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Women and Pelvic pain


Most women (and some men), sometime in their lives experience pelvic pain (when at least 3 mths, called chronic pelvic pain (CPP)). This is a poorly understood condition that likely represents abnormal neurological function, either in the peripheral nervous system or central nervous system. Mainly different etiologies have been proposed for CPP, but a major problem is that virtually none of them have been validated. Commonly proposed etiologies include:

  • endometriosis (very controversial)
  • infection or post-infectious neurological hypersensitivity
  • exaggerated bladder, bowel, or uterine pain sensitivity (also known as visceral pain)
  • ovarian cysts, uterine leiomyoma - often found in asymptomatic patients as well, however
  • less common emergencies: ovarian torsion - sudden loss of circulation to the ovary, appendicitis - infection of one part of the intestine, with right lower abdominal pain, ectopic pregnancy - where an early pregnancy grows outside of the uterus, and can cause sudden, heavy intra-abdominal bleeding
Women with symptoms of pain may want to see a gynecologist if problems don't go away after a few days, and workup should begin with a careful history and examination, followed by a pregnancy test. Some women may also need bloodwork or additional imaging studies, and a handful may also benefit from having surgical evaluation using small telescopes (laparoscopy). Many women will also benefit from a consultation with a physical therapist, a trial of anti-inflammatory medications, hormonal therapy, or even neurological agents.

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Pain when walking? - Pregnancy - Second Trimester Forum: I have back/pelvic pain which is worse when I'.. http://bit.ly/2ys2CY
CutPain4Gain (Stephen Akamine) Sat, 07 Nov 2009 23:47:07 -0000
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ryder708 (ryder) Sat, 07 Nov 2009 23:03:08 -0000
Pain when walking? - Pregnancy - Second Trimester Forum: I have back/pelvic pain which is worse when I'm wa.. http://bit.ly/4Eon0t
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DrRobinA (Robin Armstrong) Fri, 06 Nov 2009 22:38:06 -0000
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Science News Pain: Targeting anesthesia to the pelvic plexus for prostate biopsy http://bit.ly/4G9SZr
sciencestage (ScienceStage) Thu, 05 Nov 2009 23:02:52 -0000
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RT @PsychTimes: McCarberg: Most difficult pain problem is pelvic pain, followed by cumulative trauma and diabetic neuropathy #USPC09
TAWOP (Justin Marley) Thu, 05 Nov 2009 19:17:58 -0000
RT @PsychTimes: McCarberg: Most difficult pain problem is pelvic pain, followed by cumulative trauma and diabetic neuropathy #USPC09
My pelvic floor area is in turnoil. Hope pain subsides a tad overnight.
apieceofwood (apieceofwood) Thu, 05 Nov 2009 18:44:39 -0000
My pelvic floor area is in turnoil. Hope pain subsides a tad overnight.

 
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