A 30-Year-Old Woman with Endometriosis with Worsening Pelvic Pain Despite Continuous Oral Contraceptives

In: Office Gynecology · 2019 · pp. 16–18 · doi:10.1017/9781108227469.007 · W2917226632
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This case study presents a 30-year-old woman with endometriosis experiencing worsening pelvic pain despite continuous oral contraceptive use.

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This chapter presents a case-based approach within a pelvic pain clinical section, including a specific case of a 30-year-old woman with diagnosed endometriosis who experienced worsening pelvic pain despite continuous use of oral contraceptives. The work uses narrative case description rather than formal experimental methods, synthesizing clinical context and management considerations typical of an office gynecology setting. The key “finding” is the clinical observation that pelvic pain can persist or worsen even when continuous oral contraceptives are used, with the case illustrating real-world diagnostic and treatment challenges. This paper is centrally about endometriosis — specifically, it focuses on a 30-year-old patient with worsening pelvic pain despite continuous oral contraceptives, presented as part of a case-based review of pelvic pain in office practice.

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Office Gynecology Buy print or eBook [Opens in a new window] A Case-Based Approach - Office Gynecology - Office Gynecology - Copyright page - Contents - Contributors - Preface - Section I Pelvic Pain - Case 1 A 27-Year-Old Woman with Recurrent Visits for Severe Pelvic Pain - Case 2 A 25-Year-Old Woman with Deep Dyspareunia - Case 3 A 16-Year-Old Adolescent with Ongoing Dysmenorrhea Despite Oral Contraceptive Pill Use - Case 4 A 37-Year-Old Woman with Pain at the Lateral Aspect of Her Pfannenstiel Incision - Case 5 A 26-Year-Old Woman with Chronic Pelvic Pain and Negative Work-Up - Case 6 A 30-Year-Old Woman with Endometriosis with Worsening Pelvic Pain Despite Continuous Oral Contraceptives - Case 7 A 47-Year-Old Woman with Severe Menstrual Cramps and Painful Intercourse - Section II Vaginal Discharge and Sexually Transmitted Infections - Section III Amenorrhea and Abnormal Vaginal Bleeding - Section IV Contraception and Abortion - Section V Breast Problems - Section VI Cancer Screening and Prevention - Section VII Vulvar Disease - Section VIII Infertility - Section IX Preconception Planning - Section X Pediatric and Adolescent Problems - Section XI Pelvic Masses and Cysts - Section XII Incontinence and Prolapse - Section XIII Behavioral, Sexual, and Social Health - Section XIV Managing and Aging - Index - References from Section I - Pelvic Pain Published online by Cambridge University Press: 20 February 2019 Book contents - Office Gynecology - Office Gynecology - Copyright page - Contents - Contributors - Preface - Section I Pelvic Pain - Case 1 A 27-Year-Old Woman with Recurrent Visits for Severe Pelvic Pain - Case 2 A 25-Year-Old Woman with Deep Dyspareunia - Case 3 A 16-Year-Old Adolescent with Ongoing Dysmenorrhea Despite Oral Contraceptive Pill Use - Case 4 A 37-Year-Old Woman with Pain at the Lateral Aspect of Her Pfannenstiel Incision - Case 5 A 26-Year-Old Woman with Chronic Pelvic Pain and Negative Work-Up - Case 6 A 30-Year-Old Woman with Endometriosis with Worsening Pelvic Pain Despite Continuous Oral Contraceptives - Case 7 A 47-Year-Old Woman with Severe Menstrual Cramps and Painful Intercourse - Section II Vaginal Discharge and Sexually Transmitted Infections - Section III Amenorrhea and Abnormal Vaginal Bleeding - Section IV Contraception and Abortion - Section V Breast Problems - Section VI Cancer Screening and Prevention - Section VII Vulvar Disease - Section VIII Infertility - Section IX Preconception Planning - Section X Pediatric and Adolescent Problems - Section XI Pelvic Masses and Cysts - Section XII Incontinence and Prolapse - Section XIII Behavioral, Sexual, and Social Health - Section XIV Managing and Aging - Index - References - Type - Chapter - Information - Office GynecologyA Case-Based Approach, pp. 16 - 18Publisher: Cambridge University PressPrint publication year: 2019 The American College of Obstetricians and Gynecologists. Management of endometriosis. Practice Bulletin No, 114. Obstet Gynecol 2010;116(1): 223–36.Google Scholar Practice Committee of the American Society for Reproductive Medicine. Treatment of pelvic pain associated with endometriosis: a committee opinion. Fertil Steril 2014 April; 101(4): 927–35. Epub 2014 Mar 13. Brown, J, Farquhar, C, An overview of treatment for endometriosis. JAMA 2015; 313(3):296–297.Google Scholar Hsu, Al, Khachikyan, I, Stratton, P. Invasive and non-invasive methods for the diagnosis of endometriosis. Clin Obstet Gynecol 2010;53:413–419.CrossRefGoogle Scholar Brosens, I, Puttemans, P, Benagiano, G, Endometriosis: a life cycle approach? Am J Obstet Gynecol 2013 October;209(4):307–316.CrossRefGoogle ScholarPubMed Brown, J, Farquhar, C, Endometriosis: an overview of Cochrane reviews. Cochrane Database Syst Rev 2014 March;10(3):CD009590.Google Scholar Brosens, I, Puttemans, P, Benagiano, G, Endometriosis: a life cycle approach? Am J Obstet Gynecol 2013 October;209(4):307–316.CrossRefGoogle ScholarPubMed Kodaman, PH, Current strategies for endometriosis management. Obstet Gynecol Clin North Am 2015 March;42(1):87–101.CrossRefGoogle ScholarPubMed Accessibility compliance for the HTML of this chapter is currently unknown and may be updated in the future. To save this book to your Kindle, first ensure [email protected] 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. Note 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. 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endometriosis

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