ACOG has released recommendations on the diagnosis and management of dysmenorrhea and endometriosis in adolescents.
The goals of therapy include symptom relief, suppression of disease progression, and protection of future fertility. Therapy must be individualized, and obstetrician–gynecologists should consider patient choice, the need for contraception, contraindications to hormone use, and potential adverse effects and counsel the adolescent and her family on treatment options.
Note: Pelvic pain that persists for 3 to 6 months warrants further evaluation for other causes of chronic pelvic pain such as GI, GU, MSK or psychological
Diagnosis of endometriosis
Management of endometriosis
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