Chronic pelvic pain

Introduction Chronic pelvic pain refers to non-periodic pelvic pain with a course of more than 6 months. It is one of the common symptoms of gynecology, accounting for 16.9% to 25% of patients with gynecological diseases. Occurred in the female pelvic area, the non-periodic pain associated with gynecology is called "pelvic pain."

Cause

Common gynecological diseases that cause chronic pelvic pain are chronic pelvic inflammatory disease, endometriosis, followed by pelvic adhesions, pelvic venous hemorrhage, postoperative sterilization, and intrauterine devices. Infertility is often caused by chronic pelvic pain without a definitive diagnosis and appropriate treatment.

Chinese medicine believes that the pathogenesis of chronic pelvic pain is mainly due to deficiency and stagnation of blood stasis.

an examination

Related inspection

Pelvic CT examination of pelvic MRI examination of pelvic inflatable contrast pelvic and vaginal B-ultrasound

Pain associated with gynecology in female pelvic areas:

1 Diagnostic criteria for chronic pelvic pain caused by pelvic inflammatory disease: repeated abdominal pain in the lower abdomen and lumbosacral region, with or without fever, increased white blood cells, increased purulent leucorrhea, and cord-like or flaky thickening in the attachment area, tenderness The uterus is restricted in activity, and some may have an analgesic irregular mass in the attachment area or the uterus, and B-ultrasound shows an inflammatory image.

2 Diagnostic criteria for chronic pelvic pain caused by pelvic endometriosis: repeated lower abdominal pain, sexual pain, or menstrual lower abdominal pain, laparoscopic diagnosis or non-surgical diagnostic indicators including pain, infertility, pelvic examination, ultrasonography and serum CA 125 test, any 3 of the 5 indicators were positive.

3 Diagnostic criteria for chronic pelvic pain caused by pelvic sputum: pelvic pain, lumbosacral pain, dyspareunia, more menstrual flow, more vaginal discharge, no obvious positive signs in gynecological examination, pelvic angiography, pelvic color Doppler ultrasound or surgery confirmed pelvic vein distortion, increase Thick or agglomerated.

4 Common causes of chronic pelvic pain after ligation are pelvic adhesions, chronic inflammation of the fallopian tube or effusion, omental adhesion, pelvic dysplasia, pelvic venous stasis syndrome.

Differential diagnosis

Exclusion criteria:

1 genital tumor.

2 Chronic pelvic pain caused by urinary system diseases.

3 chronic pelvic pain caused by gastrointestinal diseases.

4 Chronic pelvic pain caused by neuro-muscle-skeletal disease.

5 chronic pelvic pain caused by psychological factors.

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