Pain Related Menstrual Disturbance in Adolescents - Period ImPact and Pain Assessment Tool (PIPPA) - 13 October 2021 at 12:30pm (AEDT)


The experience of pain with menstruation is common in teenagers, including cramping, premenstrual symptoms, and mood disturbance. But what happens when menstruation pain is moderate to severe and interferes with life activities including schooling.
Research indicates that up to two thirds of women with endometriosis have symptoms before they are 20 years old.
This means that symptoms in adolescent girls need to be taken very serious indeed.

Menstrual disorders in teenagers can have a significant physical, emotional, and psychological impact on their health and seriously compromise schooling, quality of life and future fertility. Therefore, early intervention and treatment is essential.

The common things is they are told it's all in their head – Suck it up,  it is part of becoming a women”

The Canberra Endometriosis Centre has developed - PIPPA (Period ImPact and Pain Assessment) tool to assist in identifying menstrual disturbance and possible endometriosis in teenagers.
Melissa Parker has also developed a highly innovative nurse-led treatment approach which assists teenagers and women in understanding endometriosis/pelvic pain and treatment options, as well as recognise responsibility for overall health, skill building and self-management of chronic illness.

The presentation will discuss:

  • What’s normal/problematic (pain related) menstruation in adolescents? – data from the MDOT (Menstrual Disorder of Teenagers) studies of 2,000 15-19yo women
  • Screening young women for menstrual disturbance using the PIPPA (Period ImPact and Pain Assessment) tool and initial self-management
  • Pathways and complexities in managing period pain, pelvic pain and endometriosis


About the Presenter:

Melissa Parker
Endometriosis Coordinator and Researcher
Canberra Endometriosis Centre
Centenary Hospital for Women and Children

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