ISSN: 2148-8274 / E-ISSN: 2587-0084
, Türk Üreme Tıbbı ve Cerrahisi
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Turkish Journal of Reproductive Medicine and Surgery

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DERLEMELER
Adolescent Endometriosis
Adolesan Endometriozis
Received Date : 14 Jan 2020
Accepted Date : 23 Nov 2020
Available Online : 03 Feb 2021
Özet PDF Benzer Makaleler
Mustafa KAPLANOĞLUa, Çağlar ÇETİNb, Dilek KAPLANOĞLUc, Mehmet Turan ÇETİNa
aÇukurova Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum ABD, Adana, TÜRKİYE bBolu Abant İzzet Baysal Devlet Hastanesi Kadın Hastalıkları ve Doğum Kliniği, Bolu, TÜRKİYE cYüreğir Devlet Hastanesi Kadın Hastalıkları ve Doğum Kliniği, Adana, TÜRKİYE
Doi: 10.24074/tjrms.2019-72881 - Makale Dili: TR
TJRMS. 2020;4(1):29-38
ÖZET
Endometriozis adolesan ve erişkin yaş kadınlarında en sık görülen jinekolojik sorunlardan birisidir. Endometriozis tanısı için laparoskopik ve patolojik değerlendirme gereklidir. Adolesanlarda laparoskopi tanısı konan endometriozis prevalansı %19-70 dir. Kesin prevalansı bilinemez ve tahmin temellidir. Adolesan endometriozis tanısı anamnez, fizik muayene ve palvik ultrasonografi temellidir. Endometriozis tanısı medikal tedavi seçeneklerine dirençli persistan siklik/siklik olmayan kronik pelvik ağrı, dismenore varlığında düşünülmelidir. Adolesan endometriozisinde aile öyküsü, obstrüktif tip genital anomaliler ve yenidoğan kanamaları en populer etiyolojik faktörlerdir. Endometriozis tüm formları (endometrioma ve derin infiltratif endometrioziside (DİE) içeren) adolesanlarda bulunabilir. Adolesan endometriozis vakalarında ilk tedavi seçenekleri laparoskopi yapılmış ise laparoskopik ablasyon/eksizyon ve medikal (NSAİİ(Non steroid antiinflamatuar ilaçlar), progestinler ve KOK (Kombine oral kontraseptif haplar)) tedavilerdir.
Anahtar Kelimeler: Adolesan; endometriozis; tanı; tedavi
ABSTRACT
Endometriosis is one of the most important gynecologic disorder in adolescent and reproductive age women. The laparoscopic and pathologic investigation is necessary for the diagnosis of endometriosis. The prevalence of laparoscopically diagnosed endometriosis in adolescents ranged widely from 19 to 70%. The exact prevalance of endometriosis in adolescent is unknown and based on estimate. The diagnosis of adolescent endometriosis has been identified based on history, physical examination, and pelvic ultrasonography. Endometriosis should be considered in patients with persistent, clinically significant dysmenorrhea, cyclic/acyclic chronic pelvic pain despite treatment with medical options. Family history, obstructive genital abnormalities and neonatal bleeding is most popular aetiologic factors in adolescent endometriosis. All stages forms of endometriosis (including endometrioma and deep infiltrating endometriosis) are found in adolescent.. The first line treatment options in adolescent endometriosis is surgical (If laparoscopy is to be undertaken) (laparoscopic ablation/excision) and medical (NSAIDs (nonsteroidal antiinflammatory drugs), progestins and COC (Combined Oral Contraceptive Pill)). Therapy must be individualized
Keywords: Adolescent; endometriosis; diagnosis; treatment
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