CHRONIC PELVIC PAIN

Syeda Rabia, Naeem Qureshi, Afsha Shahid, Hira Afreen
In: The Professional Medical Journal · 2018 · vol. 25(02) , pp. 173–179 · doi:10.29309/tpmj/18.4341 · W2792740736
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This study found a high frequency of chronic pelvic pain (29%) in young educated women, significantly associated with gynecological causes, irritable bowel syndrome, and psychological disorders.

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This cross-sectional study assessed the frequency and correlates of chronic pelvic pain (CPP) in educated women under 30 years old in Karachi, using convenient sampling and collecting demographic and obstetric history via questionnaires, with anxiety and depression screened using the HADS. Among 116 women with a mean age of 25 years, the reported frequency of CPP was 29%, and a gynecological cause was identified in 68.9%; irritable bowel syndrome was reported in 9%. CPP showed significant associations with dysmenorrhea, dyspareunia, heavy menstrual flow, vaginal discharge, and self-reported psychological factors (anxiety and depression), as well as IBS and PMS, alongside specific odds ratios reported in the study. The paper’s main limitation is that it used convenient sampling in a single urban setting over a limited period, which may affect generalizability. Relevance to endometriosis: endometriosis is not explicitly discussed, but the paper reports associations between CPP and gynecologic symptoms (dysmenorrhea and dyspareunia) that are commonly considered within endometriosis-related pelvic pain contexts, though the study’s focus is broader CPP epidemiology.

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Abstract

Objectives: To determine the frequency and associated risk factors of chronicpelvic pain (CPP) in educated women under 30 years of age. Study Design: A cross sectionalstudy. Setting: North Naziabad and Gulshan e Iqbal towns of Karachi. Period: January to July2017. Method: Data was collected through convenient sampling. Informed verbal consentwas taken before data collection. A questioner was used to collect demographic and obstetricdata. Screening of Anxiety and depression was done using standard tool Hospital basedanxiety and depression scale (HADS).Result were analyzed on SPSS. Result: The mean ageof women were 25 years, SD = 4.31. The frequency of chronic pelvic pain was 29% (116).Gynecological cause was found in 68.9% (80). Irritable bowel syndrome was seen in 9% (36)women. Significant association of CPP was noted with Dysmenorrhoea (p-value=000,OR=.207), Dyspareunia (p-value = .000, OR = .166), Heavy menstrual flow (p-value = .033, OR= .333), married (p-value = .000, OR = .414), Vaginal discharge (p-value = .000, OR = .260),Anxiety (p-value = .000, OR = .300), depression (p-value = .002, OR = .452), Normal mentalstatus (p-value = .000, OR = 2.488), Irritable bowel syndrome (p-value = .000, OR = .169)and PMS (p-value = .000, OR = .438). Conclusion: Frequency of chronic pelvic pain is high inyoung educated women. Gynecological causes, irritable bowel syndrome and psychologicaldisorder are significantly associated with CPP. 
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CHRONIC PELVIC PAIN THE FREQUENCY AND CORRELATES IN YOUNG EDUCATED WOMEN. DOI: https://doi.org/10.29309/TPMJ/2018.25.02.438Keywords: Chronic Pelvic Pain, Prevalence, Young Women, EpidemiologyAbstract Objectives: To determine the frequency and associated risk factors of chronic pelvic pain (CPP) in educated women under 30 years of age. Study Design: A cross sectional study. Setting: North Naziabad and Gulshan e Iqbal towns of Karachi. Period: January to July 2017. Method: Data was collected through convenient sampling. Informed verbal consent was taken before data collection. A questioner was used to collect demographic and obstetric data. Screening of Anxiety and depression was done using standard tool Hospital based anxiety and depression scale (HADS).Result were analyzed on SPSS. Result: The mean age of women were 25 years, SD = 4.31. The frequency of chronic pelvic pain was 29% (116). Gynecological cause was found in 68.9% (80). Irritable bowel syndrome was seen in 9% (36) women. Significant association of CPP was noted with Dysmenorrhoea (p-value=000,OR= .207), Dyspareunia (p-value = .000, OR = .166), Heavy menstrual flow (p-value = .033, OR = .333), married (p-value = .000, OR = .414), Vaginal discharge (p-value = .000, OR = .260), Anxiety (p-value = .000, OR = .300), depression (p-value = .002, OR = .452), Normal mental status (p-value = .000, OR = 2.488), Irritable bowel syndrome (p-value = .000, OR = .169) and PMS (p-value = .000, OR = .438). Conclusion: Frequency of chronic pelvic pain is high in young educated women. Gynecological causes, irritable bowel syndrome and psychological disorder are significantly associated with CPP.

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chronic_pelvic_paindysmenorrheadyspareuniairritable_bowel_syndrome

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