Pelvic pain.
Pelvic pain is a common symptom in the adolescent female. Acute pain may represent a life-threatening situation and torsion, ectopic pregnancy, and PID must be considered. For the young patient who presents with chronic pelvic pain, a multidisciplinary approach is essential to facilitate diagnosis and management. Whenever possible, organic disease such as endometriosis, adhesions, and obstructive malformations should be identified and treated as indicated. Developing a treatment team, recognizing psychosocial and environmental factors, and encouraging long-term relationships are critical components in the care of these patients and in the prevention of recurrent symptom formation and future disability.
Economy
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Division of Gynecology, Children's Hospital, Boston, Massachusetts 02115, USA.
Laufer
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D000208:Acute Disease; D000293:Adolescent; D002908:Chronic Disease; D004715:Endometriosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D010535:Laparoscopy; D000292:Pelvic Inflammatory Disease / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D017699:Pelvic Pain / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D010507:Periodicity; D011247:Pregnancy