Boston Center for Endometriosis: Working together with researchers from Brigham and Women’s Hospital, our team is compiling the largest database and biorepository of adolescents and young adults with endometriosis in the United States. We will utilize these data to learn more about the etiology of endometriosis, appropriate therapies, and prognostic information for the future. Dr. DiVasta is also conducting clinical trials investigating new therapies for endometriosis.
Bone health in girls: Dr. DiVasta is studying skeletal health in girls with anorexia nervosa and completed a clinical trial using mechanical stimulation delivered via a vibrating platform to try to prevent the bone loss so commonly seen in patients with malnutrition.
Research Background
Dr. DiVasta received an MD from Tufts University School of Medicine and an MMSc from the Harvard Medical School/Harvard School of Public Health. Awards include the Huffman Capraro Award for Excellence in Research (Young Investigator Award) from the North American Society for Pediatric and Adolescent Gynecology (2006) and the Von L. Meyer Award (2003).
Selected Publications
2013. DiVasta AD, Feldman HA, Sadler J, and Missmer SA. Quality of Life in Adolescents Beginning Depot Leuprolide for Treatment of Endometriosis. Platform Oral Research Presentation, Pediatric Academic Society National Meeting.
Youngster M, Laufer MR, and DiVasta AD. Endometriosis for the primary care physician. Current Opin Ped 2013; 25(4): 454-462. PMID 23817302
DiVasta AD, Laufer MR, and Gordon CM. Preservation of bone mineral density in adolescents treated with GnRH agonists and add-back therapy for endometriosis. J Pediatr Adolesc Gynecol 2007; 20:293-7.
DiVasta AD and Laufer MR. The use of gonadotropin releasing hormone analogues in adolescent and young patients with endometriosis. Current Opin Ob Gyn 2013; 25(4): 287-292. PMID 23770813
Education
Undergraduate School
Wellesley College
1995
Wellesley
MA
Medical School
Tufts University School of Medicine
1999
Boston
MA
Internship
Lucile S. Packard Children's Hospital at Stanford
2000
Palo Alto
CA
Residency
Lucile S. Packard Children's Hospital at Stanford
2002
Palo Alto
CA
Fellowship
Boston Children's Hospital
Boston
MA
Graduate School
MS, Clinical Investigation
Harvard School of Public Health
2006
Boston
MA
Publications
Continuation of the Levonorgestrel-Releasing Intrauterine Device Among Adolescents With Endometriosis. J Pediatr Adolesc Gynecol. 2025 Feb; 38(1):85-88. View Abstract
Low-Magnitude Mechanical Signals to Preserve Skeletal Health in Female Adolescents With Anorexia Nervosa: A Randomized Clinical Trial. JAMA Netw Open. 2024 Oct 01; 7(10):e2441779. View Abstract
Contraception in Medically Complex Adolescents and Young Adults. Open Access J Contracept. 2024; 15:69-83. View Abstract
Telemedicine for Adolescent and Young Adult Long-Acting Reversible Contraception Post-insertion Visits: Outcomes over 1 Year. J Pediatr Adolesc Gynecol. 2024 Aug; 37(4):438-443. View Abstract
Subgroups of pelvic pain are differentially associated with endometriosis and inflammatory comorbidities: a latent class analysis. Pain. 2024 Sep 01; 165(9):2119-2129. View Abstract
Laparoscopically confirmed endometriosis and anti-Müllerian hormone levels: Findings from the Nurses' Health Study II. Maturitas. 2024 May; 183:107969. View Abstract
Relationship between long-acting reversible contraception and acne in a cohort of adolescents and young adults. Pediatr Dermatol. 2024 Jul-Aug; 41(4):628-634. View Abstract
Differences in characteristics and use of complementary and alternative methods for coping with endometriosis-associated acyclic pelvic pain across adolescence and adulthood. Front Reprod Health. 2023; 5:1306380. View Abstract
Adolescent and young adult long-acting reversible contraception post-insertion visit attendance before and after COVID-19. Int J Adolesc Med Health. 2024 Feb 01; 36(1):55-60. View Abstract
Associations between nutritional intake, stress and hunger biomarkers, and anxiety and depression during the treatment of anorexia nervosa in adolescents and young adults. Eat Behav. 2023 Dec; 51. View Abstract
Continuation rates of hormonal intrauterine devices in adolescents and young adults when placed for contraceptive and non-contraceptive indications. Contraception. 2024 01; 129:110304. View Abstract
Long-acting reversible contraception in gender-diverse adolescents and young adults: Outcomes from a multisite collaborative. Contraception. 2023 Nov; 127:110131. View Abstract
Quantitative somatosensory testing of the abdomen: establishing initial reference values across developmental age and biological sex. Pain. 2024 Jan 01; 165(1):115-125. View Abstract
Treatment of Adolescent Endometriosis Before, During, and After Use of Gonadotropin-Releasing Hormone Agonists: A Retrospective Cohort Study. J Pediatr Adolesc Gynecol. 2023 Oct; 36(5):472-475. View Abstract
Mental Health Conditions and Health-related Quality of Life Changes after Reduction Mammaplasty in Younger Patients. Plast Reconstr Surg Glob Open. 2023 Apr; 11(4):e4902. View Abstract
The genetic basis of endometriosis and comorbidity with other pain and inflammatory conditions. Nat Genet. 2023 03; 55(3):423-436. View Abstract
Contraceptive Implant-Associated Bleeding in Adolescent/Young Adult Clinical Practice: Associated Factors, Management, and Rates of Discontinuation. J Adolesc Health. 2023 04; 72(4):583-590. View Abstract
Risk Factors Associated with Severe Macromastia among Adolescents and Young Women. Plast Reconstr Surg. 2022 12 01; 150(6):1212-1218. View Abstract
Trends in pelvic pain symptoms over 2 years of follow-up among adolescents and young adults with and without endometriosis. Pain. 2023 03 01; 164(3):613-624. View Abstract
Telemedicine for Adolescent and Young Adult Long-Acting Reversible Contraception Follow-Up Care amidst a Global Pandemic. J Pediatr Adolesc Gynecol. 2023 Feb; 36(1):51-57. View Abstract
The Impact of Combined Oral Contraceptives on Adolescents with Macromastia. Plast Reconstr Surg. 2022 10 01; 150(4):731-738. View Abstract
Cohort profile: The Endometriosis pain QUality aftEr Surgical Treatment (EndoQUEST) Study. PLoS One. 2022; 17(6):e0269858. View Abstract
Normative Values for Adolescent Quality of Life in Plastic Surgery: A Longitudinal, Cohort Study. Plast Reconstr Surg Glob Open. 2022 May; 10(5):e4311. View Abstract
Complications and Quality of Life following Gynecomastia Correction in Adolescents and Young Men. Plast Reconstr Surg. 2022 06 01; 149(6):1062e-1070e. View Abstract
Association between endometriosis and lower urinary tract symptoms. Fertil Steril. 2022 04; 117(4):822-830. View Abstract
Adolescent/Young Adult Long-Acting Reversible Contraception: Experience from a Multisite Adolescent Medicine Collaborative. J Pediatr. 2022 04; 243:158-166. View Abstract
Evaluation and Management of Amenorrhea. JAMA. 2021 Nov 16; 326(19):1962-1963. View Abstract
A Clinical and Pathologic Exploration of Suspected Peritoneal Endometriotic Lesions. Int J Gynecol Pathol. 2021 Nov 01; 40(6):602-610. View Abstract
Sexual Orientation and Age at Menarche in Three U.S. Longitudinal Cohorts. J Adolesc Health. 2022 01; 70(1):163-166. View Abstract
Nonhormonal therapy for endometriosis: a randomized, placebo-controlled, pilot study of cabergoline versus norethindrone acetate. F S Rep. 2021 Dec; 2(4):454-461. View Abstract
Co-occurrence of immune-mediated conditions and endometriosis among adolescents and adult women. Am J Reprod Immunol. 2021 07; 86(1):e13404. View Abstract
The Impact of Progestin-only Contraception on Adolescents with Macromastia. Plast Reconstr Surg Glob Open. 2021 Feb; 9(2):e3421. View Abstract
Is Ovarian Reserve Impacted in Anorexia Nervosa? J Pediatr Adolesc Gynecol. 2021 Apr; 34(2):196-202. View Abstract
Optimal Timing for Reduction Mammaplasty in Adolescents. Plast Reconstr Surg. 2020 12; 146(6):1213-1220. View Abstract
Sexual orientation-related differences in contraceptive use: A brief report based on a cohort of adolescent and young women. Contraception. 2021 03; 103(3):195-198. View Abstract
The Effect of Surgical Treatment on the Quality of Life of Young Women with Breast Asymmetry: A Longitudinal, Cohort Study. Plast Reconstr Surg. 2020 10; 146(4):400e-408e. View Abstract
Characteristics of Adolescents with Differing Polycystic Ovary Syndrome Phenotypes. J Pediatr Adolesc Gynecol. 2020 Dec; 33(6):697-702. View Abstract
In utero and early life exposures in relation to endometriosis in adolescents and young adults. Eur J Obstet Gynecol Reprod Biol. 2020 Sep; 252:393-398. View Abstract
Supplementation with vitamin D or ?-3 fatty acids in adolescent girls and young women with endometriosis (SAGE): a double-blind, randomized, placebo-controlled trial. Am J Clin Nutr. 2020 07 01; 112(1):229-236. View Abstract
Quality of Life in Adolescent and Young Adult Women With Dyspareunia and Endometriosis. J Adolesc Health. 2020 10; 67(4):557-561. View Abstract
Overlap Between Irritable Bowel Syndrome Diagnosis and Endometriosis in Adolescents. Clin Gastroenterol Hepatol. 2021 03; 19(3):528-537.e1. View Abstract
Complications and Quality of Life following Reduction Mammaplasty in Adolescents and Young Women. Plast Reconstr Surg. 2019 09; 144(3):572-581. View Abstract
Will it Hurt? The Intrauterine Device Insertion Experience and Long-Term Acceptability Among Adolescents and Young Women. J Pediatr Adolesc Gynecol. 2019 Dec; 32(6):615-621. View Abstract
Impact of Adrenal Hormone Supplementation on Bone Geometry in Growing Teens With Anorexia Nervosa. J Adolesc Health. 2019 10; 65(4):462-468. View Abstract
Contraceptive use by women across different sexual orientation groups. Contraception. 2019 09; 100(3):202-208. View Abstract
Long-term Skeletal Consequences of Anorexia Nervosa: A "Wake up Call". J Adolesc Health. 2019 03; 64(3):283-285. View Abstract
The Impact of Endometriosis on Quality of Life in Adolescents. J Adolesc Health. 2018 12; 63(6):766-772. View Abstract
The Effect of Surgical Treatment for Gynecomastia on Quality of Life in Adolescents. J Adolesc Health. 2018 12; 63(6):759-765. View Abstract
An update on PCOS in adolescents. Curr Opin Pediatr. 2018 08; 30(4):459-465. View Abstract
Prevalence of migraines in adolescents with endometriosis. Fertil Steril. 2018 04; 109(4):685-690. View Abstract
Long-Term Effects of Gonadotropin-Releasing Hormone Agonists and Add-Back in Adolescent Endometriosis. J Pediatr Adolesc Gynecol. 2018 Aug; 31(4):376-381. View Abstract
Magnetic resonance imaging and spectroscopy evidence of efficacy for adrenal and gonadal hormone replacement therapy in anorexia nervosa. Bone. 2018 05; 110:335-342. View Abstract
Spectrum of symptoms in women diagnosed with endometriosis during adolescence vs adulthood. Am J Obstet Gynecol. 2018 03; 218(3):324.e1-324.e11. View Abstract
The Effect of Reduction Mammaplasty on Quality of Life in Adolescents With Macromastia. Pediatrics. 2017 Nov; 140(5). View Abstract
Bone marrow fat content in 70 adolescent girls with anorexia nervosa: Magnetic resonance imaging and magnetic resonance spectroscopy assessment. Pediatr Radiol. 2017 Jul; 47(8):952-962. View Abstract
Effect of Exercise and Antidepressants on Skeletal Outcomes in Adolescent Girls With Anorexia Nervosa. J Adolesc Health. 2017 Feb; 60(2):229-232. View Abstract
The ability of low-magnitude mechanical signals to normalize bone turnover in adolescents hospitalized for anorexia nervosa. Osteoporos Int. 2017 04; 28(4):1255-1263. View Abstract
Skeletal outcomes by peripheral quantitative computed tomography and dual-energy X-ray absorptiometry in adolescent girls with anorexia nervosa. Osteoporos Int. 2016 12; 27(12):3549-3558. View Abstract
Practice-Based Quality Improvement Collaborative to Increase Chlamydia Screening in Young Women. Pediatrics. 2016 05; 137(5). View Abstract
The Effects of Gonadotropin-Releasing Hormone Agonist Combined with Add-Back Therapy on Quality of Life for Adolescents with Endometriosis: A Randomized Controlled Trial. J Pediatr Adolesc Gynecol. 2017 Apr; 30(2):215-222. View Abstract
Hormonal Add-Back Therapy for Females Treated With Gonadotropin-Releasing Hormone Agonist for Endometriosis: A Randomized Controlled Trial. Obstet Gynecol. 2015 Sep; 126(3):617-627. View Abstract
Weight Changes After Reduction Mammaplasty in Adolescents. J Adolesc Health. 2015 Sep; 57(3):277-81. View Abstract
Reply: Psychological Impact of Breast Asymmetry on Adolescents: A Prospective Cohort. Plast Reconstr Surg. 2015 Jul; 136(1):109e-110e. View Abstract
Psychological impact of breast asymmetry on adolescents: a prospective cohort study. Plast Reconstr Surg. 2014 Dec; 134(6):1116-1123. View Abstract
Clinical Variability in Cardiovascular Disease Risk Factor Screening and Management in Adolescent and Young Adult Women with Polycystic Ovary Syndrome. J Pediatr Adolesc Gynecol. 2015 Oct; 28(5):317-23. View Abstract
Utility of ultrasound in the diagnosis of polycystic ovary syndrome in adolescents. Fertil Steril. 2014 Nov; 102(5):1432-8. View Abstract
MR Imaging in a case of severe anorexia nervosa: the 'flip-flop' effect. Pediatr Radiol. 2015 Apr; 45(4):617-20. View Abstract
Abstract 63: expression of follicle-stimulating hormone receptor in vascular anomalies. Plast Reconstr Surg. 2014 Apr; 133(4 Suppl):1024. View Abstract
Percentage body fat by dual-energy X-ray absorptiometry is associated with menstrual recovery in adolescents with anorexia nervosa. J Adolesc Health. 2014 Jun; 54(6):739-41. View Abstract
Expression of follicle-stimulating hormone receptor in vascular anomalies. Plast Reconstr Surg. 2014 Mar; 133(3):344e-351e. View Abstract
Abstract 75: expression of follicle-stimulating hormone receptor in vascular anomalies. Plast Reconstr Surg. 2014 Mar; 133(3 Suppl):86. View Abstract
Diagnosing dysglycemia in adolescents with polycystic ovary syndrome. J Adolesc Health. 2014 Jul; 55(1):79-84. View Abstract
Does hormone replacement normalize bone geometry in adolescents with anorexia nervosa? J Bone Miner Res. 2014 Jan; 29(1):151-7. View Abstract
Exercise and bone: where do we stand? Metabolism. 2013 Dec; 62(12):1714-7. View Abstract
The use of gonadotropin releasing hormone analogues in adolescent and young patients with endometriosis. Curr Opin Obstet Gynecol. 2013 Aug; 25(4):287-92. View Abstract
Endometriosis for the primary care physician. Curr Opin Pediatr. 2013 Aug; 25(4):454-62. View Abstract
Vertebral fracture assessment in adolescents and young women with anorexia nervosa: a case series. J Clin Densitom. 2014 Jan-Mar; 17(1):207-11. View Abstract
Psychosocial impact of adolescent gynecomastia: a prospective case-control study. Plast Reconstr Surg. 2013 Apr; 131(4):890-896. View Abstract
Clinical variability in approaches to polycystic ovary syndrome. J Pediatr Adolesc Gynecol. 2012 Aug; 25(4):259-61. View Abstract
Severe hyperandrogenemia and insulin resistance in a 12-year-old girl. J Pediatr Adolesc Gynecol. 2012 Aug; 25(4):e99-101. View Abstract
An unusual complication of rapid weight loss. Adolesc Med State Art Rev. 2012 Aug; 23(2):215-21. View Abstract
The impact of macromastia on adolescents: a cross-sectional study. Pediatrics. 2012 Aug; 130(2):e339-46. View Abstract
Expression of androgen, estrogen, progesterone, and growth hormone receptors in vascular malformations. Plast Reconstr Surg. 2012 Jun; 129(6):919e-924e. View Abstract
The effect of obesity on early outcomes in adolescents undergoing reduction mammaplasty. Ann Plast Surg. 2012 Mar; 68(3):257-60. View Abstract
The effect of gonadal and adrenal steroid therapy on skeletal health in adolescents and young women with anorexia nervosa. Metabolism. 2012 Jul; 61(7):1010-20. View Abstract
Bioavailability of vitamin D in malnourished adolescents with anorexia nervosa. J Clin Endocrinol Metab. 2011 Aug; 96(8):2575-80. View Abstract
Hormone replacement therapy and the adolescent. Curr Opin Obstet Gynecol. 2010 Oct; 22(5):363-8. View Abstract
Malnutrition and hemodynamic status in adolescents hospitalized for anorexia nervosa. Arch Pediatr Adolesc Med. 2010 Aug; 164(8):706-13. View Abstract
Adolescent gynecomastia: not only an obesity issue. Ann Plast Surg. 2010 May; 64(5):688-90. View Abstract
The effect of bed rest on bone turnover in young women hospitalized for anorexia nervosa: a pilot study. J Clin Endocrinol Metab. 2009 May; 94(5):1650-5. View Abstract
Prevalence and predictors of abnormal liver enzymes in young women with anorexia nervosa. J Pediatr. 2008 Aug; 153(2):247-53. View Abstract
Hormone replacement therapy for the adolescent patient. Ann N Y Acad Sci. 2008; 1135:204-11. View Abstract
Bone density in adolescents treated with a GnRH agonist and add-back therapy for endometriosis. J Pediatr Adolesc Gynecol. 2007 Oct; 20(5):293-7. View Abstract
Skeletal measurements by quantitative ultrasound in adolescents and young women with anorexia nervosa. J Pediatr. 2007 Mar; 150(3):286-90, 290.e1. View Abstract
Bone cross-sectional geometry in adolescents and young women with anorexia nervosa: a hip structural analysis study. Osteoporos Int. 2007 Jun; 18(6):797-804. View Abstract
Bone health in adolescents. Adolesc Med Clin. 2006 Oct; 17(3):639-52; abstract xi. View Abstract
Fainting freshmen and sinking sophomores: cardiovascular issues of the adolescent. Curr Opin Pediatr. 2004 Aug; 16(4):350-6. View Abstract