Endometrial Cast Expulsion: A Rare Cause of Pelvic Pain Case Report and Review of the Literature

Presley Parkes*, Jennifer L. Trainor, Mehul Raval, Cherie Priya Dhar

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Menorrhagia is common in adolescents and may necessitate treatment with hormonal contraceptive agents. We describe a case of an adolescent female recently initiated on combined hormonal contraceptive pills with passage of an endometrial cast, a rare complication of hormonal contraceptive therapy. Similarities between this case and limited existing literature shed light on the potential pathophysiology and management of this rare, adverse event. As demonstrated by our case, membranous dysmenorrhea, the term for pain associated with shedding an endometrial cast, should be part of the differential diagnosis of an adolescent female with lower abdominal pain who has recently initiated hormonal contraceptive therapy.

Original languageEnglish (US)
Pages (from-to)1017-1019
Number of pages3
JournalJournal of Adolescent Health
Issue number5
StatePublished - May 2021


  • Contraception
  • Dysmenorrhea
  • Endometrial cast
  • Membranous dysmenorrhea

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health


Dive into the research topics of 'Endometrial Cast Expulsion: A Rare Cause of Pelvic Pain Case Report and Review of the Literature'. Together they form a unique fingerprint.

Cite this