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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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First Book Focusing on How "The Secret Pain Women Won't Talk About ... - PR Web (press release)
Tue, 30 Jun 2009 13:09:36 -0000
First Book Focusing on How "The Secret Pain Women Won't Talk About ...PR Web (press release)The conditions that cause persistent severe discomfort between the mid abdomen to mid thigh (classified by doctors as chronic pelvic pain) constitute an ...and more »
Interstitial Cystitis is an Etiology of Chronic Pelvic Pain in ... - UroToday
Tue, 30 Jun 2009 05:10:50 -0000
Interstitial Cystitis is an Etiology of Chronic Pelvic Pain in ...UroTodayThis case series was performed to investigate IC as a cause of chronic pelvic pain (CPP) in young women. Design: Case series. ...and more »
health journal - Wall Street Journal
Tue, 30 Jun 2009 02:01:46 -0000
Examiner.comhealth journalWall Street JournalPID can cause pelvic pain—or it can be asymptomatic—but it often leaves inflammation and scar tissue that blocks a woman's fallopian tubes, ...Chlamydia is an under-reported, mostly asymptomatic but very ...Examiner.comall 3 news articles »
Assessing chronic pelvic pain - Clinical Advisor
Fri, 19 Jun 2009 11:10:46 -0000
Assessing chronic pelvic painClinical AdvisorA 43-year-old woman has a one-year history of chronic pelvic pain that sometimes radiates to the thighs. She also experiences pelvic pain when the abdomen ...and more »
Chronic Pelvic Pain Syndromes: Clinical, Urodynamic, and ... - UroToday
Wed, 24 Jun 2009 05:12:21 -0000
Chronic Pelvic Pain Syndromes: Clinical, Urodynamic, and ...UroTodayA cohort of 408 patients with bladder pain syndrome/interstitial cystitis (BPS/IC) was evaluated, and findings were discussed in this retrospective chart ...and more »
Painful Bladder Syndrome - EmpowHer
Thu, 25 Jun 2009 14:49:17 -0000
Painful Bladder SyndromeEmpowHerIC is a pain syndrome of the bladder that must fit a tight research definition, as is often considered in women presented with pelvic pain or a painful ...and more »

 
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Meta Description: [ Physician reviewed site offering medical professionals and women, the latest news and information on chronic pelvic pain and related women's health issues ]

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