Gynecologic causes of acute pelvic pain in the adolescent female^*

Life- or organ-threatening

Ectopic pregnancy

Acute abruption

Uterine rupture

Ovarian torsion

Common

Dysmenorrhea

Mittelschmerz

Pelvic inflammatory disease

Ruptured ovarian cyst

Other

Pregnancy

Spontaneous abortion

Developmental anomalies of the Müllerian duct

Endometriosis

Ovarian tumor

Vaginal foreign body

Chemical irritant

Sexual assault (sexual abuse)

Somatization

* Refer to UpToDate topics on causes of abdominal pain in children for a discussion of gastrointestinal and urologic causes of pelvic pain in the adolescent female.

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Gynecologic causes of acute pelvic pain in the adolescent female*

Gynecologic causes of acute pelvic pain in the adolescent female^*