Journal of pediatric and adolescent gynecology最新文献

{"title":"PAG and Menstrual Equity","authors":"Paula J Adams Hillard MD (JPAG-Editor-In-Chief, She, Her, Hers)","doi":"10.1016/j.jpag.2024.08.013","DOIUrl":"10.1016/j.jpag.2024.08.013","url":null,"abstract":"","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 5","pages":"Pages 455-456"},"PeriodicalIF":1.7,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hysteroscopic Management of Complete Vaginal and Uterine Septum with Double Cervix: Tips & Tricks for a Safe Surgery.","authors":"Stefano Ferla, Agnese Virgilio, Alessandro Arena, Diego Raimondo, Antonio Raffone, Renato Seracchioli, Paolo Casadio","doi":"10.1016/j.jpag.2024.08.012","DOIUrl":"10.1016/j.jpag.2024.08.012","url":null,"abstract":"<p><strong>Background: </strong>The septate uterus is the most common uterine abnormality, comprising 35% of all identified uterine malformations. According to the ESHRE/ESGE 2013 classification, the class U2bC2V1 is a rare congenital malformation characterized by a complete septate uterus with double cervix and nonobstructive longitudinal vaginal septum.</p><p><strong>Study objective: </strong>to share the decision-making process, the preoperative ultrasonographic assessment and our step-by-step hysteroscopic surgery technique to manage this complex malformation: including how to access the septate uterine cavity, the resection of the septum and its postoperative management. The goal of the surgical treatment is to restore the regular morphology of the vaginal canal and the uterine cavity with the right amount of myometrium.</p><p><strong>Methods: </strong>we present video footage of a hysteroscopic approach at a tertiary care academic medical center for managing a 21-year-old patient with a symptomatic uterine septum with double cervix and nonobstructive longitudinal vaginal septum.</p><p><strong>Results: </strong>Both the intraoperative and postoperative periods were uneventful: a complete resolution of the vaginal septum and creation of a single uterine cavity were obtained.</p><p><strong>Conclusion: </strong>Due to the significant anatomic variability of this condition, this type of surgery can be challenging. The goal of this video is also educational, aiming to illustrate a reproducible technique that can be utilized by younger or less experienced surgeons. In our experience, this hysteroscopic technique appears to be a valid option for patients with symptomatic Mullerian malformation or those with a history of recurrent miscarriages or unexplained infertility.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142073063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional Ovulatory Menstrual Health Literacy Amongst Adolescent Females in Western Australia","authors":"Felicity Roux PhD ,&nbsp;HuiJun Chih PhD ,&nbsp;Denise Demmer PhD ,&nbsp;Kate Roux BSc (Hons) ,&nbsp;Jacqueline Hendriks PhD ,&nbsp;Sharyn Burns PhD","doi":"10.1016/j.jpag.2024.08.011","DOIUrl":"10.1016/j.jpag.2024.08.011","url":null,"abstract":"<div><h3>Study Objective</h3><div>To assess the knowledge of ovulation and menstruation of adolescent females in Western Australia.</div></div><div><h3>Methods</h3><div>A validated adolescent ovulatory menstrual health literacy questionnaire was used in a cross-sectional study, which included an open-response question inviting participants’ reflections.</div></div><div><h3>Results</h3><div>Participants (<em>n</em> = 297) were from two single sex and seven coeducational schools of varied socio-educational advantage. Mean chronological age was 15 years and mean gynecological age was two years. The prevalence of dysmenorrhea was 69%. Primary sources of information included mothers (91%), friends (61%), and for postmenarchel participants (<em>n</em> = 274), mobile applications (52%). Most adolescents enjoyed finding out information about ovulatory menstrual health, and understood the information given to them. However, participants’ knowledge of ovulation, menstruation and their occurrence in the cycle were low. Attendance at a single sex or Catholic school or use of mobile applications did not confer a knowledge advantage overall (<em>P</em> &lt; .05), except for knowing the meaning of cervical mucus. Thematic content analysis of open-ended responses resulted in five themes, including <em>normality, menstrual flow, charting, ovulation,</em> and <em>dysmenorrhea</em>.</div></div><div><h3>Conclusion</h3><div>Inadequate functional ovulatory menstrual health literacy hampers progression to acquiring complete health literacy. This has negative implications for progressing towards the interactive and critical ovulatory menstrual health literacy domains, which include providing an accurate menstrual history when engaging with healthcare providers.</div></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 6","pages":"Pages 619-624"},"PeriodicalIF":1.7,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142073064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Vaginoscopy after Vaginoplasty in Individuals with Congenital Adrenal Hyperplasia","authors":"Marija Kamceva MD ,&nbsp;Julie Strickland MD ,&nbsp;John Gatti MD ,&nbsp;Frances W. Grimstad","doi":"10.1016/j.jpag.2024.08.008","DOIUrl":"10.1016/j.jpag.2024.08.008","url":null,"abstract":"<div><h3>Study Objective</h3><div>To explore the use of exam under anesthesia with vaginoscopy (EUA-V) after vaginoplasty in patients with congenital adrenal hyperplasia (CAH)</div></div><div><h3>Design</h3><div>Retrospective cohort</div></div><div><h3>Methods</h3><div>An institutional review board-approved retrospective chart review was performed of the postsurgical follow-up care of all patients diagnosed with classic CAH who sought care at a tertiary children's hospital from 2000 to 2017 and had undergone vaginoplasty at that institution.</div></div><div><h3>Results</h3><div>Twenty-six patients met the inclusion criteria. The median age at vaginoplasty was 1.25 years (IQR 0.67-9). The median postsurgical follow-up was 5.5 years (IQR 1.5-9). Twenty-six EUA-Vs were performed, on 22 patients. Four were for complication assessment (rectovaginal fistula<span><span>¹</span></span> and urethrovaginal fistula<span><span>³</span></span>—on the same patient). The remaining 22 EUA-Vs, performed on 20 patients with 2 each undergoing 2 EUA-Vs, were planned for routine evaluation of vaginal patency. They were done a median of 0.67 years (IQR 0.25-2) after surgery and at a median of 6.67 years of age (IQR 1.75-12). Of these, 5 EUA-Vs identified stenosis in 5 patients (25%), a median of 0.91 years (IQR 0.5-7) after surgery, at a median age of 8.42 years (IQR 2-10.92). Of the 4 who did not undergo EUA-V, 1 had stenosis on clinical exam with ultrasound-verified hematocolpos. The remaining 3 were all prepubertal at last follow-up.</div></div><div><h3>Conclusion</h3><div>Most CAH patients after vaginoplasty underwent routine EUA-V, roughly a quarter of which detected stenosis. EUA-Vs may play a beneficial role in routine postoperative care after vaginoplasty in patients with CAH.</div></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 6","pages":"Pages 602-607"},"PeriodicalIF":1.7,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142073065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Menstrual Disorders on Sleep Quality in Adolescents: An Observational Study","authors":"Hüseyin A. Kocabey MD ,&nbsp;Alkim Oden Akman MD ,&nbsp;İsmail Kasim MD","doi":"10.1016/j.jpag.2024.08.005","DOIUrl":"10.1016/j.jpag.2024.08.005","url":null,"abstract":"<div><h3>Study Objective</h3><div>Premenstrual syndrome (PMS), dysmenorrhea, and abnormal uterine bleeding are frequent gynecological problems in adolescent girls. Studies show that sleep disorders and menstrual cycle irregularities are common conditions and indicate that they may occur together. Studies on the relationship between sleep quality and menstruation are mostly available for late adolescents (17 years and older) and young adult age groups. Our study aims to evaluate this relationship in adolescents aged 12-18.</div></div><div><h3>Methods</h3><div>A survey study was structured and consisted of 4 sections. The first section includes anthropometric measurements and medical history of the participants; the second section includes “menstruation and menstruation symptoms history”; the third section includes “The Sleep Quality Scale and Sleep Variable Questionnaire”; and the fourth section includes the “Premenstrual Syndrome Assessment Scale” (PMSAS). Our survey was applied to those who visited the adolescent medicine outpatient clinic.</div></div><div><h3>Results</h3><div>The Sleep Quality Scale score was significantly lower in those with high PMSAS scores (<em>P</em> &lt; .001). The participants who had dysmenorrhea and experienced other symptoms during menstruation had significantly lower SQS scores and sleep efficiency (SE) (<em>P</em> &lt; .001). There was no significant difference between heavy menstrual bleeding, defined as lasting more than 7 days, requiring more than 5-6 pads/tampons per day, and SE/quality (<em>P</em> &gt; .05).</div></div><div><h3>Conclusion</h3><div>According to our study, dysmenorrhea and the presence of PMS may negatively affect the sleep quality of adolescents. Health professionals dealing with young people should take into account the effects of menstrual problems on sleep quality and offer appropriate support/treatment options.</div></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 6","pages":"Pages 579-585"},"PeriodicalIF":1.7,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communication and Counseling Preferences of Women Who Chose Abortion During Adolescence: A Qualitative Study","authors":"Laura A. Kirkpatrick MD ,&nbsp;Lauren A. Bell MD, MPH ,&nbsp;Elizabeth I. Harrison MD, MS ,&nbsp;Traci M. Kazmerski MD, MS ,&nbsp;Margaret R. Russell MD ,&nbsp;Tahniat S. Syed MD, MPH ,&nbsp;Nicholas A. Szoko MD, MS ,&nbsp;Crystal P. Tyler PhD, MPH","doi":"10.1016/j.jpag.2024.08.007","DOIUrl":"10.1016/j.jpag.2024.08.007","url":null,"abstract":"<div><h3>Study Objective</h3><div>As part of a larger study about pregnancy options counseling with adolescents, we interviewed women in the United States who chose abortion during adolescence about preferences and experiences regarding communication from healthcare professionals during abortion care.</div></div><div><h3>Design, Setting, and Participants</h3><div>We conducted individual semi-structured interviews with women ages 18-35 years old who were pregnant before age 20 years old and chose abortion. We recruited participants through social media, a research registry, and flyers in healthcare facilities. We recorded and transcribed interviews. Two investigators coded interview transcripts using thematic analysis.</div></div><div><h3>Results</h3><div>We conducted interviews with 17 US women (median age 32 years old, range 20-35 years old) from 11/2020-4/2021. The median age at time of abortion was 18 years old (range 14-19 years). The sample was 58% (n = 10) Caucasian and 65% (n = 11) heterosexual. Themes included: 1) Participants perceived options counseling before abortion as important and necessary but did not always feel they personally needed it. 2) Participants reported that clinicians including nurses, physicians, and other staff sometimes had poor bedside manner, which was not aligned with their perceived need for gentleness due to their adolescence. 3) Participants valued nonjudgmental communication including normalization of abortion care. 4) Participants desired privacy and confidentiality throughout their clinic appointment, but clinic logistics led to concerns about limited privacy. 5) Participants appreciated medically accurate information about abortion in plain language balancing safety and risk information for reducing fear before the procedure.</div></div><div><h3>Conclusion</h3><div>Responses suggested specific best practices that healthcare providers can adopt to improve care for youth considering abortion.</div></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 6","pages":"Pages 595-601"},"PeriodicalIF":1.7,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cyberchondria Levels in Adolescent Patients With Polycystic Ovary Syndrome in the Digital Age","authors":"Serap Topkara Sucu MD ,&nbsp;Tuğba Kolomuç Gayretli MD ,&nbsp;Ayşe Sena Küçükkayıkçı MD ,&nbsp;Dilara Kurt MD ,&nbsp;Samet Kutluay Ergörün MD ,&nbsp;Tahir Eryılmaz MD ,&nbsp;Sadun Sucu MD ,&nbsp;Çağanay Soysal Assoc. Prof. Dr.","doi":"10.1016/j.jpag.2024.08.006","DOIUrl":"10.1016/j.jpag.2024.08.006","url":null,"abstract":"<div><h3>Study Objective</h3><div>Cyberchondria is defined as a form of anxiety characterized by excessive health searches on the Internet. Our aim in this study is to investigate the extent of cyberchondria in adolescents with polycystic ovary syndrome (PCOS) and to compare them with adolescents of the same age.</div></div><div><h3>Methods</h3><div>A total of 426 adolescents who presented to clinic between April 2023 and September 2023 and agreed to participate in the study were included in the study. Patients were divided into two groups: PCOS group (135 patients) and control group (291 patients). The Cyberchondria Severity Scale (CSS) was administered to participants face-to-face. The CSS and subscale scores of both patient groups were analyzed and compared.</div></div><div><h3>Results</h3><div>Total CSS scores were significantly different between groups (<em>P</em> = .007) with a mean value of 72 (59-83) in the control group and 77 (63-91) in the PCOS group. When cyberchondria subscales were analyzed, statistical difference was found between the groups in the subcategories of compulsion (<em>P</em>: .015), distress (<em>P</em>: .039), excessiveness (<em>P</em>: .028), and mistrust of medical professional (<em>P</em>: .005).</div></div><div><h3>Conclusion</h3><div>Adolescents with PCOS demonstrated higher levels of cyberchondria which could aggravate associated symptoms of anxiety and depression. Health providers should be mindful to evaluate internet use in this patient population and provide anticipatory guidance.</div></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 6","pages":"Pages 569-573"},"PeriodicalIF":1.7,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142017819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Polycystic Ovary Syndrome Associated With Night Eating Syndrome and Sleep Complaints in Adolescence?","authors":"Ayşe Gül Güven ,&nbsp;Mustafa Can Akdoğan ,&nbsp;Demet Taş","doi":"10.1016/j.jpag.2024.08.004","DOIUrl":"10.1016/j.jpag.2024.08.004","url":null,"abstract":"<div><h3>Study Objective</h3><div>To evaluate the relationship between polycystic ovary syndrome (PCOS), night eating syndrome (NES), and sleep problems in the adolescent population.</div></div><div><h3>Methods</h3><div>PCOS patients (<em>n</em> = 43) and healthy controls (<em>n</em> = 62) aged between 15 and 19 years were recruited from the clinics of Adolescent Medicine and Adolescent Gynecology. The Night Eating Questionnaire (NEQ), Pittsburg Sleep Quality Index (PSQI), and Pediatric Sleep Questionnaire-Short Form (PSQ-SF) were completed by the participants.</div></div><div><h3>Results</h3><div>The PSQI (<em>P</em> = .175), PSQ-SF (<em>P</em> = .320), and NEQ (<em>P</em> = .493) scores were not statistically different between the PCOS and control groups. The NEQ scores were positively correlated with illness duration (<em>r</em> = 0.348, <em>P</em> = .024) in the PCOS group. There was no significant correlation between the NEQ scores and body mass index Z-score, total testosterone and dehydroepiandrosterone sulfate levels, or modified Ferriman–Gallwey Score. The NEQ scores were positively correlated with both the PSQI (<em>r</em> = 0.532, <em>P</em> &lt; .001) and PSQ-SF scores (<em>r</em> = 0.204, <em>P</em> = .037) in the PCOS group. The ratio of adolescents at risk for NES (having an NEQ score ≥25) did not differ significantly between the PCOS and control groups (<em>P</em> = .601).</div></div><div><h3>Conclusion</h3><div>Adolescents with PCOS have NES scores similar to those of healthy controls. This result may change as the duration of exposure to the disease increases. When screening adolescents with PCOS for eating, psychiatric, and sleep problems, they should also be screened for NES due to the high comorbidity rates and symptom overlap of these health conditions.</div></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 6","pages":"Pages 574-578"},"PeriodicalIF":1.7,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141988198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing Teenage Pregnancy and Reproductive Health Among Latinx Adolescents and Young Adults","authors":"Frank A. Crespo MD, FACOG, CHCQM, CPE, MS-SHCD ,&nbsp;Camille A. Clare MD, MPH, CPE, FACOG ,&nbsp;Usha Verma MD, FACOG","doi":"10.1016/j.jpag.2024.08.003","DOIUrl":"10.1016/j.jpag.2024.08.003","url":null,"abstract":"<div><div>Despite a national decline in teenage pregnancy rates, Latinx and Black individuals continue to have higher teenage birth rates compared with White teens. In the United States, Latinx females (ages 15-19) are more than twice as likely to have a teenage birth compared with non-Latinx White teens. With an increasingly diverse nation, a shift toward culturally inclusive approaches to care is critical to achieving equitable patient outcomes. Improving access to preventive care, workforce diversity, and insurance coverage will lead to cost-savings and help restore trust in a system that has failed past generations. In this commentary, targeted recommendations tailored specifically toward Latinx women will be provided, including culturally competent birth control counseling and a focus on reproductive justice. Not speaking English, low socioeconomic status, acculturation, legal status, and being uninsured are all teenage pregnancy risk factors unique to Latinx women. Cultural preferences and attitudes toward contraception must also be considered. Further expansion of Medicaid insurance coverage is also necessary to increase reproductive access among vulnerable populations. A cultural humility framework to reproductive health counseling and services is recommended. Within this framework, family engagement is encouraged, and women are free from reproductive coercion; they have the freedom to access over-the-counter contraception and receive guidance and support from providers and community health workers who are cognizant of culture and heritage. An integrated community-based approach that is culturally sensitive and in tune with Latinx heterogenicity is necessary to lower teenage pregnancy rates and achieve reproductive justice.</div></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 6","pages":"Pages 546-548"},"PeriodicalIF":1.7,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141988197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Noninvasive Diagnosis of Endometriosis in Adolescents and Young Female Adults: A Systematic Review.","authors":"Inês Jerónimo Oliveira, Pedro Viana Pinto, João Bernardes","doi":"10.1016/j.jpag.2024.07.005","DOIUrl":"10.1016/j.jpag.2024.07.005","url":null,"abstract":"<p><strong>Study objectives: </strong>Our aim was to review the evidence concerning the noninvasive diagnosis of endometriosis in adolescents.</p><p><strong>Methods: </strong>A systematic review was written following the SWiM reporting guidelines. The study research was made across three databases (MEDLINE/PubMed, Scopus, and Web of Science) to identify articles about the adolescent population and the diagnosis of endometriosis through noninvasive methods. The search included the keywords \"endometriosis,\" \"adolescents,\" \"diagnosis,\" \"ultrasound,\" and \"MRI.\" Only English-language articles were considered, and those published prior to 2000 were excluded. The established outcomes focused on clinical symptoms, ultrasound (US), and magnetic resonance imaging (MRI) findings suggestive of endometriosis.</p><p><strong>Results: </strong>We included 26 articles, mostly comprising case series and cross-sectional studies. The pooled analysis involved 2,299 female adolescents (age range 8-25 years old) with clinically suspected, imaged, and/or surgically confirmed endometriosis. The most frequently reported symptom was dysmenorrhea, followed by chronic pelvic pain. Among adolescents clinically suspected of endometriosis undergoing ultrasound (US), 32.8% exhibited at least one sign of endometriosis. Of the 167 patients with ultrasound-diagnosed endometriosis, 48.5% had deep infiltrating endometriosis (DIE), and 45.5% had an endometrioma detected. Three studies assessed MRI findings, revealing that 49.8% presented with signs of endometriosis.</p><p><strong>Conclusions: </strong>Dysmenorrhea and chronic pelvic pain stand out as key symptoms of adolescent endometriosis. Although their diagnostic accuracy varies, US and MRI have emerged as valuable tools for diagnosing the disease. While the US may have limitations, especially in detecting subtle lesions, MRI shows promise, even in cases with normal previous ultrasounds. Early recognition and proactive diagnosis are crucial for improving the management of endometriosis in adolescents.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141889560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}