Dysmenorrhea in adolescents requires careful investigation of endometriosis—an analysis of early menstrual experiences in a large case-control study
| Autor: | Samia El-Hadad, Daksha Lässer, Maike-Katja Sachs, Alexandra Sabrina Kohl Schwartz, Felix Haeberlin, Stephanie von Orelli, Markus Eberhard, Brigitte Leeners |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Frontiers in Reproductive Health, Vol 5 (2023) |
| Druh dokumentu: | article |
| ISSN: | 2673-3153 82826404 |
| DOI: | 10.3389/frph.2023.1121515 |
| Popis: | IntroductionRecent evidence shows that endometriosis, a significant cause of infertility, may already present in adolescents. Dysmenorrhea, often leading to school absences, is a key symptom of the maturing menstrual cycle but also of endometriosis. However, it is often perceived as “normal” and left untreated. In adolescents, laparoscopy, the standard procedure to diagnose endometriosis, is performed particularly cautiously. To improve reproductive health in adolescents, we evaluate associations between early menstrual experiences and endometriosis.MethodsRetrospective data on early menstrual experiences from 563 women with surgically/histologically verified endometriosis and from 563 age-matched controls were compared. Study participants were recruited in Switzerland, Germany, and Austria. Information on menstrual experiences was collected via a structured questionnaire.ResultsThe bivariate analysis showed that early menarche (p = 0.004), dysmenorrhea and negative memories of menarche (p 3 years after menarche ((p = |
| Databáze: | Directory of Open Access Journals |
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