The most common ovarian mass in adolescents is the functional ovarian cyst that will spontaneously regress over 6 - 8 weeks and that typically does not cause…

Pelvic inflammatory disease (PID) is a spectrum of inflammatory disorders involving the upper genital tract of the female reproductive system and may include any combination of…

Endometriosis is the presence of endometrial glands and stroma outside of the endometrial cavity. The presence of endometriosis in adolescents is well documented, however the exact prevalence in…

Müllerian abnormalities may present with a wide range of symptoms including cyclic pelvic pain, dyspareunia, amenorrhea, pelvic mass, infertility, and recurrent pregnancy loss. Obstructive abnormalities are more…

Adolescents with CPP may have a gynecologic etiology of their pain.

Inquiries about the patient’s gynecologic health should be part of the initial interview. Items should include…

Management of patients with CPP/RAP begins with the initial evaluation.
The approach of the clinician is key in setting the tone for the future relationship with the…

There is no question that chronic abdominal/pelvic pain can be caused by gastrointestinal disorders that have clear organic origins. These include inflammatory bowel disease, gastroesophageal reflux disease, and…

There are many etiologies of CPP and of RAP. There are clear organic causes for CPP/RAP and causes that seem to mix organic processes with psychosocial phenomena. Even with…