Hi all, I wanted to discuss something that plagues a lot of women with pelvic pain, and that is endometriosis. Many of you know what that is. For those of you that are not familiar with it, please referred to previous post on this blog.
Traditionally, endometriosis is diagnosed via laparoscopic surgery. We can see the active lesions and cauterize them. Once the lesions are cauterized the pain will improve. It is well known that these lesions typically have a dark brown or "chocolate" color appearance. However, it is now agreed that these lesions have a wide range of colors depending how active they are. Some of these are clear which is difficult to see with traditional laparoscopy.
As a practicing Ob/Gyn providing healthcare for female patients, I often get this question from mothers regarding their tween/teenage daughters. Though the guidelines for requiring the first Pap smear have changed, to start at age 21, the American College of Obstetricians and Gynecologists (ACOG) recommends the first 'reproductive health visit' at ages 13-15. This initial visit may not require a pelvic exam, unless your daughter is having menstrual difficulties (pelvic pain, menstrual cramping, abnormal/heavy periods) or is sexually active. Contraceptive options, STD prevention, and the HPV vaccine may be discussed at this visit.