{"paper_id":"3dbc97f6-0a99-45f8-96e0-d3804aff2698","body_text":"- Menstrual Problems for the MRCOG and Beyond\n- Series page\n- Menstrual Problems for the MRCOG and Beyond\n- Copyright page\n- Contents\n- Abbreviations\n- Preface\n- Editors\n- Contributors\n- 1 Introduction\n- 2 Excessive menstrual bleeding\n- 3 Investigation\n- 4 Medical management of excessive menstrual bleeding\n- 5 Surgical management of menstrual problems\n- 6 Uterine fibroids and heavy menstrual bleeding\n- 7 Dysmenorrhoea\n- 8 Endometriosis\n- 9 Chronic pelvic pain\n- 10 Delayed menarche\n- 11 Premature ovarian failure\n- 12 Polycystic ovary syndrome\n- 13 Premenstrual syndrome\n- Index\nPublished online by Cambridge University Press: 05 June 2014\nBook contents\n- Menstrual Problems for the MRCOG and Beyond\n- Series page\n- Menstrual Problems for the MRCOG and Beyond\n- Copyright page\n- Contents\n- Abbreviations\n- Preface\n- Editors\n- Contributors\n- 1 Introduction\n- 2 Excessive menstrual bleeding\n- 3 Investigation\n- 4 Medical management of excessive menstrual bleeding\n- 5 Surgical management of menstrual problems\n- 6 Uterine fibroids and heavy menstrual bleeding\n- 7 Dysmenorrhoea\n- 8 Endometriosis\n- 9 Chronic pelvic pain\n- 10 Delayed menarche\n- 11 Premature ovarian failure\n- 12 Polycystic ovary syndrome\n- 13 Premenstrual syndrome\n- Index\nChronic pelvic pain (CPP) may profoundly affect women's ability to function normally in their various roles. Chronic pain may damage their ability to care for their children or maintain social networks, leading to relationship breakdown and loss of quality of life. Factors such as depression and sleep disturbance might reasonably be expected to affect the pain experience but it is increasingly apparent that other factors within the central nervous system will also modify the experience of chronic pain. The contributory factors in the genesis of CPP are gynaecological, bowel-related, bladder-related, musculoskeletal, neurological, and psychological. In women of reproductive age, pelvic pain alone is very rarely a presenting symptom of sinister pathology, but some red flag symptoms might warrant a more urgent approach. Diagnostic laparoscopy may be useful particularly if the woman is concerned about fertility. Additionally, simple assessment often from the patient history can identify therapeutic opportunities.\n- Type\n- Chapter\n- Information\n- Menstrual Problems for the MRCOG and Beyond , pp. 103 - 114Publisher: Cambridge University PressPrint publication year: 2014\nAccessibility compliance for the HTML of this chapter is currently unknown\nand may be updated in the future.\nTo save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.\nNote you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.\nFind out more about the Kindle Personal Document Service.\n- Chronic pelvic pain\n- Book: Menstrual Problems for the MRCOG and Beyond\n- Online publication: 05 June 2014\nTo save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.\n- Chronic pelvic pain\n- Book: Menstrual Problems for the MRCOG and Beyond\n- Online publication: 05 June 2014\nTo save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.\n- Chronic pelvic pain\n- Book: Menstrual Problems for the MRCOG and Beyond\n- Online publication: 05 June 2014","source_license":"CC0","license_restricted":false}