Chronic pelvic pain
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This document defines chronic pelvic pain as noncyclic pain lasting at least 6 months in the pelvis, lower abdomen, or lower back that causes functional disability requiring medical or surgical treatment. Potential causes of chronic pelvic pain include endometriosis, adenomyosis, uterine prolapse, fibroids, ovarian cysts, and pelvic adhesions. Symptoms may include intermenstrual pain, dysmenorrhea, premenstrual syndrome, and pelvic congestion syndrome. Diagnostic tests include blood tests, endometrial biopsy, transvaginal ultrasound, cystoscopy, and laparoscopy. Treatment involves a multidisciplinary approach including removing identifiable pathology, medications like NSAIDs, TCAs, and
Chronic pelvic pain
- 1. ANDREA
- 2. Definition Noncyclic pain of 6 months duration or more localised to the pelvis, anterior abdominal wall ,below the pelvis, lower back; severe enough to cause functional disability that requires medical or surgical treatment.
- 3. Endometriosis,Adenomyosis Uterine prolapse Retroversion of uterus Fibroid Ovarian cyst Pelvic adhesions secondary to PID, surgery or endometriosis Trapped or residual ovarian syndrome Idiopathic
- 4. Inter menstrual pain Dysmenorrhea Pre menstrual syndrome Pelvic congestion syndrome Endometriosis Adenomyosis Ovarian remnant syndrome
- 5. Gastrointestinal Urological Orthopaedic Neurological Hernias Irritable bowel syndrome Appendicitis Constipation Diverticulitis Interstitial cystitis Calculi Urethral syndrome Bones, ligaments, muscles Nerve entrapment, compression Inguinal, femoral
- 6. Nerve entrapment pain Pessary test TENS Cognitive behavioural therapy IUD- Ectopic pregnancy Non gynaecological disorders CPP without organic lesion
- 7. Blood Cervical & vaginal discharge Endometrial biopsy TVS CDS Laparoscopy X-ray
- 8. Multidisciplinary approach Detectable pathology- removal of offending pathology Medical line- NSAIDS,TCA, SSRI, Narcotics, OCP, Danazol, Surgical- LUNA, PSN HYSTERECTOMY
- 9. THANKYOU