What is chronic pelvic pain?
Chronic pelvic pain is defined as pain the abdomen / pelvis below the level of the belly button (umbilicus) that has been present for 6 months or more.
It may or may not be associated with menses or periods. It is not a disease but a symptom that can be caused several different conditions.
What are the causes of chronic pelvic pain?
Adenomyosis (Endometriosis in the muscle of the womb)
|Irritable bowel syndrome||Interstitial cystitis (bladder infection)||Adhesions (scarring)|
|Pelvic Infection||Diverticulitis||Pelvic floor pain|
How does one diagnose chronic pelvic pain?
- Detailed history
- Clinical examination
- Blood tests
- Urine test
- Pelvic Ultrasound
- Laparoscopy (key hole camera procedure through the belly button)
- Others: CT scan, MRI scan
How does one manage chronic pelvic pain?
- Pain killer tablets (Paracetamol, Ibuprofen, etc)
- Hormonal manipulation (Endometriosis / fibroids)
- Surgical treatment of endometriosis / fibroids / adhesions or scarring
- Relaxation techniques / hypnosis
- Psychosocial support and counselling (Individual therapy / group therapy / patient support groups)