Endometriosis for the primary care physician

Michal Youngster, Youngster M, Laufer MR, Marc R. Laufer, Amy D. DiVasta
Current opinion in pediatrics · 2013 · vol. 25(4) , pp. 454–462 · doi:10.1097/mop.0b013e3283628092 · PMID:23817302 · W2316229243
review OA: closed CC0 ⤵ 20 in-corpus citations
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This review aims to equip primary care physicians to better diagnose, treat, and refer adolescents with endometriosis-related pelvic pain, which often causes delayed treatment and negatively impacts quality of life.

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Abstract

PURPOSE OF REVIEW: This review will empower the primary care provider (PCP) to evaluate, manage, and refer as needed adolescents with dysmenorrhea and/or chronic pelvic pain (CPP) who are suspected to have endometriosis. RECENT FINDINGS: Endometriosis is a common cause of CPP in adolescents who do not respond to primary medical treatment. The presentation in adolescents is unique, causing high rates of misdiagnosis or delayed treatment. Endometriosis-related pain has a marked negative impact on social and mental health. Simple treatments that are available in the primary care setting can alleviate pain and improve quality of life for these young women if initiated in a timely fashion. SUMMARY: Adolescents usually turn to their PCP for evaluation of dysmenorrhea and CPP. By maintaining a high index of suspicion, initiating treatment, and referring when needed, the PCP can have a tremendous effect on the patient's present and future quality of life.

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Condition tags

dysmenorrheaendometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Primary Health Care Adolescent Chronic Pain Chronic Pain Diagnostic Errors Dysmenorrhea Dysmenorrhea Early Diagnosis Endometriosis Endometriosis Endometriosis Female Humans Medical History Taking Medical History Taking Pelvic Pain Pelvic Pain Primary Health Care Prognosis

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (60)

Cited by (20)

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License: CC0 · commercial use OK