ADOLESCENT AND PEDIATRIC GYNECOLOGY: Edited by Geri HewittEndometriosis in adolescentsDowlut-McElroy, Tazima,b; Strickland, Julie L.a,b Author Information aDepartment of Obstetrics and Gynecology, University of Missouri-Kansas City School of Medicine bDepartment of Surgery, Children's Mercy Hospitals, Kansas City, Missouri, USA Correspondence to Julie L. Strickland, MD, MPH, Department of Obstetrics and Gynecology, University of Missouri-Kansas City School of Medicine, 2301 Holmes St., Suite 713, Kansas City, MO 64108, USA. Tel: +1 816 404 5150; fax: +1 816 404 5152; e-mail: [email protected]u Current Opinion in Obstetrics and Gynecology: October 2017 - Volume 29 - Issue 5 - p 306-309 doi: 10.1097/GCO.0000000000000402 Buy Metrics Abstract Purpose of review The current article addresses recent literature regarding the diagnosis and management of endometriosis in adolescents. Recent findings An increasing body of literature suggests that advanced-stage endometriosis (revised scoring system of the American Society for Reproductive Medicine Stage III or IV) and deeply invasive endometriosis are relatively common in adolescents. There remains limited data on the efficacy of postoperative hormonal management of endometriosis in the adolescent population. Summary Strong consideration should be made for surgical diagnosis of endometriosis in adolescents with pelvic pain, including noncyclic pain, with a concurrent family history of endometriosis and personal history of atopic disease. More research is needed regarding the benefits of the routine use of hypoestrogenic and other hormonal agents in the prevention of disease progression and long-term sequela in adolescents with endometriosis. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.