Investigations for chronic pelvic pain
Investigations for chronic pelvic pain
Chronic pelvic pain (CPP) is a common problem with a prevalence of about 38/1000 among women aged 20-50 years. The main gynaecological diagnoses include endometriosis, pelvic inflammatory disease and adhesions. The most common gastrointestinal diagnosis is irritable bowel syndrome and genitourinary diagnosis includes pathology such as interstitial cystitis. It is a challenge instigating the right investigations for patients with chronic pelvic pain because there is a considerable symptom overlap. They also have a higher prevalence for symptoms such as dysmenorrhea and dyspareunia. In this review, we aim to discuss the clinical consultation necessary to help us decide upon which investigative tools we need to use to help diagnose the cause(s) of CPP, although one needs to stress that a specific cause may not be found in patients with CPP and symptom focused multidisciplinary management of CPP is at least as important as diagnosis of specific pathology and disease focused treatment.
Adenomyosis, Adhesions, Chronic pelvic pain, Endometriosis, Investigations, Laparoscopy, Magnetic resonance imaging, Pelvic congestion syndrome, Ultrasound, Venography
227-236
Cheong, Ying
4efbba2a-3036-4dce-82f1-8b4017952c83
Stones, William
e1cb5658-a244-49fc-b1f5-e805fbc1f309
19 September 2005
Cheong, Ying
4efbba2a-3036-4dce-82f1-8b4017952c83
Stones, William
e1cb5658-a244-49fc-b1f5-e805fbc1f309
Cheong, Ying and Stones, William
(2005)
Investigations for chronic pelvic pain.
Reviews in Gynaecological Practice, 5 (4), .
(doi:10.1016/j.rigp.2005.07.001).
Abstract
Chronic pelvic pain (CPP) is a common problem with a prevalence of about 38/1000 among women aged 20-50 years. The main gynaecological diagnoses include endometriosis, pelvic inflammatory disease and adhesions. The most common gastrointestinal diagnosis is irritable bowel syndrome and genitourinary diagnosis includes pathology such as interstitial cystitis. It is a challenge instigating the right investigations for patients with chronic pelvic pain because there is a considerable symptom overlap. They also have a higher prevalence for symptoms such as dysmenorrhea and dyspareunia. In this review, we aim to discuss the clinical consultation necessary to help us decide upon which investigative tools we need to use to help diagnose the cause(s) of CPP, although one needs to stress that a specific cause may not be found in patients with CPP and symptom focused multidisciplinary management of CPP is at least as important as diagnosis of specific pathology and disease focused treatment.
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Published date: 19 September 2005
Keywords:
Adenomyosis, Adhesions, Chronic pelvic pain, Endometriosis, Investigations, Laparoscopy, Magnetic resonance imaging, Pelvic congestion syndrome, Ultrasound, Venography
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Local EPrints ID: 481055
URI: http://eprints.soton.ac.uk/id/eprint/481055
ISSN: 1471-7697
PURE UUID: 4f1eb5ed-a71a-4250-ba50-5f755dcda6b4
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Date deposited: 15 Aug 2023 16:43
Last modified: 17 Mar 2024 03:13
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Author:
William Stones
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