Abstract: Adolescent endometriosis presents in girls aged 10-19，which is the leading cause of secondary dysmenorrhea in adolescents，and may be associated with obstructive anomalies. Increasing awareness of this disease will help to make earlier diagnosis and avoid progression of the disease.  Tailored medical or surgical treatment helps to achieve the goals of therapy， including controlling pain，preserving fertility，delaying progression and preventing recurrence.

Key words: endometriosis, adolescent, genital anomalies, progression

摘要： 青少年子宫内膜异位症发生于10~19岁，是引起青少年继发性痛经的最常见原因，部分患者合并梗阻性畸形。提高对该病的认知，有助于早期诊断，避免疾病进展。应围绕控制疼痛、保护生育、延缓进展以及预防复发的目标开展个体化药物或手术治疗。

关键词: 子宫内膜异位症, 青少年, 生殖道畸形, 进展性