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- W2474917810 abstract "Gynecologic pain affects a significant number of adolescents. While the differential diagnosis for such pain is often extensive, the treatment goals are the same—to relieve pain and minimize the effect it has on an adolescent’s daily functioning, and to maximize their future reproductive potential. For management of acute gynecologic pain—such as in cases of adnexal torsion or obstructive anomalies—surgical intervention is often warranted. Pain related to more chronic processes—such as endometriosis—is treated both medically and surgically. Hormonal therapy (either combined estrogen/progestin or progestin-only) is the mainstay of medical therapy. Newer methods, such as the levonorgestrel intrauterine devices (LNG-IUD), show promise as a management option for chronic endometriosis-related pain. The LNG-IUD also provides highly effective long-acting reversible contraception, and is a first-line recommended contraceptive method for adolescents. Other etiologies of gynecologic pain may be infectious and are therefore treated by antibiotics. Providers must perform a thorough history and physical exam—with attention to patient confidentiality. Establishing a good rapport with both patients and their caregivers is crucial. Regular follow-up to assess treatment efficacy is necessary—as certain conditions may require a stepwise progression of treatment modalities for resolution of symptoms. While it is often challenging caring for an adolescent with chronic gynecologic pain, it is also extremely important and rewarding. Optimizing the gynecologic health of adolescent females will allow them to function at their full potential and lead productive, enjoyable lives." @default.
- W2474917810 created "2016-07-22" @default.
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- W2474917810 date "2016-07-08" @default.
- W2474917810 modified "2023-10-08" @default.
- W2474917810 title "Gynecologic Pain in Adolescents" @default.
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- W2474917810 doi "https://doi.org/10.1007/s40746-016-0060-x" @default.
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