Chronic pelvic pain Flashcards
1
Q
Causes of chronic pelvic pain
A
PID Endometriosis or adenomyosis Postoperative complication - adhesions Fibroids Endometrial polyps Ovarian cancer MSK - arthritic hip IBS Interstitial cystitis Nerve entrapment Inguinal hernia
2
Q
Investigations
A
Bloods - FBC, U+Es, LFTs, CRP, Ca 125 Pelvic examination Abdominal USS TV USS STI screening - PID
3
Q
Definition of chronic pelvic pain
A
Constant or intermittent lower abdominal pain for over 6 months, not occurring exclusively with menstruation or intercourse and not associated with pregnancy
4
Q
Adenomyosis
A
Endometrial tissue present in the myometrium
Presents with cyclical pain
5
Q
How to diagnose adenomyosis
A
TV USS + MRI
Hysteroscopy and biopsy
6
Q
Associated symptoms
A
Dyspareunia Dysmenorrhoea Menorrhagia Dysuria Dyschezia - pain when defecating IMB PCB PMB
7
Q
Medical treatment for endometriosis
A
COCP
Continuous progestogen therapy
GnRH analogues
Tranexamic + mefenamic acid
8
Q
Surgical treatment for endometriosis
A
Laparoscopic diathermy or laser ablation
TAH + BSO
9
Q
Risks os TAH
A
Bladder injury Infection haemorrhage Infertility Anesthesia side effects Dysuria
