Evaluation and surgical approaches to gynecologic pelvic pain in pediatric patients

Jourdin Batchelor, Jessica Y Shim
Seminars in pediatric surgery · 2025 · vol. 37 , pp. 151538 · doi:10.1016/j.sempedsurg.2025.151538 · PMID:40957805 · W4414106873
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This paper reviews the evaluation and surgical approaches for gynecologic pelvic pain in pediatric patients.

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Abstract

Pelvic pain is a common concern among adolescent females, with gynecologic etiologies ranging from dysmenorrhea, most often due to endometriosis, to obstructive anomalies and adnexal masses. Evaluation requires a detailed history, including menstrual and pain characteristics, functional impact, and relevant family history, as well as a focused physical exam tailored to the adolescent's developmental stage and comfort. Pelvic ultrasonography is often the initial imaging modality, with additional imaging and laboratory testing as adjuncts. Endometriosis, the leading cause of secondary dysmenorrhea, frequently presents with debilitating pain and may require diagnostic laparoscopy if pain persists despite medical therapy. Given the variation in practice patterns and the involvement of multiple specialties, coordinated, evidence-based care is essential. This review outlines the evaluation and surgical management of gynecologic pelvic pain in the pediatric and adolescent population, with a focus on endometriosis.

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Condition tags

dysmenorrheaendometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis

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 (41)

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License: CC0 · commercial use OK