Show Summary Details
Page of

Chronic pelvic pain in children and adolescents 

Chronic pelvic pain in children and adolescents
Chronic pelvic pain in children and adolescents

Susan L. Sager

and Marc R. Laufer

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2021. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 29 July 2021

Pain due to pelvic pathology in children and adolescents is often described as abdominal pain, and frequently coexists with gastrointestinal symptoms due to neuronal cross talk and viscero-viscero or viscero-somatic convergence of sensory afferents. Dysmenorrhea is highly prevalent among adolescents yet is underreported. Like many chronic conditions where repetitive noxious stimuli are present, dysmenorrhea can be associated with central sensitization of pain pathways and visceral hyperalgesia. In this chapter the components of a menstrual history, the importance of obtaining a menstrual history in adolescents with abdominopelvic pain, and the indications for referral to an adolescent gynaecologist are discussed. Endometriosis should be considered in the differential diagnosis of all females with chronic abdominopelvic pain of undetermined aetiology once the benchmark of thelarche has been met. Other overlooked causes of abdominopelvic pain include intercostal or subcostal neuralgias, nerve compression, and abdominal cutaneous nerve entrapment. A multidisciplinary approach to treatment of the patient with chronic abdominopelvic pain is discussed.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.