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Pelvic Pain...

 

Chronic pelvic pain

Chronic pelvic pain (CPP) is a common condition in women of reproductive age affecting up to 1 in 4 women. This is an intermittent or constant pain in the pelvis or the lower abdomen of at least 6 months duration.


Findings in women with CPP

 

Adhesions- may be caused by previous surgery, endometriosis or previous pelvic infection (chlamydeous pelvic inflammatory disease)

 

Endometriosis

 

Pelvic inflammatory disease (PID)

 

Irritable bowel syndrome  

 

Interstitial cystitis  

 

Musculoskeletal /nerve entrapment  

 

'No pathology'  


A multidisciplinary approach to CPP has been shown to be effective in reducing pain and in improving work and social functioning. The team will include a gynaecologist, clinical psychologist, pain physician and specialist nurse.


Investigations

Laparoscopy - Able to diagnose adhesions, PID and endometriosis. Irritable bowel syndrome and adenomyosis (endometriosis in the muscle wall of the uterus) will not be detected.
Ultrasound - to exclude ovarian cysts or an endometrioma


Treatment

This is based on the history, examination and Laparoscopic findings

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