{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T12:15:24Z","timestamp":1778328924668,"version":"3.51.4"},"reference-count":42,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpagonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric and Adolescent Gynecology"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.jpag.2026.01.006","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T17:14:13Z","timestamp":1770225253000},"page":"410-415","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Characteristics of Adolescent and Young Adult Patients Undergoing Surgery for Deep Endometriosis: A Multicenter Database Study"],"prefix":"10.1016","volume":"39","author":[{"given":"Jonathan","family":"Lewin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hazel I.","family":"Learner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arvind","family":"Vashisht","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katy","family":"Vincent","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ertan","family":"Saridogan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian M.","family":"Becker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Hirsch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpag.2026.01.006_bib0001","doi-asserted-by":"crossref","first-page":"1244","DOI":"10.1056\/NEJMra1810764","article-title":"Endometriosis","volume":"382","author":"Zondervan","year":"2020","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jpag.2026.01.006_bib0002","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1007\/s00404-012-2361-z","article-title":"Endometriosis: a premenopausal disease? Age pattern in 42,079 patients with endometriosis","volume":"286","author":"Haas","year":"2012","journal-title":"Arch Gynecol Obstet"},{"issue":"4","key":"10.1016\/j.jpag.2026.01.006_bib0003","doi-asserted-by":"crossref","DOI":"10.1016\/j.jmig.2020.08.012","article-title":"New diagnosis of endometriosis is less common in women over age forty presenting with pelvic pain","volume":"28","author":"Gunawardena","year":"2021","journal-title":"J Minim Invasive Gynecol"},{"issue":"1","key":"10.1016\/j.jpag.2026.01.006_bib0004","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpag.2011.09.009","article-title":"Ovarian endometrioma in an 11-year-old girl before menarche: a case study with literature review","volume":"25","author":"Gogacz","year":"2012","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"10.1016\/j.jpag.2026.01.006_bib0005","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.fertnstert.2007.11.020","article-title":"Diagnostic experience among 4,334 women reporting surgically diagnosed endometriosis","volume":"91","author":"Greene","year":"2009","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jpag.2026.01.006_bib0006","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/j.jpag.2008.11.003","article-title":"The effect of combined surgical-medical intervention on the progression of endometriosis in an adolescent and young adult population","volume":"22","author":"Doyle","year":"2009","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"10.1016\/j.jpag.2026.01.006_bib0007","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/S0197-0070(80)80007-6","article-title":"Adolescent endometriosis","volume":"1","author":"Goldstein","year":"1980","journal-title":"J Adolesc Health Care"},{"key":"10.1016\/j.jpag.2026.01.006_bib0008","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1080\/01443615.2019.1603217","article-title":"Diagnostic delay for superficial and deep endometriosis in the United Kingdom","volume":"40","author":"Ghai","year":"2020","journal-title":"J Obstet Gynaecol"},{"key":"10.1016\/j.jpag.2026.01.006_bib0009","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1093\/humrep\/deg136","article-title":"Time elapsed from onset of symptoms to diagnosis of endometriosis in a cohort study of Brazilian women","volume":"18","author":"Arruda","year":"2003","journal-title":"Hum Reprod"},{"key":"10.1016\/j.jpag.2026.01.006_bib0010","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1159\/000348520","article-title":"The British Society for Gynaecological Endoscopy Endometriosis Centers Project","volume":"76","author":"Saridogan","year":"2013","journal-title":"Gynecol Obstet Invest"},{"key":"10.1016\/j.jpag.2026.01.006_bib0011","unstructured":"World Health Organization: Guidance on ethical considerations in planning and reviewing research studies on sexual and reproductive health in adolescents. 2018. Available: https:\/\/apps.who.int\/iris\/handle\/10665\/273792. Accessed March 19, 2022"},{"key":"10.1016\/j.jpag.2026.01.006_bib0012","doi-asserted-by":"crossref","first-page":"2423","DOI":"10.1016\/S0140-6736(16)00579-1","article-title":"Our future: a Lancet commission on adolescent health and wellbeing","volume":"387","author":"Patton","year":"2016","journal-title":"Lancet"},{"issue":"4","key":"10.1016\/j.jpag.2026.01.006_bib0013","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2017-018924","article-title":"Laparoscopic excision of deep rectovaginal endometriosis in BSGE endometriosis centers: a multicenter prospective cohort study","volume":"8","author":"Byrne","year":"2018","journal-title":"BMJ Open"},{"key":"10.1016\/j.jpag.2026.01.006_bib0014","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1016\/j.jmig.2015.04.001","article-title":"Adolescent endometriosis: report of a series of 55 cases with a focus on clinical presentation and long-term issues","volume":"22","author":"Audebert","year":"2015","journal-title":"J Minim Invasive Gynecol"},{"key":"10.1016\/j.jpag.2026.01.006_bib0015","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/j.jpag.2009.12.002","article-title":"Endometriosis in young women: the experience of GISE","volume":"23","author":"Vicino","year":"2010","journal-title":"J Pediatr Adolesc Gynecol"},{"issue":"7","key":"10.1016\/j.jpag.2026.01.006_bib0016","doi-asserted-by":"crossref","DOI":"10.1007\/s11136-019-02115-x","article-title":"EQ-5D-Y-5L: developing a revised EQ-5D-Y with increased response categories","volume":"28","author":"Kreimeier","year":"2019","journal-title":"Qual Life Res"},{"issue":"6","key":"10.1016\/j.jpag.2026.01.006_bib0017","doi-asserted-by":"crossref","DOI":"10.1016\/j.jmig.2013.04.017","article-title":"Reliability of visual diagnosis of endometriosis","volume":"20","author":"Fernando","year":"2013","journal-title":"J Minim Invasive Gynecol"},{"key":"10.1016\/j.jpag.2026.01.006_bib0018","doi-asserted-by":"crossref","DOI":"10.1111\/j.1471-0528.2004.00433.x","article-title":"Accuracy of laparoscopy in the diagnosis of endometriosis: a systematic quantitative review","volume":"111","author":"Wykes","year":"2004","journal-title":"BJOG"},{"key":"10.1016\/j.jpag.2026.01.006_bib0019","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1007\/s00404-022-06541-0","article-title":"The risk of endometriosis by early menarche is recently increased: a meta-analysis of literature published from 2000 to 2020","volume":"307","author":"Lu","year":"2023","journal-title":"Arch Gynecol Obstet"},{"key":"10.1016\/j.jpag.2026.01.006_bib0020","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1016\/j.fertnstert.2012.05.035","article-title":"Is early age at menarche a risk factor for endometriosis? A systematic review and meta-analysis of case-control studies","volume":"98","author":"Nnoaham","year":"2012","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jpag.2026.01.006_bib0021","first-page":"693","article-title":"Caracteristiques de l\u2019endometriose de l\u2019adolescente: a propos d\u2019une serie de 40 cas","volume":"28","author":"Henry-Suchet","year":"2000","journal-title":"Gynecol Obstet Fertil"},{"key":"10.1016\/j.jpag.2026.01.006_bib0022","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/0002-9378(86)90389-3","article-title":"Endometriosis in association with uterine anomaly","volume":"154","author":"Sanfilippo","year":"1986","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.jpag.2026.01.006_bib0023","first-page":"412","article-title":"Endometriosis and mullerian anomalies","volume":"69","author":"Olive","year":"1987","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.jpag.2026.01.006_bib0024","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejogrb.2016.05.019","article-title":"Adolescent endometriosis","volume":"209","author":"Sar\u0131do\u011fan","year":"2017","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.jpag.2026.01.006_bib0025","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1111\/ajo.12614","article-title":"Endometriosis education in schools: a New Zealand model examining the impact of an education program in schools on early recognition of symptoms suggesting endometriosis","volume":"57","author":"Bush","year":"2017","journal-title":"Aust N Z J Obstet Gynaecol"},{"key":"10.1016\/j.jpag.2026.01.006_bib0026","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1016\/j.jpag.2018.07.009","article-title":"Menstrual patterns in the first gynecological year: a systematic review","volume":"31","author":"Gunn","year":"2018","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"10.1016\/j.jpag.2026.01.006_bib0027","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1016\/j.jpag.2020.07.011","article-title":"The prevalence of endometriosis in adolescents with pelvic pain: a systematic review","volume":"33","author":"Hirsch","year":"2020","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"10.1016\/j.jpag.2026.01.006_bib0028","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.bpobgyn.2004.01.003","article-title":"Impact of endometriosis on women\u2019s health: comparative historical data show that the earlier the onset, the more severe the disease","volume":"18","author":"Ballweg","year":"2004","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"issue":"6","key":"10.1016\/j.jpag.2026.01.006_bib0029","doi-asserted-by":"crossref","DOI":"10.1002\/pds.5209","article-title":"Chronic opioid use and complication risks in women with endometriosis: a cohort study in US administrative claims","volume":"30","author":"Chiuve","year":"2021","journal-title":"Pharmacoepidemiol Drug Saf"},{"key":"10.1016\/j.jpag.2026.01.006_bib0030","doi-asserted-by":"crossref","DOI":"10.1097\/01.ogx.0000579680.37770.00","article-title":"Patterns of prescription opioid use in women with endometriosis: evaluating prolonged use, daily dose, and concomitant use with benzodiazepines","volume":"74","author":"Lamvu","year":"2019","journal-title":"Obstet Gynecol Surv"},{"key":"10.1016\/j.jpag.2026.01.006_bib0031","doi-asserted-by":"crossref","DOI":"10.1007\/s11916-018-0674-8","article-title":"Novel pharmacological nonopioid therapies in chronic pain","volume":"22","author":"Kaye","year":"2018","journal-title":"Curr Pain Headache Rep"},{"key":"10.1016\/j.jpag.2026.01.006_bib0032","doi-asserted-by":"crossref","first-page":"1414","DOI":"10.1111\/1471-0528.15894","article-title":"Surgical removal of superficial peritoneal endometriosis for managing women with chronic pelvic pain: time for a rethink?","volume":"126","author":"Horne","year":"2019","journal-title":"BJOG"},{"key":"10.1016\/j.jpag.2026.01.006_bib0033","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/hropen\/hoac009","article-title":"ESHRE guideline: endometriosis","volume":"2022","author":"Becker","year":"2022","journal-title":"Hum Reprod Open"},{"key":"10.1016\/j.jpag.2026.01.006_bib0034","unstructured":"Royal Australian and New Zealand College of Obstetricians and Gynaecologists: Australian Living evidence guideline: endometriosis. Available: https:\/\/gbr01.safelinks.protection.outlook.com\/?url=https%3A%2F%2Franzcog.edu.au%2Fwomens-health%2Fendometriosis%2F&data=05%7C02%7Cjonathan.lewin1%40nhs.net%7C605ef64afcef4f803efe08dde8ea0386%7C37c354b285b047f5b22207b48d774ee3%7C0%7C0%7C638922813976552964%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=wrrtr0LYzpbonsQAk9vEDs%2Fys1ABBVjTm24W6tn2h7U%3D&reserved=0. Accessed 20 September, 2025"},{"key":"10.1016\/j.jpag.2026.01.006_bib0035","doi-asserted-by":"crossref","first-page":"2259","DOI":"10.1093\/humrep\/deae180","article-title":"Distribution of endometriosis phenotypes according to patients\u2019 age in adult women with surgical evaluation","volume":"39","author":"Bourdon","year":"2024","journal-title":"Hum Reprod"},{"key":"10.1016\/j.jpag.2026.01.006_bib0036","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/j.gofs.2018.02.017","article-title":"D\u00e9finition, description, formes anatomo-cliniques, pathogen\u00e8se et histoire naturelle de l\u2019endom\u00e9triose, RPC Endom\u00e9triose CNGOF-HAS","volume":"46","author":"Borghese","year":"2018","journal-title":"Gyn\u00e9col Obst\u00e9t Fertil S\u00e9nol"},{"key":"10.1016\/j.jpag.2026.01.006_bib0037","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1016\/j.ajog.2004.06.104","article-title":"Is rectovaginal endometriosis a progressive disease?","volume":"191","author":"Fedele","year":"2004","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.jpag.2026.01.006_bib0038","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1016\/S0015-0282(02)03336-8","article-title":"A long-term follow-up study of women with asymptomatic endometriosis diagnosed incidentally at sterilization","volume":"78","author":"Moen","year":"2002","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jpag.2026.01.006_bib0039","doi-asserted-by":"crossref","first-page":"2023","DOI":"10.1093\/humrep\/det298","article-title":"Is adolescent endometriosis a progressive disease that needs to be diagnosed and treated?","volume":"28","author":"Evers","year":"2013","journal-title":"Hum Reprod"},{"key":"10.1016\/j.jpag.2026.01.006_bib0040","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.1111\/aogs.14491","article-title":"Natural progression of deep pelvic endometriosis in women who opt for expectant management","volume":"102","author":"Knez","year":"2023","journal-title":"Acta Obstet Gynecol Scand"},{"key":"10.1016\/j.jpag.2026.01.006_bib0041","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/j.jpag.2008.11.003","article-title":"The effect of combined surgical-medical intervention on the progression of endometriosis in an adolescent and young adult population","volume":"22","author":"Doyle","year":"2009","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"10.1016\/j.jpag.2026.01.006_bib0042","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1093\/oxfordjournals.humrep.a137229","article-title":"The impact of treatment on the natural history of endometriosis","volume":"5","author":"Mahmood","year":"1990","journal-title":"Hum Reprod"}],"container-title":["Journal of Pediatric and Adolescent Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1083318826000069?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1083318826000069?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T12:03:12Z","timestamp":1778328192000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1083318826000069"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":42,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["S1083318826000069"],"URL":"https:\/\/doi.org\/10.1016\/j.jpag.2026.01.006","relation":{},"ISSN":["1083-3188"],"issn-type":[{"value":"1083-3188","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Characteristics of Adolescent and Young Adult Patients Undergoing Surgery for Deep Endometriosis: A Multicenter Database Study","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric and Adolescent Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpag.2026.01.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Crown Copyright \u00a9 2026 Published by Elsevier Inc. on behalf of North American Society for Pediatric and Adolescent Gynecology.","name":"copyright","label":"Copyright"}]}}