Pelvic pain is common in young girls and can be chronic (ongoing) or acute (sudden onset). It ranges widely from tolerable to overwhelming pain. It can occur infrequently or continue (typically due to a condition).
The general term of pelvic pain covers a wide range of conditions/symptoms like common menstrual cramps due to gynecological issues or may be a severe pain caused by other diseases, like bladder infection or constipation.
What are the signs and symptoms of Adolescent Pelvic Pain?
Pelvic pain may be mild, moderate or severe. It can occur on its own or with other symptoms. Pain may be steady or come and go. It may be felt like cramps, stabbing or shooting pain or a dull ache.
What are the causes of Adolescent Pelvic Pain?
The cause of pelvic pain varies and is specific to the condition originating the pain.
Adenomyosis – Glands from the uterine lining become implanted in the uterine muscle.
Appendicitis – The appendix (a narrow tube of the intestine that extends from the colon) becomes infected and swollen. Acute appendicitis can cause abdominal pain and is the most common childhood surgical emergency.
Miscarriage – A loss of a pregnancy before the 20th week, resulting in painful cramping.
Mittelschmerz – Usually one-sided, lower belly pain associated with the egg releasing from the ovary.
Musculoskeletal pain – Any injury to the bones, joints, muscles, tendons, ligaments or nerves.
Ovarian cysts – Fluid-filled sacs can form on or near the ovaries.
Past or current physical or sexual abuse – Trauma from past or current abuse can damage internal organs, exterior surfaces (abrasions, bruises, or cuts), break or fracture bones and cause life-altering damage.
Pelvic floor muscle spasms – A brief, uncontrolled jerking action can cause pain and urinary difficulties.
Ulcerative colitis (UC) – This is a type of inflammatory bowel disease. Ulcers can form and inflame (swell) the inner lining of a child’s colon (bowel) and rectum.
Urinary tract infection (UTI) – Bacteria enters the urinary tract, causing painful urination. It can also inflame the two kidneys, two ureters (ducts that pass urine from the kidney to bladder), the urethra (duct that transfer urine out of the body) and the bladder.
Vulvodynia – Chronic, unexplained pain around the vagina.
How is Adolescent Pelvic Pain treated?
Over the counter medication
Mild to moderate pelvic pain caused by menstrual cramps or ovulation can be treated with over-the-counter pain medications.
If your daughter’s pelvic pain is muscular, her doctor will recommend over-the-counter pain medication and rest.
For bladder spasms, your daughter’s doctor may recommend dietary changes, timed trips to the bathroom, pelvic floor exercises, and medicines to relax the bladder.
If your daughter has a bladder infection, her doctor will prescribe antibiotics.
In the case of PID, your daughter’s doctor will prescribe antibiotics and recommend that any sexual partners be treated as well.
If your daughter’s pelvic pain seems to have a gastrointestinal cause, her doctor will refer her to a gastroenterologist who may suggest diet and lifestyle changes and/or order additional tests like a colonoscopy.
If your daughter has endometriosis, she may be treated with pain medication, hormonal contraceptives, and –occasionally – surgery.
Ruptured ovarian cysts that cause mild symptoms can often be managed with pain medicines. If a ruptured cyst is causing severe symptoms – especially internal bleeding – your daughter may need surgery to control the bleeding and remove the cyst (and sometimes the ovary).