Abstract
ObjectiveTo determine the incidence, clinical stage, and lesion type of endometriosis in adolescent girls. DesignRetrospective review of patient records of adolescent girls (11–19) admitted to Emory University Affiliated Hospitals. SettingPatients from a private practice institutional setting. Patients67 adolescent girls who had not responded to analgesia or oral contraceptives for pelvic pain. InformationLaparoscopy or exploratory laparotomy to determine the etiology of pelvic pain. Main Outcome MeasureStage of endometriosis by the American Fertility Society classification system and description of lesion type. ResultsEndometriosis was diagnosed in 49 (73%) patients. The majority of patients had stage I disease. Superficial red lesions were most commonly observed. ConclusionsAdolescent girls with pelvic pain have a high incidence of endometriosis. Minimal disease is most often encountered. Meticulous inspection of the pelvic peritoneal surfaces will often reveal superficial or atypical lesions.
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