Chronic Pelvic Pain Flashcards
Chronic pelvic pain rate
1:6
Iliohypogastric nerve root, sensory innovation and viscera referring pain
L1
Anterior suprapubic area, posterior superior gluteal region
Ovary & distal Fallopian tube
Ilioinguinal: nerve root, sensory inner action and viscera referring pain
L1
Medial thigh, lateral labia majora
Uterine fundus, proximal tube
Genitofemoral: nerve root, sensory inner action, viscera referring pain
L1, L2
Proximal anterior thigh
Uterine fundus, proximal tube
Lateral femoral cutaneous: nerve root, sensory innervation, and viscera referring pain
L2, L3
Lateral anterior thigh
Uterine fundus, lower uterine segment
Pudendal: nerve root, sensory innervation and viscera referring pain
S2,S3,S4
Perineum, perianal area, dermatitis S2-S4
Cervix, bladder, upper vagina, rectum, ureter
Gynae Causes of acute pelvic pain in women
Adenomyosis Degenerating uterine fibroid Endometriosis Mittelschmerz Ovarian torsion or cyst rupture PID TOA
GI causes of acute abdo pain
Appendix Diverticulitis Gastritis IBS Mesenteric venous thrombosis Perirectal abscess Bowel obstruction
Urinary causes of acute abdominal pain
Cystitis
Pyelonephritis
Ureteric stones
Adolescent causes of acute abdo pain
Imperforate hymen
Transverse vaginal septum
Causes of acute abdo pain in pregnant women
Corpus luteal haematoma/cyst/rupture
Ectopic
Miscarriage
Ovarian vein thrombosis
Definition of chronic pelvic pain
Intermittent or continuous pain of at least six months’ duration felt in the lower abdomen or pelvis, NOT associated exclusively with menstruation, intercourse, pregnancy, or malignancy
Primary dysmenorrhea
Pain with menstraul bleeding in the absence of pathology
May be present from menarche
Secondary dysmenorrhea
Pain associated with pathology and is considered to develop in the older woman
Contributor factors of CPP
Nerve entrapment Endometriosis Adenomyosis Irritable bowel syndrome Interstitial cystitis Adhesions Musculoskeletal Psychological and social factors
