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Acupoint Catgut Embedding for Treatment of Chronic Pelvic Pain Due to the Sequelae of Pelvic Inflammatory Disease
Published on: May 3, 2024
Chronic pelvic pain in the adolescent
Caitlin W Hicks1, Ellen S Rome
1Section of Adolescent Medicine, Cleveland Clinic Children's Hospital, Cleveland Clinic Lerner College of Medicine at Case, Cleveland, Ohio 44195, USA.
Chronic pelvic pain in adolescents presents unique challenges. Understanding causes, development, and psychosocial factors is key for effective diagnosis and treatment.
Area of Science:
- Pediatric Gynecology
- Adolescent Medicine
- Pain Management
Background:
- Chronic pelvic pain (CPP) is common in adolescents, defined as lower abdominal pain lasting 3-6 months or longer.
- CPP significantly impacts an adolescent's quality of life, leading to missed school and decreased functioning.
- Adolescent development, including their sense of invulnerability and cultural factors, complicates diagnosis and treatment.
Purpose of the Study:
- To provide clinicians with awareness of common CPP causes in adolescents.
- To discuss the role of psychosomatic factors and the mind in adolescent pain.
- To address diagnostic and treatment considerations for adolescent CPP.
Main Methods:
- Review of developmental stages of adolescence and their impact on CPP care.
- Discussion of confidentiality issues in obtaining sexual histories from adolescents.
- Exploration of gynecologic and non-gynecologic etiologies of CPP.
Main Results:
- CPP in adolescents requires a comprehensive approach considering gynecologic, non-gynecologic, and psychosomatic factors.
- Adolescent development and psychosocial elements are crucial in managing CPP.
- Effective communication and sensitivity are vital when addressing CPP with adolescents and their families.
Conclusions:
- Adolescent chronic pelvic pain necessitates a multidisciplinary approach.
- Understanding adolescent development is essential for appropriate gynecologic care.
- Addressing the complexities of adolescent CPP requires sensitivity and tailored strategies.
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