Endometriosis in Adolescence: Practical Rules for an Earlier Diagnosis

Letizia Zannoni, Simona Del Forno, Roberto Paradisi, Renato Seracchioli
Pediatric annals · 2016 · vol. 45(9) , pp. e332–5 · doi:10.3928/19382359-20160727-03 · PMID:27622918 · W2519794110
article OA: closed CC0 ⤵ 21 in-corpus citations
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Abstract

Dysmenorrhea, cyclic pelvic pain, and acyclic pelvic pain are common in adolescent girls, and at least 10% of these girls are at risk for subsequent development of endometriosis. In this article we highlight practical tips for the management of dysmenorrhea and chronic pelvic pain and how to diagnose endometriosis as early as possible and detect patients at risk for developing the disease in the future. We suggest five practical rules for managing adolescents with dysmenorrhea and chronic pelvic pain: (1) Never underestimate the pain; (2) Always consider endometriosis as a possible cause of severe cyclic pain; (3) Obtain a detailed and accurate history before performing clinical evaluation and pelvic sonography; (4) Treat the pain with hormonal therapies (combined oral contraceptives or progestogen-only pill) and analgesics (acetaminophen and nonsteroidal anti-inflammatory drugs); and (5) Plan frequent follow-up visits to re-evaluate the patient. [Pediatr Ann. 2016;45(9):e332-e335.].

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Condition tags

mesh:D004412mesh:D004715mesh:D017699endometriosischronic_pelvic_paindysmenorrhea

MeSH descriptors

Dysmenorrhea Endometriosis Pelvic Pain Adolescent Anti-Inflammatory Agents, Non-Steroidal Anti-Inflammatory Agents, Non-Steroidal Contraceptives, Oral, Combined Contraceptives, Oral, Combined Dysmenorrhea Dysmenorrhea Early Diagnosis Endometriosis Female Guidelines as Topic Humans Pelvic Pain Pelvic Pain

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