Adolescent endometriosis-related pelvic pain treated with acupuncture: two case reports.
BACKGROUND
Chronic pelvic pain in adolescents accounts for 10% of outpatient gynecology visits, and 70% of adolescent patients whose pelvic pain is unresponsive to initial therapy have endometriosis. To date, there has been no published research investigating the use of acupuncture for adolescents with chronic pelvic pain and/or endometriosis.


METHODS
This paper presents two case reports describing the impact of a course of acupuncture on adolescent girls with endometriosis-related chronic pelvic pain of more than 1 year.


RESULTS
Both patients, undergoing between 9 and 15 treatments over a 7- to 12-week period, experienced modest improvement in pain as measured by oral self-reports of pain on a scale from 1 to 10, as well as self or family-reported improvement in headaches, nausea and fatigue. No adverse effects were reported.


CONCLUSIONS
These case reports provide preliminary evidence that acupuncture may be an acceptable and safe adjunct treatment therapy for some adolescents with endometriosis-related pelvic pain refractory to standard antiendometriosis therapies. These observations suggest that a prospective, randomized controlled trial of the safety and efficacy of acupuncture for this population may be warranted.
Highfield
Ellen Silver
ES
Integrative Therapies Team, Center for Families, Children's Hospital, Boston, MA 02215, USA. eshighfield@comcast.net
Laufer
Marc R
MR
Schnyer
Rosa N
RN
Kerr
Catherine E
CE
Thomas
Phaedra
P
Wayne
Peter M
PM
D000203:Activities of Daily Living; D015670:Acupuncture Therapy / Q000379:methods*; D000293:Adolescent; D004715:Endometriosis / Q000150:complications*; D005260:Female; D006801:Humans; D010147:Pain Measurement; D017699:Pelvic Pain / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome