Question 4: Chronic Pelvic Pain

Question 1

What is the definition of chronic pelvic pain?

Answer 1

Non-cyclical pain lasting more than 6 months, localizing to the pelvis, abdominal wall, buttocks, or lumbosacral back, with sufficient severity.

Question 2

What are common causes of chronic pelvic pain?

Answer 2

Endometriosis
Adenomyosis
Adhesions
Irritable Bowel Syndrome (IBS)
Painful Bladder Syndrome
Pelvic Congestion Syndrome

Question 3

How is chronic pelvic pain managed at the primary care level?

Answer 3

Offer treatment for identifiable symptoms and concurrent physiological comorbidities.
Advise on exercise and a healthy diet.

Question 4

What are the management options at a referral hospital (secondary/tertiary care)?

Answer 4

Further assessment by specialists
Advanced pain management strategies
Consideration for surgical interventions if necessary

Question 5

What special investigations are used for chronic pelvic pain?

Answer 5

Transvaginal Ultrasound (TVS)
MRI
Diagnostic Laparoscopy