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Questions and Answers
What is the primary mechanism of pain caused by distension of ectopic endometrial glands?
Which type of pain is characterized by a crescendo fashion during menstruation?
What is the likely cause of dorsal pain in patients with chronic pelvic pain?
Which of the following is NOT a type of pain associated with chronic pelvic pain?
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How long must pain persist to be classified as deep chronic pelvic pain?
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Study Notes
Chronic Pelvic Pain
- Pain in chronic pelvic pain does not necessarily correlate to the pathologic extent of the disease.
Mechanisms of Pain
- Distension of ectopic endometrial glands within a closed space contributes to pain.
- Release of inflammatory mediators, such as prostaglandins or cytokines, causes pain.
- Involvement and irritation of pelvic nerves within adhesions lead to pain.
Types of Pain
- Dysmenorrhea:
- Starts a few days before menstruation due to congestion.
- Pain increases in severity during menstruation in a crescendo fashion.
- Pain gradually decreases after menstruation due to absorption of blood.
Other Types of Pain
- Deep dyspareunia:
- Caused by a fixed retroverted uterus or lesions in the pouch of Douglas or rectovaginal septum.
- Deep chronic pelvic pain:
- Unresolving pain that lasts for more than 6 months.
- Dorsal (Sacral) pain:
- Caused by affection of uterosacral ligaments, resulting in backache.
- Dysuria:
- Painful urination.
- Dyschezia:
- Painful defecation.
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Description
Explore the underlying mechanisms of chronic pelvic pain, including distension of ectopic endometrial glands, release of inflammatory mediators, and irritation of pelvic nerves. Learn about the different types of pain, such as dysmenorrhea and deep dyspareunia.
