Adolescent Gynaecology – lower abdominal pain was an existing Victorian CPG that has been revised then reviewed by CPG Committee members. It will be considered for PIC endorsement on 27 August.

Key Points

1. Pregnancy related causes of acute pelvic pain (ectopic pregnancy, miscarriage, placental abruption and uterine rupture) should always be considered
2. Other surgical and medical causes for acute abdominal pain must be considered
3. Gynaecological causes for abdominal pain increase after puberty