Gynecology Book


Chronic Pelvic Pain Causes

Aka: Chronic Pelvic Pain Causes
  1. See Also
    1. Chronic Pelvic Pain in Women
    2. Chronic Pelvic Pain in Men
    3. Suprapubic Abdominal Pain
    4. Acute Pelvic Pain
    5. Acute Pelvic Pain Causes
    6. Acute Abdominal Pain
    7. Acute Abdominal Pain Causes
  2. Causes: General
    1. Idiopathic in up to 60% of cases
    2. Women with more than one diagnosis contributing to Pelvic Pain: 40%
    3. Gastrointestinal and urinary causes are more common than gynecologic causes
    4. Most common causes
      1. Endometriosis
      2. Intraabdominal Adhesions
      3. Irritable Bowel Syndrome
      4. Interstitial Cystitis
  3. Causes: Urinary Tract (5% of Chronic Pelvic Pain)
    1. Urinary Tract Infection (UTI)
    2. Urethral syndrome (Urethritis)
    3. Interstitial Cystitis
      1. Recent evidence suggests very common cause
      2. May be responsible for 33% of Chronic Pelvic Pain
      3. Clemons (2002) Obstet Gynecol 100:337-41 [PubMed]
  4. Causes: Gastrointestinal (20-30% of Chronic Pelvic Pain)
    1. Irritable Bowel Disease
    2. Hernia
    3. Inflammatory Bowel Disease
      1. Crohn's Disease
      2. Ulcerative Colitis
  5. Causes: Musculoskeletal
    1. Pelvic Floor Dysfunction
    2. Abdominal wall Trigger Points
      1. Responds to local 0.5% Marcaine injection
  6. Causes: Psychological
    1. Major Depression
    2. Sexual abuse history
  7. Causes: Gynecologic
    1. Endometriosis
    2. Chronic Pelvic Inflammatory Disease
    3. Pelvic Adhesions
    4. Mittelschmerz
    5. Pelvic Relaxation
    6. Ovarian Remnant Syndrome
    7. Pelvic Congestion Syndrome
    8. Cyclic Pelvic or Uterine pain
      1. Primary Dysmenorrhea
      2. Secondary Dysmenorrhea
  8. References
    1. Speer (2016) Am Fam Physician 93(5):380-7 [PubMed]
    2. Zondervan (1999) Br J Obstet Gynaecol 106(11):1149-55 [PubMed]
    3. Mathias (1996) Obstet Gynecol 87(3): 321-7 [PubMed]

Chronic pelvic pain of female (C0404484)

Concepts Sign or Symptom (T184)
SnomedCT 237067000
English Chronic pain in female pelvis, Chronic pelvic pain of female (disorder), Chronic pain in female pelvis (finding), female chronic pelvic pain, pelvic pain chronic, chronic pelvic pain, chronic female pelvic pain, chronic pain pelvic, Chronic pelvic pain, Chronic pelvic pain of female
Spanish dolor pélvico crónico ginecológico, dolor pélvico crónico en la mujer (trastorno), dolor pélvico crónico en la mujer (hallazgo), dolor pelviano crónico en la mujer, dolor pélvico crónico en la mujer
Derived from the NIH UMLS (Unified Medical Language System)

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