Clinical profile and symptoms of young women aged 10–24 years diagnosed with pelvic endometriosis: a 5-year experience of a tertiary hospital in the Philippines - 03/07/24

Doi : 10.1016/j.jeud.2024.100085 
Cialuj Teza A. Agbayani Cruz a, , Mikaela Erlinda M. Bucu b
a Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Philippine General Hospital, University of the Philippines Manila, Philippines 
b Department of Obstetrics and Gynecology, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Philippines 

Corresponding author.

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Highlights

A high suspicion of endometriosis should be made in young Filipino women consulting for cyclic or acyclic pelvic pain occurring prior or within the first 6 years of menarche.
The mean age at which the diagnosis of pelvic endometriosis was made in young Filipinas was 19 ± 2 years.
Timely referral to an obstetrician-gynecologist shortens time to diagnosis to 1 year.

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Abstract

Objective

Data on pelvic endometriosis among young women in the Philippines remains scarce. This study aims to describe the clinical profile and symptoms of Filipino young women aged 10–24 years old diagnosed with pelvic endometriosis in the Philippine General Hospital from 2015 to 2019.

Materials and methods

A chart review was conducted among young women aged 10–24 years with a clinical and sonologic diagnosis and/or a histologic diagnosis of pelvic endometriosis. Clinical presentation, severity of disease, and management received were described.

Results

A total of 50 young women were included in the study, aged between 11 and 24 years. Majority had menarche while 3 patients were premenarchal. Eighty-six percent were nulligravid. The most common co-morbidities were polycystic ovary syndrome and bronchial asthma. Cyclic pelvic pain was the most common symptom (42%) followed by acyclic pelvic pain (24%) and heavy menstrual bleeding (24%). Half of the patients were treated using non-steroidal anti-inflammatory drugs (NSAIDS) (61%) and combined oral contraceptives (COCs) (39%). Younger women who underwent laparoscopy showed clear vesicular or white fibrotic lesions.

Conclusion

Young Filipino women can have pelvic endometriosis that range from mild to moderate disease and should therefore be considered in those who complain of severe pelvic pain that occurs prior or within the first 6 years of menarche. The mean time from experience of first symptom to diagnosis is 1 year. Seeing an obstetrician gynecologist for the first consult shortens diagnostic delay.

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Keywords : Endometriosis, Adolescent, Asian


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Articolo 100085- Dicembre 2024 Ritorno al numero
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