Table 6. Practice Recommendations for Treating Pelvic Pain in Adolescents

Recommendation	Level of Evidence
Transvaginal ultrasound is the imaging modality of choice in the initial evaluation of pelvic pain.	A
OCPs do not improve regression rates of ovarian cysts and should not be used for this purpose.	A
Initial treatment of endometriosis includes OCPs and NSAIDS. Patients will do better with a monophasic pill with a higher estrogen content (30–35 μg).	A
Dysmenorrhea should be managed with NSAIDs and OCPs. If symptoms do not improve, a work-up for secondary dysmenorrhea should be considered.	A