Pelvic pain, ovarian cysts and endometriosis in adolescent girls

Paediatric and Adolescent Gynaecology Buy print or eBook [Opens in a new window] A Multidisciplinary Approach - Frontmatter - Contents - Contributors - Preface - Part I Normal development - Part II Management of developmental abnormalities of the genital tract - Part III Management of specific disorders - 18 Disorders of growth and puberty - 19 Turner's syndrome - 20 Androgen insensitivity syndromes - 21 Rokitansky syndrome and other Müllerian anomalies - 22 The XY female - 23 The gynaecology of the major genitourinary anomalies - 24 Congenital adrenal hyperplasia - 25 Long-term sequelae of genital surgery - 26 Amenorrhoea - 27 The polycystic ovary syndrome and adolescent women - 28 Menstrual disorders in adolescent girls - 29 Pelvic pain, ovarian cysts and endometriosis in adolescent girls - 30 Premature ovarian failure and ovarian ageing - 31 Gynaecological cancers in childhood - 32 Late reproductive sequelae of treatment for childhood cancer - 33 Preservation of fertility before cancer therapy - 34 The management of infertility with surrogacy and egg donation - 35 Dermatological conditions of the female genitalia - 36 Vaginal discharge - 37 Psychological gender development in individuals born with ambiguous genitalia - 38 Eating disorders in adolescence - 39 Nutritional amenorrhoea: long-term sequelae - 40 How to set up a service: how to teach and train - Index - Plate section - References from Part III - Management of specific disorders Published online by Cambridge University Press: 04 May 2010 Book contents - Frontmatter - Contents - Contributors - Preface - Part I Normal development - Part II Management of developmental abnormalities of the genital tract - Part III Management of specific disorders - 18 Disorders of growth and puberty - 19 Turner's syndrome - 20 Androgen insensitivity syndromes - 21 Rokitansky syndrome and other Müllerian anomalies - 22 The XY female - 23 The gynaecology of the major genitourinary anomalies - 24 Congenital adrenal hyperplasia - 25 Long-term sequelae of genital surgery - 26 Amenorrhoea - 27 The polycystic ovary syndrome and adolescent women - 28 Menstrual disorders in adolescent girls - 29 Pelvic pain, ovarian cysts and endometriosis in adolescent girls - 30 Premature ovarian failure and ovarian ageing - 31 Gynaecological cancers in childhood - 32 Late reproductive sequelae of treatment for childhood cancer - 33 Preservation of fertility before cancer therapy - 34 The management of infertility with surrogacy and egg donation - 35 Dermatological conditions of the female genitalia - 36 Vaginal discharge - 37 Psychological gender development in individuals born with ambiguous genitalia - 38 Eating disorders in adolescence - 39 Nutritional amenorrhoea: long-term sequelae - 40 How to set up a service: how to teach and train - Index - Plate section - References Introduction The legacy of pelvic pathology and pelvic pain in adolescence is not inconsiderable in later life, with ramifications from both the actual pathological processes and their management. The main negative outcomes include subfertility, adhesion formation and chronic pelvic pain. Although these are in general well-recognized causative implications, the general awareness of their origins in the adolescent period is less well acknowledged. As a result, diagnosis may be delayed or treatment may be inappropriate, with consequent negative long-term outcomes for the individual. The lack of a consensus in the definition of chronic pelvic pain greatly hinders epidemiological studies. However, and despite limited data, the prevalence of chronic pelvic pain in the population appears to be high, with an annual prevalence in primary care in the UK of 38/1000 in women, a rate comparable to asthma (37/1000) and back pain (41/1000) (Zondervan & Barlow, 2000). The significance of two defined causes of pelvic pain in adolescence, endometriosis and ovarian cysts, will be explored first prior to an overall review of pelvic pain in this age group. 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