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Pelvic Pain in Women

Female Pelvic Pain


Presentation

  • METHODS: A cross-sectional study was conducted on non-pregnant women presenting with lumbopelvic pain to one of seven outpatient orthopaedic clinics in Canada.[ncbi.nlm.nih.gov]
  • Evidence for these and other emerging pharmacologic therapies is presented in this article.[ncbi.nlm.nih.gov]
  • This common disorder of women, frequently, but not always causing pelvic pain, can present simply as chronic fatigue.[ncbi.nlm.nih.gov]
  • Thus disorders of the bladder, rectum, lower uterus, cervix and upper vagina can refer pain to the low back, buttocks and posterior thigh. 3 A summary of the diagnostic strategy model is presented in Table 103.1 .[murtagh.mhmedical.com]
  • This includes a history of sexual assault, if present. Although the majority of women with pelvic pain have not been sexually assaulted, where this is present recovery is more complex.[racgp.org.au]
Sneezing
  • Symptoms include pain in the lower abdomen or groin when lifting, coughing, and sneezing with radiation into the labia majora and anterior thigh.[ncbi.nlm.nih.gov]
Sleep Apnea
  • And women with sleep apnea are actually more at risk for mortality than men with the same condition. But the differences don’t stop there.[womenshealth.com]
Urticaria
  • Gynecologists should consider idiopathic edema as an etiology when facing chronic pelvic pain and urticaria.[ncbi.nlm.nih.gov]
Chronic Urticaria
  • To corroborate or refute a previous case report from 20 years ago whether treatment with sympathomimetic amines is effective in controlling chronic urticaria.[ncbi.nlm.nih.gov]
Distractibility
  • Women with this problem may find it difficult to perform normal day-to-day activities or may find it difficult to experience enjoyment and pleasure in their lives, due to distraction from chronic pain.[whria.com.au]

Workup

  • Abdominal Loin pain hematuria syndrome Proctitis —infection or inflammation of the anus or rectum Colitis —infection or inflammation of the colon Appendicitis —infection or inflammation of the bowel Diagnosis [ edit ] Females [ edit ] The diagnostic workup[en.wikipedia.org]

Treatment

  • She showed marked improvement following treatment with dextroamphetamine sulfate.[ncbi.nlm.nih.gov]
  • Curative treatment is elusive, and evidence-based therapies are limited.[ncbi.nlm.nih.gov]
  • Successful treatment of CPP is typically multimodal, and pharmacologic treatment strategies include analgesics, hormonal suppression, anesthetics, antidepressants, membrane stabilizers, and anxiolytics.[ncbi.nlm.nih.gov]
  • To corroborate or refute a previous case report from 20 years ago whether treatment with sympathomimetic amines is effective in controlling chronic urticaria.[ncbi.nlm.nih.gov]
  • The primary objective is to test the hypothesis that treatment with gabapentin has the potential to provide an effective oral treatment to alleviate pain in women with CPP in the absence of any obvious pelvic pathology.[ncbi.nlm.nih.gov]

Prognosis

  • Endometriosis (Symptoms, Causes, Treatments, and Prognosis) Endometriosis implants are most commonly found on the ovaries, the Fallopian tubes, outer surfaces of the uterus or intestines,...[medicinenet.com]

Etiology

  • Gynecologists should consider idiopathic edema as an etiology when facing chronic pelvic pain and urticaria.[ncbi.nlm.nih.gov]
  • Often no specific etiology can be identified, and it can be conceptualized as a chronic regional pain syndrome or functional somatic pain syndrome.[ncbi.nlm.nih.gov]
  • Definition (MSH) Pain in the pelvic region of genital and non-genital origin and of organic or psychogenic etiology.[fpnotebook.com]

Epidemiology

  • High quality epidemiological studies would improve the understanding of CPP and identify risk factors which may be targeted for the development of appropriate management strategies.[ncbi.nlm.nih.gov]
  • BACKGROUND: Epidemiological studies on chronic pelvic pain (CPP) have focused on women of reproductive age.[ncbi.nlm.nih.gov]
  • Sciences and Nutrition, University of Aberdeen, Aberdeen, UK. 4 Pelvic Pain Support Network, Poole, UK. 5 Faculty of Medicine, University of Southampton, Southampton, UK. 6 Birmingham Clinical Trials Unit, University of Birmingham, Birmingham, UK. 7 Epidemiology[ncbi.nlm.nih.gov]
  • Chronic pelvic pain in women Clinical Review BMJ 2010 ; 341 doi: (Published 05 October 2010) Cite this as: BMJ 2010;341:c4834 Jane P Daniels , research fellow 1 , Khalid S Khan , professor of women’s health and clinical epidemiology 2 1 University of[bmj.com]
  • In a recent epidemiologic study, we have shown strong associations among endometriosis, fibromyalgia, and autoimmune disorders. Currently, it is believed that endometriosis causes chronic pelvic pain.[clinicaltrials.gov]
Sex distribution
Age distribution

Pathophysiology

  • Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. . Accessed Oct. 30, 2017. Merck Manual Professional Version. . Accessed Oct. 30, 2017.[mayoclinic.org]

Prevention

  • Standard treatments - altering hormone levels to prevent endometrial tissue growth or surgically removing endometrial tissue - treat pelvic pain only temporarily.[clinicaltrials.gov]
  • […] gynecology; motherhood and family planning; lactation consultations; adolescent and puberty health care; family medicine; tobacco, alcohol, and substance abuse assistance; weight issues; breast issues and breast care; community health; and violence prevention[taoswomenshealth.org]
  • Early prompt treatment can prevent injury to the fallopian tubes. If the fallopian tubes are injured, infertility and ectopic pregnancy can result. Ectopic pregnancy is a pregnancy located outside the body of the uterus.[womenshealthconsultantsmn.com]
  • Preventing PID The best way to prevent PID is through: Safer sex activities to avoid sexually transmitted infections (STI) Use latex condoms consistently Avoid douching which can introduce infection into the uterus.[speakingofwomenshealth.com]
  • Early referral can prevent dysfunction and chronic pain. Treating Pelvic and Sacroiliac Joint Pain Once the cause of pain has been determined, our physiatrists will work with you to effectively manage your type of pain.[upmc.com]

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