The definition of chronic pelvic pain "that requires treatment in women and cause functional impairment at least 6 months in the abdomen below the navel and the pain felt in the groin" shape. You can also click here to matters which have been described groin pain.
such as gynecological some of the reasons could be among the causes of chronic pelvic pain, urinary tract urological so on, related to the intestines, and can also cause neurological-related musculo-skeletal system. Chronic pelvic pain in women between ages 18-50 is seen at a ratio of 14-25%.
gynecological causes of chronic pelvic pain:
- Endometriosis (the most common gynecological reasons)
- Adhesions (abdominal adhesions)
- Fibroids
- Over (ovarian) cysts
- adenomyosis
- Pelvic congestion syndrome
- Vestibulitis
- Chronic PID
gastrointestinal causes of the chronic pelvic pain:
- Irritable bowel syndrome (the most common cause of non-gynecological)
- Chronic appendicitis
- Inflammatory bowel disease
- Diverticulosis
- diverticulitis
- Meckel's diverticulum
- Hernia (hernia)
urological causes of chronic pelvic pain:
- Abnormal function of the bladder (detrusor instability)
- Urethral syndrome (chronic urethritis)
- Interstitial cystitis
psychological causes of chronic pelvic pain:
- Depression
- Somatization
- Psychosexual disorders
reasons related to the musculoskeletal system, chronic pelvic pain:
- Nerve compression (neuritis)
- Fasciitis
- Scoliosis
- Discopathy of
- spondylolisthesis
- Osteitis pubis
Diagnosis:
Due to the variety of complaints diagnosed as chronic pelvic pain can be due to various reasons are in a difficult situation very well. A detailed history of the patient's diagnosis and the blood and urine tests done to investigate the infection outside the examination, ultrasound and laparoscopy may be necessary sometimes to observe the inside of the abdomen.
Treatment:
Chronic pelvic pain may be a variety of reasons, such treatment is provided for determining an exact cause or causes Abilmişse. No cause can be detected in the performed analysis of empirical cases as painkillers (NSAIDs), and sometimes the birth control pills (oral contraceptives) can be given.
If the pain of endometriosis is considered as a cause or if it can be diagnosed by laparoscopy GnRH drug treatment.
If psychological reasons are considered anxiolytic, antidepressant drugs can be used.
Acupuncture treatment has been reported to be successful in treating some patients.
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