Title: Chronic pelvic pain in teens.

POPLINE Document Number: 299952

Author(s):

Nicoletti A

Source citation:

Journal of Pediatric and Adolescent Gynecology, 2002 Apr;15(2):117-118.

Abstract:

Persistent pelvic pain in teens can be a challenging problem with multifactorial etiologies. Certainly because of the high incidence of sexually transmitted infections in this age group, an infectious cause (pelvic inflammatory disease; PID) is a likely diagnosis. Somatization of mental health problems such as depression can be a contributing factor. Pain that has become chronic in reproductive age women is increasingly attributed to endometriosis. Between 71% and 87% of women of childbearing age who present with chronic pelvic pain have endometriosis. Myra is the 18-year-old single mother of an 8-month-old daughter. She lives with her daughter in a shelter for teen mothers. Since her daughter's birth she has used oral contraceptives for birth control. For about 5 days, Myra had some pelvic pain and irregular vaginal bleeding. Her examination was consistent with PID: positive for cervical discharge, cervical motion tenderness, tender uterus and adnexa. She was afebrile and wet mount had many white blood cells (WBCs). Her pregnancy test was negative. (excerpt)

Keywords:

Massachusetts
Research Report
Clinical Research
Case Studies
Adolescents, Female
Pain
Pelvic Inflammatory Disease
Urogenital Effects
Depression
Cervical Effects
Endometrial Effects
Signs and Symptoms
Examinations and Diagnoses
Oral Contraceptives
United States
North America
Americas
Developed Countries
Research Methodology
Studies
Adolescents
Youth
Age Factors
Population Characteristics
Demographic Factors
Population
Diseases
Reproductive Tract Infections
Infections
Urogenital System
Physiology
Biology
Mental Disorders
Cervix
Uterus
Genitalia, Female
Genitalia
Endometrium
Medical Procedures
Medicine
Health Services
Delivery of Health Care
Health
Contraceptive Methods
Contraception
Family Planning