Chronic pelvic pain

Question 1

Chronic pelvic pain - ddx

Answer 1

P EAUCP IICI

A. Gynaecological - physiological

1. Primary dysmenorrhoea
2. Mittelschmerz

B. Gynaecological - pathological

1. Endometriosis
2. Adenomyosis
3. Uterine leiomyoma (fibroid)
4. Cervical stenosis/obstructive abnormalities, adhesions (after hysterectomy - the ovary becomes trapped within dense adhesions at the pelvic side wall)
5. Post-pelvic inflammatory disease

C. Gastrointestinal tract

1. IBS
2. IBD
3. Chronic constipation

D. Urinary tract
4. Interstitial cystitis

Other
5. Fibromyalgia, neuropathic pain following surgery