Current Classifications Addressing Endometriosis in Adolescents Related to Symptoms

The classification of adolescent endometriosis is critical to research efforts and improvements in available therapies. A review of the existing systems reveals strengths and limitations, including the absence of pain as a symptom of disease. A novel syst

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Endometriosis in Adolescents

Ceana H. Nezhat Editor

Endometriosis in Adolescents A Comprehensive Guide to Diagnosis and Management

Editor Ceana H. Nezhat Nezhat Medical Center Atlanta, GA USA Associate Editors Jennifer Dietrich Todd A. Ponsky Joseph Sanfilippo

ISBN 978-3-030-52983-3    ISBN 978-3-030-52984-0 (eBook) https://doi.org/10.1007/978-3-030-52984-0 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Foreword

For more than a century, endometriosis was believed to occur after 20–23 years of age. In a series of 400 cases published by J.V. Meigs, only 1 was less than 29 years old. In a larger series of 884 cases of the Mayo Clinic, the youngest patient was 21, and Sampson himself remembered no patient younger. Fallon J. in his endometriosis series of 225 cases published in JAMA in 1946 reported 9 patients (4%) to be less than 20 years of age. He states further “4% is a small figure, but there are grounds for suspecting that it is less than the true one. And it is a significant, even a large percentage when weighed against the common belief that youth does not have endometriosis.” None the less, despite this observation and warning, the practice did not change for many decades, and diagnosis and treatment were delayed in adolescents suffering from endometriosis. We must welcome this new book Endometriosis in Adolescents: A Comprehensive Guide to Diagnosis and Management initiated and edited by Professor Ceana Nezhat, who also contributed several chapters to it. This book, with its 45 chapters, is certainly comprehensive and richly illustrated; it is also unique in style and content. The authorship is international and well-­ recognized in t