Abstract
Endometriosis in adolescents presents unique diagnostic and management challenges compared to its manifestation in adult women. The symptoms can vary significantly among individuals, often resulting in a substantial delay in diagnosis, which subsequently impairs quality of life in this vulnerable age group and leads to worsening symptoms and considerable debilitation in adulthood. Recent diagnostic modalities and biomarkers, along with emerging treatment strategies, offer hope for a more evidence-based approach. However, much research is still needed to understand the causality and progression of the condition to aid in the development of targeted treatments. This narrative review aims to provide current insights and clinical considerations for endometriosis in adolescents and discuss unresolved questions that may encourage future research in the field.