Presentation
At the present time it is variously attributed to uterine contractions, to peristalsis of the tube as it propels the ovum toward the uterus and to ovulation. We are herewith presenting a study of sixty-one cases of this syndrome. [jamanetwork.com]
When presented with a complaint of lower abdominal and/or low back pain, the gynecologist should constantly be on the lookout for nongynecologic causes, of which the most frequent will be either gastroenterologic or orthopedic and sometimes urologic. [books.google.com]
This is based upon a knowledge of the presenting complaints and the history of presenting complaints in relation to certain disease states. [en.wikiversity.org]
The most common presenting complaint is bleeding with or without associated pelvic pain. [saem.org]
Gastrointestinal
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Abdominal Pain
Case Study Reports: Intermenstrual Bleeding Case Study Reports: Infertility Case Study Reports: Amenorrhoea Case Study Reports: Infertility Case Study Reports: Infertility Case Study Reports: Shortness of Breath and Abdominal Pain Case Study Reports: [play.google.com]
Intestinal Conditions Several intestinal conditions can cause crampy abdominal pain that might mimic menstrual cramps. [hellomotherhood.com]
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Abdominal Cramps
However, abdominal cramps of this kind are not a safe signal for contraception because the point of time as well as the intensity can vary. Besides, not all women do have ovulation pain every month. [cyclotest.com]
Abdominal cramps occur with this condition as the bowel balloons behind the blockage and cyclic intestinal contraction add to the pressure. Other common symptoms include nausea, vomiting, bloating and constipation. [hellomotherhood.com]
It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis. [mayoclinic.org]
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Dyschezia
Denny and Mann. [18] 2007 Pain around menstruation, dyspareunia, dyschezia, cyclical dysuria and extreme fatigue. Not discussed. [bmcwomenshealth.biomedcentral.com]
normal pelvic examination findings 1 Diagnosis is clinical; urine tests should be ordered to rule out pregnancy or infection 9 Endometriosis Cyclic (can be noncyclic) pelvic pain with menstruation; may be associated with deep dyspareunia, dysuria, dyschezia [aafp.org]
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Rectal Pain
Altman and Wolcyzk. [21] 2010 Chronic pelvic pain, dysmenorrhea, dyspareunia, infertility, back pain, dyschezia, rectal pain, diarrhea, constipation, dysuria, hematuria, infertility, chronic fatigue and psychosocial stressors. [bmcwomenshealth.biomedcentral.com]
pain may be associated with endometriosis). [pharmacymagazine.co.uk]
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Suprapubic Pain
Differential Diagnosis of Dysmenorrhea Suspected condition Clinical presentation Diagnostic evaluation Primary dysmenorrhea Recurrent, crampy, suprapubic pain occurring just before or during menses and lasting two to three days; pain may radiate into [aafp.org]
Valle [14] 2002 Pelvic pain that often is worse just before and during menstruation, hypermenorrhea, premenstrual staining, dyspareunia, suprapubic pain, dysuria, hematuria, painful defecation (dyschezia), lower back pain. [bmcwomenshealth.biomedcentral.com]
Musculoskeletal
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Bone Pain
pain, hypercalcaemia and pathological fractures ( bones ). [geekymedics.com]
Psychiatrical
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Impulsivity
Massage and gentle pressure activate the thick-fiber impulses and produce a preponderance of tactile signals to compete with pain signals. [medical-dictionary.thefreedictionary.com]
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Distractibility
Distraction techniques provide a kind of sensory shielding to make the person less aware of discomfort. [medical-dictionary.thefreedictionary.com]
Breast
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Nipple Discharge
discharge that can indicate elevated prolactin levels). [clinicaladvisor.com]
Face, Head & Neck
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Facial Grimacing
grimaces, or splinting. 2. a nursing diagnosis accepted by the North American Nursing Diagnosis Association, defined as an unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage [medical-dictionary.thefreedictionary.com]
Neurologic
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Difficulty Concentrating
The person in pain also may have difficulty concentrating and remembering and may be totally self-centered and preoccupied with the pain. [medical-dictionary.thefreedictionary.com]
Urogenital
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Pelvic Pain
CONCLUSION In patients with endometriosis and pelvic pain, the 24-week administration of the quadriphasic association of E2V/DNG decreases pelvic pain and improves quality of life. [unboundmedicine.com]
Pelvic pain in women There are different types and degrees of pelvic pain in women :-the acute pelvic pain -the cyclical pelvic pain -the chronic pelvic pain ( 6months) EXTREMELY ACUTE pelvic pain: We musn't forget that any pelvic pain in women of childbearing [docteurkadoch.com]
Giudice. [20] 2010 Chronic pelvic pain (lasting 6 months), dysmenorrhea, dyspareunia, deep pelvic pain, and lower abdominal pain with or without back and loin pain. [bmcwomenshealth.biomedcentral.com]
All underwent their first laparoscopy for chronic pelvic pain at the First Department of Obstetrics and Gynecology, University of Milan, Milan, Italy, between 1986 and 1989. [moh-it.pure.elsevier.com]
pain and vaginal bleeding Discuss management of the unstable patient with pelvic pain and vaginal bleeding Discuss the management of the most common and emergent etiologies of pelvic pain and vaginal bleeding. [saem.org]
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Dyspareunia
Spaczynski and Duleba. [15] 2003 Chronic pelvic pain consists of dysmenorrhea, intermenstrual pain, and dyspareunia. [bmcwomenshealth.biomedcentral.com]
When the three types of lesions were considered together, a statistically significant association was observed only with deep dyspareunia (P .01). [moh-it.pure.elsevier.com]
In the subgroups of women with intermenstrual pain or dyspareunia, E2V/DNG reduced these complaints by 65% (P .013) and 52% (P .016), respectively. [unboundmedicine.com]
N94.11 Superficial (introital) dyspareunia N94.19 Other specified dyspareunia N94.3 Premenstrual tension syndrome N94.4 Primary dysmenorrhea N94.5 Secondary dysmenorrhea N94.6 Dysmenorrhea, unspecified Reimbursement claims with a date of service on or [icd10data.com]
Signs and Symptoms Hallmark symptoms are generalized pelvic pain, dysmenorrhea, and dyspareunia Intermittent, cyclical, or constant pelvic and/or back pain (unilateral or bilateral) Pain during or after sexual intercourse Painful bowel movements or painful [acarper.weebly.com]
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Pelvic Pain in Women
Pelvic pain in women There are different types and degrees of pelvic pain in women :-the acute pelvic pain -the cyclical pelvic pain -the chronic pelvic pain ( 6months) EXTREMELY ACUTE pelvic pain: We musn't forget that any pelvic pain in women of childbearing [docteurkadoch.com]
Type your tag names separated by a space and hit enter Abstract OBJECTIVE The progestin dienogest (DNG) given alone effectively reduces pelvic pain of women with endometriosis. [unboundmedicine.com]
Reduced pelvic pain in women with endometriosis: efficacy of long-term dienogest treatment. Arch Gynecol Obstet. 2012;285 (1):167–173. Google Scholar Medline ISI 12. Strowitzki, T, Marr, J, Gerlinger, C, Faustmann, T, Seitz, C. [journals.sagepub.com]
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Ovarian Disorder
Secondary amenorrhea Definition: absence of menses for more than 3 months (in women with previously regular cycles) or 6 months (in women with previously irregular cycles) Etiology Pregnancy most common cause of secondary amenorrhea Ovarian disorders [amboss.com]
Workup
[…] normal, but burning pain exacerbated by unilateral rectal palpation suggests pudendal nerve entrapment of the affected side 10 Pelvic magnetic resonance imaging along the pudendal nerve to assess the nerve and surrounding structures; if findings on workup [aafp.org]
(See Workup.) Treatment of dysmenorrhea is aimed at providing symptomatic relief as well as inhibiting the underlying processes that cause symptoms. [emedicine.medscape.com]
Treatment
[…] of prolactinomas 515 Advances in Fertility Control and Treatment of Sterility 535 Lisuride a new drug for treatment of hyperpro 561 Benefits and risks of hormonal contraception interpret 575 phasic preparation 595 Comparative study of lipid metabolism [books.google.com]
Three months following complex treatment, all major symptoms of IMS disappeared or were mild in both groups of patients. [aig-journal.ru]
Angeli, Joan Claria, Richard Moreau, Pere Gines, Rajiv Jalan, Paolo Caraceni, Javier Fernandez, Alexander L Gerbes, Alastair J O'Brien, Jonel Trebicka, Thierry Thevenot, Vicente Arroyo Gut 2020 February 26 A rapid advice guideline for the diagnosis and treatment [read.qxmd.com]
Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. [betterhealth.vic.gov.au]
Prognosis
Commonly used drugs are cisplatin /- topotecan. advanced metastatic cancer (stage IVb) requires individualised palliative treatment with chemoradiotherapy and symptom control Follow-up and prognosis the overall prognosis is good ( 66.6% 5-year survival [geekymedics.com]
Prognosis With the use of NSAIDs, the prognosis for primary dysmenorrhea is excellent. The prognosis for secondary dysmenorrhea varies, depending on the underlying disease process. [emedicine.medscape.com]
Etiology
Whether disturbed pain perception is a truly etiological or only a maintaining factor-c-or even a mere epiphenomenon of chronic functional pain-is reviewed in detail by L. Arendt-Nielsen, C. R. Covelli, R. B. Fillingim,]. M. Gillespie, T. [books.google.com]
Etiology anovulation a local problem in the uterus such as a polyp or a myoma. sometimes without obvious cause sometimes attributable to adenomyosis Diagnosis ovulation ultrasound and hysteroscopy to evaluate the uterine cavity. [gynsurgery.org]
Table 3: Common Antibiotic Treatment for Infectious Etiologies of Pelvic Pain Etiology Treatment Cervicitis Ceftriaxone 250mg IM single dose PLUS Azithromycin 1 gram PO single dose Trichomoniasis Metronidazole 2 gm PO single dose OR Metronidazole 500 [saem.org]
Although the etiology of polyps is unclear, hypertension and obesity are considered the major risk factors. Polyps are most commonly found in women of reproductive age. [ahcmedia.com]
Secondary amenorrhea Definition: absence of menses for more than 3 months (in women with previously regular cycles) or 6 months (in women with previously irregular cycles) Etiology Pregnancy most common cause of secondary amenorrhea Ovarian disorders [amboss.com]
Epidemiology
Background/Epidemiology IMB and PCB commonly occur together Around a third of patients with heavy menstrual bleeding (occurs in around 14% of women) may have some intermenstrual bleeding. [dundeemedstudentnotes.wordpress.com]
An epidemiologic study found no significant differences in prevalence and severity of dysmenorrhea between nulligravid women and those in whom pregnancy had been terminated by either spontaneous or induced abortion. [10] In an epidemiologic study of an [emedicine.medscape.com]
John's Wort with oral contraceptives: effects on the pharmacokinetics of norethindrone and ethinyl estradiol, ovarian activity and breakthrough bleeding.(2005-01) An epidemiological survey of symptoms of menstrual loss in the community.(2004-01) Please [2womenshealth.com]
Endometriosis: epidemiology and aetiological factors. Best Pract Res Clin Obstet Gynecol. 2004;18 (2):177–200. Google Scholar Medline ISI 3. Nnoaham, KE, Hummelshoj, L, Webster, P. [journals.sagepub.com]
International Collaboration of Epidemiological Studies of Cervical Cancer. [ahcmedia.com]
Pathophysiology
The pathophysiology of this disorder is unknown. The classically described presentation occurs in older reproductive-age women who experience cyclic, crampy pain and heavy menstrual bleeding. [ahcmedia.com]
Pathophysiology Historical attitudes toward menstrual pain were often dismissive. Pain was often attributed to women’s emotional or psychological states or to misconceptions about sex and sexual behaviors. [emedicine.medscape.com]
[…] and accounts for approximately 80% of cases of menorrhagia, the most common cause of iron deficiency anemia in the developed world. 6 DUB can be managed successfully in a primary-care setting provided the clinician has a proper understanding of the pathophysiology [clinicaladvisor.com]
Prevention
[…] reproduction 469 Introduction 485 Fertilization in vitro and in vivo 106 Events leading to fertilization in mammals 121 Organization of an in vitro fertilization programme 139 Tubal Factors in Reproduction 156 Pelviscopic therapy for tubal disease 175 Prevention [books.google.com]
[…] is no known prevention. [en.wikipedia.org]
It is important to treat pelvic infections right away to: Prevent scarring of the fallopian tubes. Scarring of the fallopian tubes increases the risk of ectopic pregnancy and can cause infertility. [uofmhealth.org]
A previous ankle sprain is the greatest risk for an acute ankle sprain, so patients should be counselled about preventing further injury. [pharmacymagazine.co.uk]