Pelvic pain Flashcards
what is chronic pelvic pain
intermittent or constant pain in the lower abdomen or pelvis of a woman of at least 6 months duration not occurring exclusively with menstruation, intercourse and not associated with pregnancy
causes of CPP
ovarian cysts PID adhesions endometriosis adenomyosis pelvic congestion syndrome nerve entrapment / MSK interstitial cystitis IBS idiopathic
investigation for endometriosis
diagnostic laparoscopy
what is endometriosis
presence of endometrial glands and stroma are found outwith the uterus
common locations of endometriosis
tubes ovaries ovarian fossae pouch of douglas uterosacral ligaments infiltrative - in other organs
symptoms of endometriosis
CPP menorrhagia dysmenorrhoea dyspareunia dyschaezia dysuria infertility
is endometriosis a oestrogen sensitive condition
yes
what is adenomysosi
presence of endometrial tissue in the myometrium
treatment of endometriosis
analgesia hormonal surgical excision of lesions pelvic clearance fertility - ACT
there is a high risk of recurrence of endometriosis following surgery, true or false
true
Management of CPP syndrome
hormonal - GnRH analogues
pain relief
psychological support
“ground glass echogenicity” on ovary ?
endometrioma
