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neonatal menstruation

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Chapter 9 - Early-Onset Endometriosis
from Section 2 - Menstrual Disorders
- By Giuseppe Benagiano, Ivo Brosens, Marwan Habiba
Edited by Tahir Mahmood, Charles Savona-Ventura, Ioannis Messinis, Sambit Mukhopadhyay
Book:

The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology

Published online:

24 November 2021

Print publication:

02 December 2021, pp 72-80
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Summary

Classically endometriosis develops sometime after menarche and has been reported in girls as early as 10 years. There is limited knowledge about early-onset endometriosis, particularly about disease progression and its effect on fertility. Patients often present with prevailing symptoms of dysmenorrhoea, cyclic or acyclical pelvic pain. NSAIDS and COCs are often used to treat non-specific nature of pelvic pain. Ultrasound is the first-line imaging modality but MRI offers better visualization of deep infiltrating endometriosis. A patient-centred approach with detailed explanation of treatment options incorporating the patient’s wishes should individualize the management plan. Medical treatment is the most preferred option and surgical intervention may be necessary in selected cases.

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Chapter 9 - Early-Onset Endometriosis

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Chapter 9 - Early-Onset Endometriosis

Summary