Pelvic pain: Difference between revisions
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#REDIRECT [[Chronic pelvic pain]] |
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== Women and Pelvic pain == |
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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: |
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* endometriosis (very controversial) |
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* infection or post-infectious neurological hypersensitivity |
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* exaggerated bladder, bowel, or uterine pain sensitivity (also known as visceral pain) |
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* ovarian cysts, uterine leiomyoma - often found in asymptomatic patients as well, however |
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* 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 |
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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. Many women will benefit from a consultation with a physical therapist, a trial of anti-inflammatory medications, hormonal therapy, or even neurological agents. |
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This is a condition that although common, direly needs to be studied more closely. |
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== External links == |
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* [http://www.gynalternatives.com Advanced Gynecology Studies] |
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* [http://www.enh.org/healthandwellness/clinicalservices/womenshealth/cpp Evanston Northwestern Healthcare] |
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{{medicine-stub}} |
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Revision as of 05:46, 8 July 2006
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