Dysmenorrhea and pelvic pain in adolescents

Dysmenorrhea and pelvic pain are common complaints in the adolescent popula tion. Although most cases are primary dysmenorrhea and easily treated with NSAIDS or OCPs, pathologic causes should be considered, especially in cases not responding to standard medical management. Endometriosis is the most c ommon finding in teenagers who do not respond to this regimen, but mulleria n anomalies and musculoskeletal origins also must be considered.