Chronic Pelvic Pain

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?

GynaecologyBowelBladderOthers
Endometriosis
Adenomyosis (Endometriosis in the muscle of the womb)
Irritable bowel syndromeInterstitial cystitis (bladder infection)Adhesions (scarring)
Pelvic InfectionDiverticulitisPelvic floor pain
FibroidsFibromyalgia

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)

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