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Adolescent endometriosis - Clinic Progression
Unger & Laufer (2010): 3 adolescents stage I; second look: increased nb implants & endometrioma
Reese et al (1997): n= 39 11-15 y 16 – 20 y
Vicinoetal(2010):n=38 18–21y
stage I –II
stage III – IV: 18%
stageIII–IV:66-75%
There is evidence that the condition progresses even after treatment In some patients (Saridogan E. 2017)
Adolescent endometriosis - Treatment
(Gyn Surg 2015)
Progression is characterized by two stages of morphological activities:
• superficial endometriotic implants responds upon hormonal changes with proliferative and secretory changes with decidualisation followed
by desquamation and bleeding
• interstitial implant with SMM and fibrosis
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