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While we can't definitively diagnose endometriosis without surgery, suspected cases may be managed with nonsurgical treatment methods, particularly if symptoms are not severe. Nonsurgical endometriosis treatment for young women Our care team will recommend the best treatment options for each patient. Endometriosis spreads over time and should be evaluated and treated as soon as possible to minimize long-term pain.Īt Children's Colorado, we offer both surgical and nonsurgical approaches to treatment. There is no cure for endometriosis, but treatment can help young women manage their symptoms and significantly reduce endometriosis pain. We rarely perform a traditional pelvic exam in our clinic because we can typically obtain the same information from the medical history and other less invasive techniques.Įndometriosis treatment in girls and teens

Diagnosis also includes a basic abdominal exam. Your child's medical history is the most important part of an exam for endometriosis.

We take into account your daughter's personal history, circumstances and goals to create the best care plan for her. What to expect from an exam for endometriosisĪt Children's Colorado, we approach each potential endometriosis diagnosis individually. We only perform a laparoscopy if medical treatment doesn't resolve endometriosis symptoms. Many young women with suspected endometriosis do not need a surgical diagnosis because their endometriosis symptoms are well controlled with medical treatment. Our care team may conduct an ultrasound if pain is more severe than is typical with endometriosis or menstrual history suggests that an ovarian cyst is causing the pain.Įndometriosis is only diagnosed with absolute certainty with a surgical biopsy, which is done via a minimally invasive surgery called a diagnostic laparoscopy. Office evaluation sometimes includes a pelvic ultrasound, but often endometriosis does not cause ovarian cysts or other changes that are visible on ultrasound in teens and younger women. The doctor will ask about menstrual periods, cramping, pelvic pain, medical history and therapies patients have tried to relieve the pain.ĭoctors might suspect endometriosis when pain is severe and has not been relieved by over-the-counter pain medications and/or birth control pills. Inflammation caused by endometriosis can cause a number of changes to a woman's reproductive system that increase infertility.Īt Children's Colorado, our care team works to diagnose and treat endometriosis early to reduce the odds of infertility.Ī gynecologist who is experienced in diagnosing and treating endometriosis performs the initial diagnosis. Between 20% and 50% of women experiencing infertility also have endometriosis. Is endometriosis associated with infertility?Įndometriosis does not cause infertility, but women with the condition typically have more difficulty getting pregnant. Women who have a first-degree relative (mother or sister) with endometriosis are seven times more likely to develop endometriosis than girls who do not have a close relative with the condition. Most young women are diagnosed in their late teens and 20s. Who gets endometriosis?Įndometriosis can occur in any girl or woman who has started having menstrual periods. When women with endometriosis reach menopause and their estrogen levels drop, their symptoms usually subside. Endometriosis typically begins developing in the months and years after young women start having menstrual periods. However, we believe that estrogen, a naturally occurring hormone, causes it to spread and worsens endometriosis pain. We provide expert guidance for all steps of treatment, from diagnosis to treatment and follow-up care to help young women live without pelvic pain. Endometriosis can cause inflammation and scarring, and without treatment, it will usually persist and worsen over the reproductive years.Īt Children's Hospital Colorado, our pediatric and adolescent gynecologists are experienced in treating endometriosis in girls, teens and young women. Most commonly, endometrial tissue spreads to the ovaries, fallopian tubes, outer lining of the uterus and surrounding pelvic tissues. The tissue causes inflammation and irritation resulting in pain, especially during a woman's period.Įndometriosis can affect women of any reproductive age, from their first period to menopause. This tissue continues to act as it would inside the uterus during the menstrual cycle - thickening, breaking down and sometimes bleeding. Endometriosis is a condition that occurs when tissue from the inner lining of the uterus (called the endometrium) spreads outside of the uterus.