ENDOMETRIOSIS IN ADOLESCENTS. A COMPREHENSIVE GUIDE TO DIAGNOSIS AND MANAGEMENT

Preface
History of Endometriosis in Adolescents
Endometriosis ancient disease ancient treatments
Endometriosis in Adolescents
Endometriosis Definition
Defining Endometriosis for doctors and patients
Etiology of Endometriosis
Molecular Mechanisms underlying Adolescent Endometriosis and Advancements in Medical Management
Pathophysiology of endometriosis
Optimal Management of Endometriosis and Pain
The Presence of Endometriosis in the Human Fetus
Diagnosis
Clinical Evaluation and Preoperative Considerations in Adolescent Girls with Endometriosis
Neuroanatomical insights in adolescents with endometriosis and pain
Reproductive Tract Anomalies in Adolescent Endometriosis
Obstructed Mullerian Anomalies and Endometriosis in the Adolescent
Adenomyosis In Adolescence
(Henry) Patient Story SKM
Endometriosis Classifications
Current classifications addressing endometriosis in adolescents related to symptoms
Imaging
Imaging for endometriosis in adolescent
Utility of ultrasound in the evaluation in adolescents suspected of endometriosis
Clinical Manifestations
Neonatal uterine bleeding and adolescent endometriosis
Hammer and Nail Medicine: The Cost of Non-Acceptance in Adolescent Psychology and Endometriosis
Fertility Outcomes
FERTILITY OUTCOMES - REDUCING OVARIAN DAMAGE DURING ENDOMETRIOSIS SURGERY
Fertility Preservation in Adolescents with Endometriosis
Endometriosis Comorbidities
Comorbidities in adolescent women with endometriosis
Associated Pathology
Thyroid Disorders in Adolescence
Polycystic Ovary Syndrome in Adolescents
Benign Adnexal Masses in Pediatric and Adolescent Females
Adnexal Masses in the Adolescent Population
Ovarian Torsion in Adolescents
Ovary Sparing Surgery for Ovarian Torsion in Adolescents
Adnexal Torsion in Adolescent and Pediatric Patients
(Ziegler) Patient Stories SKM
Pre-operative Considerations
Anesthesia considerations for operative laparoscopy in pediatric and adolescent gynecological surgery
Patient Positioning for Operative Laparoscopy in Pediatric and Adolescent Gynecological Surgery
Instrumentation for operative laparoscopy in pediatric and adolescent gynecological surgery
Interventions
Surgical Interventions
Laparoscopic Surgery in Adolescents for Endometriosis
The Role of Hysteroscopy in Adolescent Gynecologic Evaluation and Treatment
Nutrition and Lifestyle Factors
Medical Management of Endometriosis in Adolescents
Curcumin in the management of Endometriosis
The holistic approach to managing adolescent endometriosis
(Wright) Patient Story
Post-operative Considerations
Complications of Endoscopic Surgery for Adolescents Endometriosis: Prevention, Recognition, and Management
Today’s Activism: increasing awareness among physicians and patients
Approach to diagnosis of adolescent endometriosis for the primary care pediatrician
Individual Actions

Adolescent endometriosis is a previously overlooked disease in children, the true prevalence of which is still unknown but has been estimated between 19-73%. There are numerous initial challenges faced by adolescents suffering from delayed or undiagnosed endometriosis apart from experiencing chronic pain, such as: school/work absenteeism, false diagnoses/treatments, erroneous physician referrals, unnecessary radiological studies, radiation exposure, and emergency room visits as well as early exposure to narcotic pain medications and subsequent drug tolerance, resistance or even addiction.
This text presents a clear history of physician and patient understanding and awareness of endometriosis in adolescents. It lays the groundwork for this condition with background information on endometriosis in general followed by a more focused look at endometriosis in adolescents. Leading experts in the field provide chapters on the different locations where endometriotic lesions can present in adolescents as well as identified risk factors and concomitant diseases of which it is important to be aware. In addition to the clinical presentation, this book also provides information on breaking down existing barriers, such as stigma, and current activism and awareness of this condition.
Adolescent Endometriosis is a first-of-its-kind text that focuses exclusively on endometriosis in the adolescent population. Written by experts in the field, this book is a comprehensive resource for clinicians in all medical disciplines that treat adolescent age girls.

Features
• Presents a clear history of physician and patient understanding and awareness of endometriosis in adolescents
• Is a first-of-its-kind text that focuses exclusively on endometriosis in the adolescent population
• Written by experts in the field

Author
Dr. Ceana Nezhat, is Director of Nezhat Medical Center and Fellowship Director Atlanta Center for Minimally Invasive Surgery and Reproductive Medicine. He also serves as the Medical Director of Education & Training and Director of Minimally Invasive Surgery & Robotics at Northside Hospital in Atlanta, Georgia, and Adjunct Professor of Gynecology and Obstetrics at Emory University School of Medicine. Dr. Nezhat is the Immediate Past President of the Society of Reproductive Surgeons (SRS) and Past President of the American Association of Gynecologic Laparoscopists (AAGL).
Dr. Nezhat has extensive experience in the treatment of multi-organ endometriosis. He has co-authored multiple textbooks and well over 200 peer-reviewed articles and book chapters including adolescent endometriosis. He has received numerous awards and accolades for his teaching and educational activities, as well as highly acclaimed awards for contributions to education. He is recipient of Distinguished Surgeon Award from the Society of Laparoendoscopic and Robotic Surgery (SLS ).He has organized numerous National and international conferences, and is the founder and Chair of the World Symposium on Endometriosis. He is an advocate of early detection of endometriosis by increasing awareness amongst paediatricians, primary care physicians, and school health care providers.