Question
A 14-year-old adolescent girl is referred for evaluation of lower abdominal pain. She had menarche at 12 years of age. She initially had 1 period every 2 to 3 months, but for the past year she has had regular monthly periods accompanied by severe lower abdominal pain for the first 2 days that has had minimal response to ibuprofen. She misses 1 day of school monthly because of abdominal pain, nausea, and diarrhea. Her mother has a history of endometriosis. The girl has never been sexually active.
July 20, 2024 10.5K 7
