Treatment of a cause of Endometriosis at a younger age group :

Ans. is a i.e. Progestin Adolescent Endometriosis : The incidental finding of minimal to mild endometriosis in a young woman without immediate interest in pregnancy is a common clinical problem. 70% of girls with chronic pelvic pain unresponsive to OCP's or NSAID's are affected by endometriosis. Mild disease can be treated by surgical removal of implants at the time of diagnosis followed by continuous administration of low dose combination oral pills to prevent recurrence. More advanced disease can be treated medically for 6 months, followed by continuous OCP's to prevent disease progression. The question now arises - which medical therapy is best suited for young women. Danazol causes virilising side effects and so not should be given to young women. GnRH causes severe osteoporosis and without backup therapy (like progesterone, OCP or tibolone) should not be used in young women especially in adolescent less than 16 years. So, best option is progestin.