis will solely be definitively diagnosed by a laparoscopy, a surgery which involves inserting a long, thin telescope (laparoscope) into the abdomen through an incision near the navel. Even when a laparoscopy is performed the endometriosis may be more difficult to detect in adolescents so may be missed.
As medical professionals don’t wish to perform a surgical procedure unnecessarily they’re going to first determine the likelihood of endometriosis through taking a thorough history of the pain and other symptoms. they’ll also raise a couple of family history of endometriosis because it is understood that having a loved one with endometriosis will increase the possibilities of also having the condition. they will then try some treatment ways to ascertain how the period pain responds.