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7436760 
Journal Article 
Management of Endometriosis in Teenagers 
Troìa, L; Biscione, A; Colombi, I; Luisi, S; , 
2021 
51-63 
Endometriosis in adolescents needs unique considerations for treatment approaches, as it presents particular challenges in terms of diagnosis, variable presentation and symptoms, and choice of treatment [1]. Dysmenorrhea is the most common gynecologic issue among adolescents, occurring in 50–80% of these and causing limitation in sports and activities, poor academic performance, and long duration of resting (Fig. 6.1). In about 10% of adolescents with severe dysmenorrhea symptoms, pelvic abnormalities such as endometriosis or uterine anomalies may be found and the incidence of endometriosis has been reported between 45% and 70% in adolescents with chronic pelvic pain (CPP) [2].