13. Management of Chronic Pelvic Pain in the Adolescent Woman

  1. Paolo Vercellini
  1. Luigi Fedele MD,
  2. Giada Frontino MD and
  3. Stefano Bianchi MD

Published Online: 21 MAR 2011

DOI: 10.1002/9781444391855.ch13

Chronic Pelvic Pain

Chronic Pelvic Pain

How to Cite

Fedele, L., Frontino, G. and Bianchi, S. (2011) Management of Chronic Pelvic Pain in the Adolescent Woman, in Chronic Pelvic Pain (ed P. Vercellini), Blackwell Publishing Ltd., Oxford, UK. doi: 10.1002/9781444391855.ch13

Editor Information

  1. Istituto “Luigi Mangiagalli”, Fondazione IRCCS Ca' Granda, University of Milan, Italy

Author Information

  1. University of Milan, Milan, Italy

Publication History

  1. Published Online: 21 MAR 2011
  2. Published Print: 23 MAR 2011

Book Series:

  1. Gynecology in Practice

Book Series Editors:

  1. Aydin Arici

ISBN Information

Print ISBN: 9781444330663

Online ISBN: 9781444391855



  • Management of Chronic Pelvic Pain in the Adolescent Woman;
  • dysmenorrhea;
  • nonsteroidal anti - inflammatory drugs (NSAIDs);
  • Endometriosis–endosalpingosis


While adult patients are commonly evaluated for pelvic pain, an adolescent poses a more complex diagnostic approach due to the absence of a relevant past pain history and the more difficult interaction with the patient. Pelvic pain presenting in a woman of any age requires ruling out nongynecologic causes. Gynecologic causes of chronic pelvic pain specific to adolescents that should be taken into consideration include ovarian cysts, pelvic inflammatory disease, primary dysmenorrhea, endometriosis, and congenital müllerian anomalies.