Podcast
Questions and Answers
What is considered the gold standard for investigating chronic pelvic pain?
What is considered the gold standard for investigating chronic pelvic pain?
- CT scan
- Transvaginal ultrasound
- Diagnostic laparoscopy (correct)
- MRI
Which diagnostic evaluation is NOT typically included in the assessment of chronic pelvic pain?
Which diagnostic evaluation is NOT typically included in the assessment of chronic pelvic pain?
- Complete blood count (CBC)
- Electrocardiogram (ECG) (correct)
- Vaginal cultures for STDs
- Urinalysis
Which condition is a leading gynecologic cause of chronic pelvic pain?
Which condition is a leading gynecologic cause of chronic pelvic pain?
- Chronic urethritis
- Irritable Bowel Syndrome (IBS)
- Herniated disk disease
- Endometriosis (correct)
Which of the following is NOT a pharmacologic treatment for chronic pelvic pain?
Which of the following is NOT a pharmacologic treatment for chronic pelvic pain?
Identify a psychological factor that can contribute to chronic pelvic pain.
Identify a psychological factor that can contribute to chronic pelvic pain.
What is a common treatment option for managing endometriosis?
What is a common treatment option for managing endometriosis?
Which symptom is NOT typically associated with interstitial cystitis (IC)?
Which symptom is NOT typically associated with interstitial cystitis (IC)?
What does the term 'nulliparous' refer to in the context of chronic pelvic pain due to endometriosis?
What does the term 'nulliparous' refer to in the context of chronic pelvic pain due to endometriosis?
Which diagnostic procedure is used to identify lesions associated with endometriosis?
Which diagnostic procedure is used to identify lesions associated with endometriosis?
What is the primary drug of choice for treating interstitial cystitis?
What is the primary drug of choice for treating interstitial cystitis?
Which condition is characterized primarily by dysfunction in pelvic muscles and joints?
Which condition is characterized primarily by dysfunction in pelvic muscles and joints?
What percentage prevalence of postsurgical pain is typical after abdominal and pelvic surgeries?
What percentage prevalence of postsurgical pain is typical after abdominal and pelvic surgeries?
Which gastrointestinal disorder is commonly reported in women with IBS?
Which gastrointestinal disorder is commonly reported in women with IBS?
What is considered a defining characteristic of chronic pelvic pain (CPP)?
What is considered a defining characteristic of chronic pelvic pain (CPP)?
Which condition is identified as a common cause of chronic pelvic pain observed during gynecological laparoscopy?
Which condition is identified as a common cause of chronic pelvic pain observed during gynecological laparoscopy?
Which population is at a higher risk for developing chronic pelvic pain?
Which population is at a higher risk for developing chronic pelvic pain?
What percentage of gynecologic laparoscopies performed for benign disease is due to chronic pelvic pain?
What percentage of gynecologic laparoscopies performed for benign disease is due to chronic pelvic pain?
Which symptom is NOT commonly associated with pelvic inflammatory disease (PID)?
Which symptom is NOT commonly associated with pelvic inflammatory disease (PID)?
What is a frequent psychological impact on individuals with chronic pelvic pain?
What is a frequent psychological impact on individuals with chronic pelvic pain?
Which of the following is a common symptom of chronic pelvic inflammatory disease?
Which of the following is a common symptom of chronic pelvic inflammatory disease?
What term describes the multifaceted nature of the causes of chronic pelvic pain?
What term describes the multifaceted nature of the causes of chronic pelvic pain?
Which of the following is a common pharmacologic treatment for chronic pelvic pain?
Which of the following is a common pharmacologic treatment for chronic pelvic pain?
What type of diagnostic evaluation is indicated if endometriosis, adhesions, or chronic PID are suspected?
What type of diagnostic evaluation is indicated if endometriosis, adhesions, or chronic PID are suspected?
Which complementary and alternative medicine approach is used for managing chronic pelvic pain?
Which complementary and alternative medicine approach is used for managing chronic pelvic pain?
Which of the following is identified as a psychological factor contributing to chronic pelvic pain?
Which of the following is identified as a psychological factor contributing to chronic pelvic pain?
What is a common urologic cause of chronic pelvic pain?
What is a common urologic cause of chronic pelvic pain?
What is the minimum duration for pain to be classified as chronic pelvic pain?
What is the minimum duration for pain to be classified as chronic pelvic pain?
Which condition is most commonly diagnosed during gynecological laparoscopy for chronic pelvic pain?
Which condition is most commonly diagnosed during gynecological laparoscopy for chronic pelvic pain?
Which of the following factors is associated with an increased risk of developing chronic pelvic pain?
Which of the following factors is associated with an increased risk of developing chronic pelvic pain?
What percentage of gynecologic laparoscopies are considered to be indications for chronic pelvic pain?
What percentage of gynecologic laparoscopies are considered to be indications for chronic pelvic pain?
Which psychological issue is commonly associated with chronic pelvic pain in patients who have experienced trauma or abuse?
Which psychological issue is commonly associated with chronic pelvic pain in patients who have experienced trauma or abuse?
Which of the following is NOT a typical symptom of pelvic inflammatory disease (PID)?
Which of the following is NOT a typical symptom of pelvic inflammatory disease (PID)?
What is a significant complication often associated with endometriosis?
What is a significant complication often associated with endometriosis?
Which of these systems is NOT typically involved in a patient with chronic pelvic pain?
Which of these systems is NOT typically involved in a patient with chronic pelvic pain?
What is a common hormonal suppression medication used for managing endometriosis?
What is a common hormonal suppression medication used for managing endometriosis?
Which condition is characterized by chronic bladder inflammation and symptoms such as pressure and pain in the pelvic area?
Which condition is characterized by chronic bladder inflammation and symptoms such as pressure and pain in the pelvic area?
What type of medication is Dimethylsulfoxide, used in the treatment of interstitial cystitis?
What type of medication is Dimethylsulfoxide, used in the treatment of interstitial cystitis?
Chronic pelvic pain in women with irritable bowel syndrome can be accompanied by which symptom?
Chronic pelvic pain in women with irritable bowel syndrome can be accompanied by which symptom?
Which of the following conditions is known to frequently require pelvic physical therapy as a treatment?
Which of the following conditions is known to frequently require pelvic physical therapy as a treatment?
What is the drug of choice for treating interstitial cystitis?
What is the drug of choice for treating interstitial cystitis?
Which symptom is typically NOT associated with chronic pelvic pain?
Which symptom is typically NOT associated with chronic pelvic pain?
What factors may contribute to postsurgical pain following pelvic surgery?
What factors may contribute to postsurgical pain following pelvic surgery?
Which of the following diagnostic tests is often used when endometriosis or chronic PID is suspected?
Which of the following diagnostic tests is often used when endometriosis or chronic PID is suspected?
Which pharmacologic treatment is considered first-line for managing chronic pelvic pain?
Which pharmacologic treatment is considered first-line for managing chronic pelvic pain?
Which of the following is a recognized psychological factor that may contribute to chronic pelvic pain?
Which of the following is a recognized psychological factor that may contribute to chronic pelvic pain?
Which interventional technique may be indicated for patients suffering from chronic pelvic pain?
Which interventional technique may be indicated for patients suffering from chronic pelvic pain?
Identify a gastrointestinal disorder that is frequently associated with chronic pelvic pain.
Identify a gastrointestinal disorder that is frequently associated with chronic pelvic pain.
Which of the following conditions is considered one of the leading causes of chronic pelvic pain?
Which of the following conditions is considered one of the leading causes of chronic pelvic pain?
What percentage of gynecologic laparoscopies is performed for benign disease due to chronic pelvic pain?
What percentage of gynecologic laparoscopies is performed for benign disease due to chronic pelvic pain?
Which symptom is often associated with pelvic inflammatory disease (PID)?
Which symptom is often associated with pelvic inflammatory disease (PID)?
Which of these factors is not typically associated with chronic pelvic pain?
Which of these factors is not typically associated with chronic pelvic pain?
What is a common problem that results from endometriosis?
What is a common problem that results from endometriosis?
Chronic pelvic pain may involve which of the following systems?
Chronic pelvic pain may involve which of the following systems?
What is a common treatment approach to control endometriosis?
What is a common treatment approach to control endometriosis?
Which condition is specifically characterized by chronic bladder inflammation?
Which condition is specifically characterized by chronic bladder inflammation?
Which medication is commonly used as a drug of choice for interstitial cystitis?
Which medication is commonly used as a drug of choice for interstitial cystitis?
Which of the following is a common symptom of irritable bowel syndrome (IBS) that may contribute to chronic pelvic pain?
Which of the following is a common symptom of irritable bowel syndrome (IBS) that may contribute to chronic pelvic pain?
What is the typical prevalence of postsurgical pain after abdominal and pelvic surgeries?
What is the typical prevalence of postsurgical pain after abdominal and pelvic surgeries?
Which pharmacologic treatment is commonly used for hormonal suppression in the management of endometriosis?
Which pharmacologic treatment is commonly used for hormonal suppression in the management of endometriosis?
Which condition is characterized by pelvic pain not associated with pregnancy or menstruation?
Which condition is characterized by pelvic pain not associated with pregnancy or menstruation?
What role does physical therapy play in the treatment of chronic pelvic pain?
What role does physical therapy play in the treatment of chronic pelvic pain?
Which of the following is least likely to be included in the diagnostic evaluation for chronic pelvic pain?
Which of the following is least likely to be included in the diagnostic evaluation for chronic pelvic pain?
What is the first-line pharmacologic treatment option for managing chronic pelvic pain?
What is the first-line pharmacologic treatment option for managing chronic pelvic pain?
Which psychological condition is commonly associated with individuals suffering from chronic pelvic pain?
Which psychological condition is commonly associated with individuals suffering from chronic pelvic pain?
Which complementary and alternative medicine technique is NOT mentioned as a treatment for chronic pelvic pain?
Which complementary and alternative medicine technique is NOT mentioned as a treatment for chronic pelvic pain?
Which of the following conditions is identified as a gastrointestinal cause of chronic pelvic pain?
Which of the following conditions is identified as a gastrointestinal cause of chronic pelvic pain?
Which of the following factors is most strongly associated with chronic pelvic pain?
Which of the following factors is most strongly associated with chronic pelvic pain?
What percentage of women with chronic pelvic pain are observed to have endometriosis during gynecological laparoscopy?
What percentage of women with chronic pelvic pain are observed to have endometriosis during gynecological laparoscopy?
Which of the following is NOT considered a psychosocial factor that can contribute to chronic pelvic pain?
Which of the following is NOT considered a psychosocial factor that can contribute to chronic pelvic pain?
In patients with chronic pelvic pain, which of the following conditions is most likely to cause lower abdominal pain and depression?
In patients with chronic pelvic pain, which of the following conditions is most likely to cause lower abdominal pain and depression?
Which symptom is closely associated with endometriosis and can impact a woman's quality of life?
Which symptom is closely associated with endometriosis and can impact a woman's quality of life?
What is a typical duration for pain to be classified as chronic pelvic pain?
What is a typical duration for pain to be classified as chronic pelvic pain?
Which statement best describes a common complication resulting from endometriosis?
Which statement best describes a common complication resulting from endometriosis?
Which of the following systems is frequently involved in chronic pelvic pain?
Which of the following systems is frequently involved in chronic pelvic pain?
What is the primary goal of hormonal treatment options for managing endometriosis?
What is the primary goal of hormonal treatment options for managing endometriosis?
Which drug is specifically indicated as the drug of choice for treating interstitial cystitis?
Which drug is specifically indicated as the drug of choice for treating interstitial cystitis?
What type of pain is typically experienced after abdominal surgeries, with a prevalence of 10 to 40%?
What type of pain is typically experienced after abdominal surgeries, with a prevalence of 10 to 40%?
In women with irritable bowel syndrome (IBS), which symptom is frequently reported alongside chronic pelvic pain?
In women with irritable bowel syndrome (IBS), which symptom is frequently reported alongside chronic pelvic pain?
Which condition is characterized by chronic pain and discomfort around the pelvic area due to musculoskeletal issues?
Which condition is characterized by chronic pain and discomfort around the pelvic area due to musculoskeletal issues?
What specific symptom is associated with interstitial cystitis and is not frequently linked to menstruation?
What specific symptom is associated with interstitial cystitis and is not frequently linked to menstruation?
Which of the following treatments may help alleviate chronic pelvic pain related to musculoskeletal disorders?
Which of the following treatments may help alleviate chronic pelvic pain related to musculoskeletal disorders?
Which pharmacological treatment is NOT typically used for controlling chronic pelvic pain from endometriosis?
Which pharmacological treatment is NOT typically used for controlling chronic pelvic pain from endometriosis?
Which diagnostic evaluation is commonly included when assessing chronic pelvic pain?
Which diagnostic evaluation is commonly included when assessing chronic pelvic pain?
What is a first-line pharmacologic treatment generally recommended for chronic pelvic pain?
What is a first-line pharmacologic treatment generally recommended for chronic pelvic pain?
Which physiological condition is considered one of the leading causes of chronic pelvic pain?
Which physiological condition is considered one of the leading causes of chronic pelvic pain?
What role does cognitive behavioral therapy (CBT) play in managing chronic pelvic pain?
What role does cognitive behavioral therapy (CBT) play in managing chronic pelvic pain?
Which of the following conditions is frequently diagnosed through diagnostic laparoscopy for chronic pelvic pain evaluation?
Which of the following conditions is frequently diagnosed through diagnostic laparoscopy for chronic pelvic pain evaluation?
Which of the following conditions is most commonly diagnosed during gynecological laparoscopy for chronic pelvic pain?
Which of the following conditions is most commonly diagnosed during gynecological laparoscopy for chronic pelvic pain?
Which symptom is typically associated with pelvic inflammatory disease (PID)?
Which symptom is typically associated with pelvic inflammatory disease (PID)?
Which subset of patients has an increased risk for developing chronic pelvic pain due to a history of certain events?
Which subset of patients has an increased risk for developing chronic pelvic pain due to a history of certain events?
What is a common psychological impact on individuals with chronic pelvic pain?
What is a common psychological impact on individuals with chronic pelvic pain?
Which condition can lead to chronic pelvic pain and may cause ectopic pregnancy?
Which condition can lead to chronic pelvic pain and may cause ectopic pregnancy?
Which system is NOT typically involved in chronic pelvic pain?
Which system is NOT typically involved in chronic pelvic pain?
What is considered a common risk factor for chronic pelvic pain in women?
What is considered a common risk factor for chronic pelvic pain in women?
Which of the following medications are used for hormonal suppression in the treatment of endometriosis?
Which of the following medications are used for hormonal suppression in the treatment of endometriosis?
What type of pain might develop following abdominal or pelvic surgery?
What type of pain might develop following abdominal or pelvic surgery?
Which treatment is specifically recognized for addressing interstitial cystitis?
Which treatment is specifically recognized for addressing interstitial cystitis?
What condition is associated with chronic bladder inflammation?
What condition is associated with chronic bladder inflammation?
Which of the following is NOT typically assessed during the evaluation of chronic pelvic pain?
Which of the following is NOT typically assessed during the evaluation of chronic pelvic pain?
Which common gastrointestinal disorder is frequently reported in women with chronic pelvic pain?
Which common gastrointestinal disorder is frequently reported in women with chronic pelvic pain?
In the context of chronic pelvic pain, which symptom would most likely indicate musculoskeletal dysfunction?
In the context of chronic pelvic pain, which symptom would most likely indicate musculoskeletal dysfunction?
Flashcards
Chronic Pelvic Pain Diagnosis
Chronic Pelvic Pain Diagnosis
Diagnostic laparoscopy is the gold standard for investigating chronic pelvic pain.
Pelvic Pain Diagnostic Tests
Pelvic Pain Diagnostic Tests
Initial evaluations include STD cultures, urinalysis, urine cultures, CBC, pregnancy tests, and ESR.
Chronic Pelvic Pain Differential Diagnosis
Chronic Pelvic Pain Differential Diagnosis
Possible causes include musculoskeletal issues like herniated discs, gastrointestinal problems like IBS, urologic problems, gynecological issues like endometriosis/adhesions, and psychological factors like depression.
Chronic Pelvic Pain Management (Supportive)
Chronic Pelvic Pain Management (Supportive)
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Chronic Pelvic Pain First-Line Treatment
Chronic Pelvic Pain First-Line Treatment
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Endometriosis (CPP)
Endometriosis (CPP)
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Endometriosis Diagnosis
Endometriosis Diagnosis
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Endometriosis Treatment
Endometriosis Treatment
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Interstitial Cystitis (IC)
Interstitial Cystitis (IC)
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Interstitial Cystitis Treatment
Interstitial Cystitis Treatment
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Chronic Pelvic Pain Causes
Chronic Pelvic Pain Causes
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Postsurgical Pain
Postsurgical Pain
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Assessing Chronic Pelvic Pain
Assessing Chronic Pelvic Pain
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Chronic Pelvic Pain (CPP)
Chronic Pelvic Pain (CPP)
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Risk Factors for CPP
Risk Factors for CPP
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PID and CPP Link
PID and CPP Link
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Endometriosis and CPP
Endometriosis and CPP
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Symptoms of PID
Symptoms of PID
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Abuse and CPP
Abuse and CPP
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Multifactorial Causes of CPP
Multifactorial Causes of CPP
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Gynecological Interventions for CPP
Gynecological Interventions for CPP
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What are some risk factors for Chronic Pelvic Pain?
What are some risk factors for Chronic Pelvic Pain?
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PID's impact on pain
PID's impact on pain
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What are some symptoms of PID?
What are some symptoms of PID?
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Multifactorial CPP
Multifactorial CPP
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Gynecological procedures for CPP
Gynecological procedures for CPP
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Gold standard for CPP investigation
Gold standard for CPP investigation
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First-line treatment for CPP
First-line treatment for CPP
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Other CPP management approaches
Other CPP management approaches
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What is the link between PID and CPP?
What is the link between PID and CPP?
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Complementary and alternative medicine for CPP
Complementary and alternative medicine for CPP
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What is Chronic Pelvic Pain (CPP)?
What is Chronic Pelvic Pain (CPP)?
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CPP in Young Women
CPP in Young Women
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Diagnosing Endometriosis
Diagnosing Endometriosis
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Treating Endometriosis
Treating Endometriosis
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Treating Interstitial Cystitis
Treating Interstitial Cystitis
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Musculoskeletal Causes of CPP
Musculoskeletal Causes of CPP
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What is CPP?
What is CPP?
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What is Chronic Pelvic Pain?
What is Chronic Pelvic Pain?
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What are some risk factors for CPP?
What are some risk factors for CPP?
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What are some common causes of CPP?
What are some common causes of CPP?
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How is endometriosis related to CPP?
How is endometriosis related to CPP?
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Managing Endometriosis
Managing Endometriosis
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Treating IC
Treating IC
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Musculoskeletal & CPP
Musculoskeletal & CPP
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Thorough CPP Assessment
Thorough CPP Assessment
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How is PID related to CPP?
How is PID related to CPP?
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Interstitial Cystitis (IC) Treatment
Interstitial Cystitis (IC) Treatment
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How is Endometriosis linked to CPP?
How is Endometriosis linked to CPP?
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What is the gold standard for investigating CPP?
What is the gold standard for investigating CPP?
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How is CPP managed?
How is CPP managed?
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What are some new treatments for IC?
What are some new treatments for IC?
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Who is most likely to have CPP from endometriosis?
Who is most likely to have CPP from endometriosis?
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How is endometriosis diagnosed?
How is endometriosis diagnosed?
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Can endometriosis be prevented?
Can endometriosis be prevented?
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What is the main drug for IC?
What is the main drug for IC?
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What are some musculoskeletal causes of CPP?
What are some musculoskeletal causes of CPP?
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What is key to assessing CPP?
What is key to assessing CPP?
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Study Notes
Chronic Pelvic Pain Definition
- Continuous or episodic, nonmenstrual pain lasting at least 6 months, affecting both men and women
- Pain may begin suddenly or gradually
- Located at or below the umbilicus
- Severe enough to disrupt daily activities
- Frequently occurs with a history of PID, constipation, IBD, depression, or anxiety
- Potentially involves multiple systems: gastroenterological, urological, gynecological, oncological, musculoskeletal, and psychosocial
- A significant factor in 40% of gynecological laparoscopies and 12% of hysterectomies performed for benign conditions
- Often multifactorial, making diagnosis challenging
Chronic Pelvic Pain Risk Factors
- Physical and sexual abuse
- Long-term medical conditions associated with abuse/trauma, including cardiovascular issues (like hypertension), diabetes, malnutrition, STIs, chronic pain, and incontinence
- Mental health issues, such as educational difficulties, low self-esteem, and trouble forming/maintaining relationships
Chronic Pelvic Pain - Pelvic Inflammatory Disease (PID)
- PID can also lead to chronic pain in the pelvis and lower abdomen
- Can cause depression and sleep disturbances
- Ectopic pregnancies are seen in approximately 9% of women with PID and chronic pelvic pain
Chronic Pelvic Pain - Endometriosis
- One of the leading causes, and the most common diagnosis made during gynecological laparoscopy for CPP evaluation
- Usually causes chronic pain in the pelvis during menstruation
- Present in 71-87% of women with chronic pelvic pain
- Infertility is a common problem that results
- Primarily affects nulliparous women aged 20-30
- Diagnosable using imaging techniques during laparoscopy
- Treatment options include hormone therapy and/or surgery
Chronic Pelvic Pain - Interstitial Cystitis (IC)
- Chronic bladder inflammation
- Characterized by recurring discomfort, pressure, tenderness, or pain in the bladder, lower abdomen, and pelvis
- Diagnosis involves various diagnostic tests
- Polysulfate sodium (Elmiron) is a standard treatment
- Dimethylsulfoxide is a newer, liquid treatment administered via a temporary catheter
Chronic Pelvic Pain - Irritable Bowel Syndrome (IBS)
- About 1/3 of women with IBS report chronic pelvic pain, migraine headaches, bladder discomfort, and dyspareunia
- Associated gastrointestinal issues include constipation, or IBS
- Pain often localized beneath the navel or lower back, also possible in the rectum, vagina, or perineal area
- Not related to pregnancy or menstruation
Chronic Pelvic Pain - Musculoskeletal Conditions
- Pain and discomfort in the pelvic area
- Associated with sacroiliac joint dysfunction, symphysis pubis dysfunction, and weak pelvic floor muscles
- Immobility of joints can also be a factor
- Physical therapy can be beneficial
Chronic Pelvic Pain - Postsurgical Pain
- Common after abdominal or pelvic surgeries (cholecystectomy, groin hernia repair, Cesarean section, pelvic fracture)
- Prevalence of this type of pain is between 10-40%
- Pelvic nerves can be stretched or compressed during surgery, resulting in postoperative pain
- Lasting more than 3-6 months after surgery is considered prolonged postsurgical pain
Chronic Pelvic Pain - Clinical Presentation
- Evaluation often requires multiple visits
- A thorough medical and surgical history, emphasizing the PQRST of pain, is crucial
- Assessing the relationship between pain and each organ system is important
- Associated symptoms, including fever, sweats, fatigue, anorexia, nausea, vomiting, and constipation, should also be noted
Chronic Pelvic Pain - Physical Exam and Diagnostics
- Detailed abdominal, pelvic, and back exam is necessary
- Gold standard for diagnosis is diagnostic laparoscopy
- Evaluation should include tests for STIs, urinalysis, urine culture, CBC, pregnancy test, and ESR
Chronic Pelvic Pain - Differential Diagnosis
- Musculoskeletal: Herniated disk disease, chronic pelvic tilt, degenerative joint disease, and myofascial trigger points
- Gastrointestinal: IBS is a common contributor
- Urologic: Urethral syndrome, chronic urethritis, interstitial cystitis, urethral diverticulum, and bladder spasms
- Gynecologic: Endometriosis
- Psychological: Depression
Chronic Pelvic Pain - Management
- Supportive care: Counseling and positive reinforcement can be beneficial
- Pharmacologic: NSAIDs, tricyclic antidepressants, anticonvulsants (gabapentin) can be used
- Interventional: Neurostimulation and laparoscopy are possible options
- Complementary and alternative medicine: Cognitive behavioral therapy (CBT), acupuncture, biofeedback, and the use of cannabis for medical purposes, hot/cold therapy, guided imagery, hypnosis, massage, and spinal manipulation may provide additional relief.
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