Type of publication:
Conference abstract
Author(s):
*Wadi T.; SudhakarKalaivani N.; George A.; McCan A.; *Ritchie J.; O'Mahony F.
Citation:
BJOG: An International Journal of Obstetrics and Gynaecology. Conference: RCOG World Congress 2025. London United Kingdom. 132(Supplement 5) (pp 137), 2025. Date of Publication: 01 Jun 2025.
Abstract:
Background: Pelvic pain is a common problem encountered in the paediatric and adolescent gynaecology clinic. Pelvic pain has an impact of the patients attendance at school, mood and quality of life. Diagnosing conditions such as endometriosis can be challenging in adolescents as most of the literature and guidelines are for adults. Objective(s): To evaluate the outcomes for patients with primary presentation of non-acute pelvic pain, reviewing the management offered and assessing the response. Design(s): This study employs a retrospective design, analyzing patient data from two secondary care clinics to evaluate treatment pathways for adolescents with chronic pelvic pain. By reviewing patient journeys from referral to discharge, we aim to assess treatment effectiveness and identify gaps in care. Method(s): Both clinic database's were screened to include all patients who attended, for 12 months for the tertiary unit and 18 months for the smaller DGH. All consultations were screened for reason for attendance, and only those who attended for non-acute pelvic pain were followed up for the outcomes. Follow up consultations were additionally reviewed. <br/>Result(s): Initial screening of 438 referrals found 104 patients at tertiary centre and 20 at DGH attended with pelvic pain. In both majority were offered and managed medically with hormonal treatment. One patient at DGH was offered and booked for surgery but this was later cancelled by the patients as her symptoms were improved with medical management. Two are currently on the surgical waiting list at the tertiary centre. Across both sites, all patients diagnosis relied upon clinical history first line, supported by optimal medical management, thus adhering the ESHRE endometriosis guidelines. Conclusion(s): With increasing awareness of conditions l ike endometriosis there are increasing number of referrals for pelvic pain. Optimising medical management can prevent the immediate need for diagnostic laparoscopy, which is beneficial due to the long waiting lists for surgery Reassuring most were managed with medical management and showed improvement in symptom control.This is important as the guidance on managing endometriosis in adolescents is still unclear.
DOI: 10.1111/1471-0528.18215
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