Girls' pelvic pain

Pediatricians must consider potential causes of chronic pelvic pain in teen-age girls, an Ohio review suggested. Gynecologic, urologic, gastroenterologic, musculoskeletal and psychosocial problems should be explored to determine the source of pain, researchers advised. Causes can include endometriosis, pelvic inflammatory disease, urinary tract infection, kidney stones, constipation, irritable bowel syndrome, postural problems, joint pain, depression or sexual abuse, among others.