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Patient Information

Pelvic Pain in Adolescents

Our specialist pediatric OB/GYN Physicians can diagnose and treat, if necessary, pelvic pain problems in adolescents. Our Adolescent GYN clinic is the only one in Omaha that is specifically dedicated to providing special gynecologic care to teens and young girls.

Pelvic pain can be a common complaint for adolescent girls. Pain can be acute (sudden and severe) or chronic (constant or continually comes and goes). Pelvic pain can be due to a number of factors including gynecological disorders, urologic disease, gastrointestinal problems, musculoskeletal abnormalities and psychosocial problems (such as stress, abuse, or eating disorders.) 

Causes of Pelvic Pain

Common sources for acute pelvic pain can include ectopic pregnancy, pelvic inflammatory disease, urinary tract infection, twisted, hemorrhagic or ruptured ovarian cyst, appendicitis, miscarriage or threatened miscarriage.

Conditions that can cause chronic pain can include endometriosis, adhesions between internal organs and pelvic cavity, ovarian cysts and cancers of the reproductive tract.

Pelvic pain can also be associated with vaginitis, which includes

  • Candida (yeast) infection
  • Bacterial
  • Sexually transmitted diseases (STDs) such as Chlamydia, trichomoniasis, gonococial vaginitis, and viral vaginitis

Diagnosis

Your OB/GYN at Methodist Physicans Clinic Women's Center will review your medical history and perform a physical exam to help diagnose your condition. In addition, you will most likely be asked questions relating to your pain including:

  • What is the frequency and duration of the pain?
  • What does the pain feel like?
  • When did the pain occur and under what circumstances?

Other diagnostic procedures to determine diagnosis may include:

  • Pregnancy test
  • Urinalysis
  • Ultrasound
  • Cervix cell culture
  • Blood tests
  • CT Scan
  • Laparoscopy
  • X-ray

Treatment

Treatment for pelvic pain problems varies due to the number of reasons for such pain. However, it may include antibiotic medications, pain medication, exercise, or oral contraceptives. In some cases, surgery may be suggested.