R. W. Beard

PURPOSE: Pelvic congestion is diagnosed by transuterine venography, an invasive procedure requiring sedation and irradiation. Ultrasound may be an alternative but is hindered by slow flow within pelvic veins. In an attempt to counter this, …

Pelvic congestion is diagnosed by transuterine venography, an invasive procedure requiring sedation and irradiation. Ultrasound may be an alternative but is hindered by slow flow within pelvic veins. In an attempt to counter this, we invest…

OBJECTIVE: To test the hypothesis that women with pelvic venous congestion have a reduction of reactivity of their peripheral circulation. DESIGN: Comparison was made between 20 women with chronic pelvic pain due to congestion and a control…

Pelvic venous congestion is a common cause of chronic pelvic pain in women of reproductive age. Although this condition represents a functional disturbance of the pelvic circulation which is related to the menstrual cycle, its aetiology rem…

SummaryA study was carried out to determine the efficacy of total hysterectomy and bilateral salpingo-oophorectomy in relieving intractable chronic pelvic pain up to 5 years postoperatively. The hormone replacement therapy requirements and …

OBJECTIVE: To determine the diagnostic effectiveness and treatment of women with chronic lower abdominal pain due to residual ovaries or ovarian remnants. DESIGN: A prospective observational study. SETTING: Tertiary referral pelvic pain cli…

OBJECTIVE: To assess whether GnRH analogues are effective in relieving pelvic pain and congestion and whether menopausal symptoms caused by GnRH analogues can be minimised by supplementation with low dose continuous combined hormone replace…

SummaryGynaecological pain of apparently unknown aetiology is an extremely common problem in gynaecological practice. It is ill understood and wreaks havoc with women's lives. The economic cost of gynaecological pain is discussed elsewhere …

SummaryChronic gynaecological pain in women of child-bearing age is a frequent complaint. A high proportion of women have chronic pelvic pain with no recognisable pathology, or pelvic pain syndrome, and this is often associated with anxiety…

OBJECTIVE: To determine whether bilateral oophorectomy combined with hysterectomy is an effective treatment for chronic pelvic pain due to congestion. DESIGN: Prospective non-randomized single centre study. SETTING: Tertiary referral cent…

Uterine size, endometrial thickness and ovarian volume were measured ultrasonically and the results compared with caliper measurements made shortly afterwards at the time of total hysterectomy and bilateral salpingo-oophorectomy. The result…

In a group of 55 women with chronic pain due to pelvic congestion measurement by ultrasound revealed they had a larger uterus and thicker endometrium as compared with a group of normal women matched for age, parity and the presence of polyc…

The value of medroxyprogesterone acetate (MPA) and of psychotherapy in the treatment of lower abdominal pain due to pelvic congestion was assessed in a randomized controlled trial. Eighty-four women with abnormal pelvic venography were assi…

Summary. The clinical features of 35 women with pelvic pain and demonstrable congestion on pelvic venography have been characterized by comparing their symptoms and signs with those of 22 women with pelvic pain due to classical pathology. W…