[Chronic pelvic pain in adolescent girls].

In: Medycyna wieku rozwojowego · 2009 · vol. 12(2 Pt 1) , pp. 613–9 · PMID:19301510 · W99153524
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This paper describes the diagnosis and treatment of chronic pelvic pain in adolescent girls, emphasizing the inclusion of both gynecological and non-gynecological causes.

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Abstract

Chronic pelvic pain is a serious problem in paediatric and adolescent gynaecology, because it reaches approximately 10-20% level among outpatients. In diagnostics of chronic pelvic pain in adolescent girls both gynaecological and non-gynaecological reasons should be considered. The diagnostic process should include: a medical history, physical examination, gynaecological examination (rectal or vaginal examination), laboratory tests and imaging studies (ultrasonography, magnetic resonance). Moreover, in the diagnostic process a laparoscopy is recommended to be carried out in girls and teenagers with chronic pelvic pain. The therapy of chronic pelvic pain in adolescent girls involves: pharmacotherapy, surgical methods (laparoscopy/laparotomy), alternative pain therapy and psychotherapy.

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chronic_pelvic_pain

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