Chronic pelvic pain: a dilemma

Santosh A, Asha Santosh, Hammad Bin Liaquat, Hammad Liaquat, Liaquat HB, Fatima N, Nagina Fatima, Sidra Liaquat, Liaquat S, Mohammad Akhtar Anwar, M. Akhtar Anwar, Anwar MA
JPMA. The Journal of the Pakistan Medical Association · 2010 · vol. 60(4) , pp. 257–60 · PMID:20419964 · W2182742227
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Diagnostic laparoscopy identified pelvic inflammatory disease, endometriosis, and pelvic congestion syndrome as common gynecological causes of chronic pelvic pain in women, particularly those aged 25-34 with lower socioeconomic status.

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Abstract

OBJECTIVE: To determine the frequency of gynaecological factors leading to chronic pelvic pain via diagnostic laparoscopy. To see the association of these factors with demographic variables of the patients. METHODS: Fifty patients underwent the study over a period of 1.5 years from 1st January 2007 to 30th June 2008 at the Department of Gynaecology and Obstetrics, Jinnah Postgraduate Medical Centre, Karachi. All patients fulfilling inclusion criteria were admitted via Out Patient Department, underwent initial investigations and later Diagnostic Laparoscopy. RESULTS: Twenty nine patients were in 25-34 years age group and had parity between 1 to 5, and 56% of the patients belonged to poor socioeconomic and educational status. Pelvic Inflammatory disease was the most frequently found gynaecological etiology of Chronic Pelvic Pain (20% of patients) followed by endometriosis (14%) and Pelvic Congestion Syndrome (12%). CONCLUSION: Chronic Pelvic Pain is a common problem of women with multifactorial etiology. Laparoscopy was found be very effective in diagnosing the various gynaecological causes of the disorder.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Pelvic Pain Adult Adult Chronic Disease Chronic Disease Cross-Sectional Studies Cross-Sectional Studies Endometriosis Endometriosis Endometriosis Female Female Genital Diseases, Female Genital Diseases, Female Genital Diseases, Female Humans Humans Laparoscopy Laparoscopy Pelvic Inflammatory Disease

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