Managing Dysmenorrhoea and Chronic Pelvic Pain in Adolescence: A Guide for Clinicians
Chronic pelvic pain and dysmenorrhoea are not so rare in adoles cence. It is important to assess clinically young girls with these symptoms to exclude gynaecological conditions like endometrio sis, pelvic inflammatory disease, ovarian cysts, and obstruction of the reproductive tract or non-gynaecological causes, like irritable bowel syndrome, interstitial cystitis, and myofascial pain. Man agement of chronic pelvic pain in this group of population can be more complex, because of the involvement of parents, the fact that clinicians must consider the long term emotional and physical health, fertility or sexuality of young girls. Psychological support can also be employed if indicated.
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