Endometriose bei Jugendlichen und jungen Frauen

In: Endometriose verstehen und bewältigen · 2026 · pp. 181–211 · doi:10.1007/978-3-662-72774-4_6 · W7160099834
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Endometriosis, previously considered an adult disease, often begins its symptoms in adolescence, frequently coinciding with the onset of menstruation.

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The paper discusses endometriosis in adolescents and young women, noting that it has often been viewed historically as a condition of adult women despite symptoms starting in adolescence, frequently with menarche. It presents a high-level overview drawn from the existing literature, emphasizing early symptom onset and the implications of that timeline for recognition and management. A key limitation is that the provided text is a short chapter excerpt and does not include original data or detailed methods, so conclusions rely on previously published sources. This paper is centrally about endometriosis — it specifically focuses on how endometriosis presents in adolescents and young women.

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Zusammenfassung Endometriose wurde lange Zeit vor allem als Erkrankung erwachsener Frauen verstanden. Heute wissen wir jedoch: Die Symptome beginnen bei vielen Betroffenen bereits in der Jugend – oft mit der ersten Menstruation (DiVasta et al. 2018). Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others Literatur Artacho-Cordón, F., Salinas-Asensio, M. D. M., Galiano-Castillo, N., Ocón-Hernández, O., Peinado, F. M., Mundo-López, A., Lozano-Lozano, M., Álvarez-Salvago, F., Arroyo-Morales, M., Fernández-Lao, C., & Cantarero-Villanueva, I. (2023). Effect of a Multimodal Supervised Therapeutic Exercise Program on Quality of Life, Pain, and Lumbopelvic Impairments in Women With Endometriosis Unresponsive to Conventional Therapy: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation, 104(11), 1785–1795. https://doi.org/10.1016/j.apmr.2023.06.020 Benagiano, G., Guo, S.-W., Puttemans, P., Gordts, S., & Brosens, I. (2018). Progress in the diagnosis and management of adolescent endometriosis: An opinion. Reproductive BioMedicine Online, 36(1), 102–114. https://doi.org/10.1016/j.rbmo.2017.09.015 Brawn, J., Morotti, M., Zondervan, K. T., Becker, C. M., & Vincent, K. (2014). Central changes associated with chronic pelvic pain and endometriosis. Human Reproduction Update, 20(5), 737–747. https://doi.org/10.1093/humupd/dmu025 de Sanctis, V., Matalliotakis, M., Soliman, A. T., Elsefdy, H., Di Maio, S., & Fiscina, B. (2018). A focus on the distinctions and current evidence of endometriosis in adolescents. Best Practice & Research Clinical Obstetrics & Gynaecology, 51, 138–150. https://doi.org/10.1016/j.bpobgyn.2018.01.023 DiVasta, A. D., Vitonis, A. F., Laufer, M. R., & Missmer, S. A. (2018). Spectrum of symptoms in women diagnosed with endometriosis during adolescence vs adulthood. American Journal of Obstetrics and Gynecology, 218(3), 324.e1-324.e11. https://doi.org/10.1016/j.ajog.2017.12.007 Dovey, S., & Sanfilippo, J. (2010). Endometriosis and the Adolescent. Clinical Obstetrics & Gynecology, 53(2), 420–428. https://doi.org/10.1097/GRF.0b013e3181dbdc61 Dowlut-McElroy, T., & Strickland, J. L. (2017). Endometriosis in adolescents. Current Opinion in Obstetrics & Gynecology, 29(5), 306–309. https://doi.org/10.1097/GCO.0000000000000402 Dumont, H. (2024). Sex therapy and support for women and couples. Revue De L’infirmiere, 73(299), 34–35. https://doi.org/10.1016/j.revinf.2024.01.013 Friedl, F., Riedl, D., Fessler, S., Wildt, L., Walter, M., Richter, R., Schüßler, G., & Böttcher, B. (2015). Impact of endometriosis on quality of life, anxiety, and depression: An Austrian perspective. Archives of Gynecology and Obstetrics, 292(6), 1393–1399. https://doi.org/10.1007/s00404-015-3789-8 Gallagher, J. S., DiVasta, A. D., Vitonis, A. F., Sarda, V., Laufer, M. R., & Missmer, S. A. (2018). The Impact of Endometriosis on Quality of Life in Adolescents. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 63(6), 766–772. https://doi.org/10.1016/j.jadohealth.2018.06.027 González-Echevarría, A. M., Rosario, E., Acevedo, S., & Flores, I. (2019). Impact of coping strategies on quality of life of adolescents and young women with endometriosis. Journal of Psychosomatic Obstetrics and Gynaecology, 40(2), 138–145. https://doi.org/10.1080/0167482X.2018.1450384 Guillemot, C., Klinkenberg, J., & Sordes, F. (2024). The psychopathological repercussions on patients faced with pain: A focus on endometriosis. L’Encephale, 50(3), 289–295. https://doi.org/10.1016/j.encep.2023.06.019 Gupta, J., Cardoso, L. F., Harris, C. S., Dance, A. D., Seckin, T., Baker, N., & Ferguson, Y. O. (2018). How do adolescent girls and boys perceive symptoms suggestive of endometriosis among their peers? Findings from focus group discussions in New York City. BMJ Open, 8(6), e020657. https://doi.org/10.1136/bmjopen-2017-020657 Lazzeri, L., Andersson, K. L., Angioni, S., Arena, A., Arena, S., Bartiromo, L., Berlanda, N., Bonin, C., Candiani, M., Centini, G., Forno, S. D., Donati, A., Exacoustos, C., Fuggetta, E., Labanca, L., Maiorana, A., Maneschi, F., Mattei, A., Muzii, L., … Martire, F. G. (2023). How to Manage Endometriosis in Adolescence: The Endometriosis Treatment Italian Club Approach. Journal of Minimally Invasive Gynecology, 30(8), 616–626. https://doi.org/10.1016/j.jmig.2023.03.017 Liakopoulou, M.-K., Tsarna, E., Eleftheriades, A., Arapaki, A., Toutoudaki, K., & Christopoulos, P. (2022). Medical and Behavioral Aspects of Adolescent Endometriosis: A Review of the Literature. Children (Basel, Switzerland), 9(3), 384. https://doi.org/10.3390/children9030384 Mama, S. T. (2018). Advances in the management of endometriosis in the adolescent. Current Opinion in Obstetrics & Gynecology, 30(5), 326–330. https://doi.org/10.1097/GCO.0000000000000483 Matasariu, R. D., Mihaila, A., Iacob, M., Dumitrascu, I., Onofriescu, M., Crumpei Tanasa, I., & Vulpoi, C. (2017). PSYCHO-SOCIAL ASPECTS OF QUALITY OF LIFE IN WOMEN WITH ENDOMETRIOSIS. Acta Endocrinologica (Bucharest, Romania: 2005), 13(3), 334–339. https://doi.org/10.4183/aeb.2017.334 Mwaura, A. N., Marshall, N., Anglesio, M. S., & Yong, P. J. (2023). Neuroproliferative dyspareunia in endometriosis and vestibulodynia. Sexual Medicine Reviews, 11(4), 323–332. https://doi.org/10.1093/sxmrev/qead033 Panvino, F., Paparella, R., Pisani, F., Tarani, F., Ferraguti, G., Fiore, M., Ardizzone, I., & Tarani, L. (2025). Endometriosis in Adolescence: A Narrative Review of the Psychological and Clinical Implications. Diagnostics (Basel, Switzerland), 15(5), 548. https://doi.org/10.3390/diagnostics15050548 Requadt, E., Nahlik, A. J., Jacobsen, A., & Ross, W. T. (2024). Patient experiences of endometriosis diagnosis: A mixed methods approach. BJOG: An International Journal of Obstetrics and Gynaecology, 131(7), 941–951. https://doi.org/10.1111/1471-0528.17719 Shim, J. Y., Laufer, M. R., King, C. R., Lee, T. T. M., Einarsson, J. I., & Tyson, N. (2024). Evaluation and Management of Endometriosis in the Adolescent. Obstetrics & Gynecology, 143(1), 44. https://doi.org/10.1097/AOG.0000000000005448 Simpson, C. N., Lomiguen, C. M., & Chin, J. (2021). Combating Diagnostic Delay of Endometriosis in Adolescents via Educational Awareness: A Systematic Review. Cureus, 13(5), e15143. https://doi.org/10.7759/cureus.15143 Soliman, A. M., Rahal, Y., Robert, C., Defoy, I., Nisbet, P., Leyland, N., & Singh, S. (2021). Impact of Endometriosis on Fatigue and Productivity Impairment in a Cross-Sectional Survey of Canadian Women. Journal of Obstetrics and Gynaecology Canada: JOGC = Journal d’obstetrique et Gynecologie Du Canada: JOGC, 43(1), 10–18. https://doi.org/10.1016/j.jogc.2020.06.022 Taffs, L., Waters, N., Marino, J., Rapsey, C., Peate, M., & Girling, J. E. (2024). Supportive Care Needs of Young Adults With Endometriosis: An Open‐Ended Online Survey and Exploration of Unmet Needs. Health Expectations : An International Journal of Public Participation in Health Care and Health Policy, 27(5), e70045. https://doi.org/10.1111/hex.70045 Wróbel, M., Wielgoś, M., & Laudański, P. (2022). Diagnostic delay of endometriosis in adults and adolescence-current stage of knowledge. Advances in Medical Sciences, 67(1), 148–153. https://doi.org/10.1016/j.advms.2022.02.003 Author information Authors and Affiliations Corresponding author Rights and permissions Copyright information © 2026 Der/die Autor(en), exklusiv lizenziert an Springer-Verlag GmbH, DE, ein Teil von Springer Nature About this chapter Cite this chapter Falconnier, A., Schulte, V. (2026). Endometriose bei Jugendlichen und jungen Frauen. In: Endometriose verstehen und bewältigen . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-72774-4_6 Download citation DOI: https://doi.org/10.1007/978-3-662-72774-4_6 Published: Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-662-72773-7 Online ISBN: 978-3-662-72774-4 eBook Packages: Medicine (German Language)

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