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Chronic Pelvic Pain Causes

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Chronic Pelvic Pain Causes

  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
  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]
  1. Responds to local 0.5% Marcaine injection
  • Causes
  • Psychological
  1. Major Depression
  2. Sexual abuse history
  • 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