Management of Adolescent Chronic Pelvic Pain from Endometriosis

Christine D Greco, Christine Greco, Greco CD
Journal of Pediatric and Adolescent Gynecology · 2003 · vol. 16(3) , pp. S17–S19 · doi:10.1016/s1083-3188(03)00064-0 · PMID:12742182 · W121492058
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⚙ AI-generated summary by claude@2026-06, 2026-06-27 ⓘ

This paper reviews current management strategies for adolescent chronic pelvic pain attributed to endometriosis, discussing diagnosis and therapeutic approaches.

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Abstract

ObjectivesTo review the options for the treatment of chronic pelvic pain in adolescents with endometriosis.MethodsReview of publications and description of author's experience relating to adolescent endometriosis and pain treatment.ResultsPain treatment services offer a multidisciplinary approach for the treatment of chronic pelvic pain consisting of analgesic trials, cognitive-behavioral therapy, physical therapy, and complementary and alternative therapies. Patients are also evaluated for other conditions that might contribute to their chronic pain. Medication trials of antidepressants, anticonvulsants, tramadol, and nonsteroidal anti-inflammatory drugs are frequently used; however, there are limited data on efficacy. Biobehavioral techniques such as relaxation and biofeedback can help patients modify their experience of pain. Cognitive behavioral therapy can improve coping skills and promote improved functioning, particularly in patients who are debilitated from chronic pain. Transcutaneous electrical stimulation (TENS) and physical therapy approaches may be helpful in patients with musculoskeletal conditions that contribute to their pelvic pain. Complementary and alternative therapies are frequently used in the treatment of chronic pain; controlled trials are needed to assess efficacy.ConclusionsAn individualized, multidisciplinary approach may be effective in improving overall outcome in patients with chronic pelvic pain in reducing pain and normalizing function.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Pelvic Pain Adolescent Chronic Disease Endometriosis Female Humans Pelvic Pain Pelvic Pain

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (33)

Cited by (31)

Source provenance

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License: CC0 · commercial use OK