Chronic pelvic pain and gynecological symptoms in women with irritable bowel syndrome

Objectives: To determine the frequency and associated risk factors of chronicpelvic pain (CPP) in educated women under 30 years of age. Study Design: A cross sectionalstudy. Setting: North Naziabad and Gulshan e Iqbal towns of Karachi. Period: January to July2017. Method: Data was collected through convenient sampling. Informed verbal consentwas taken before data collection. A questioner was used to collect demographic and obstetricdata. Screening of Anxiety and depression was done using standard tool Hospital basedanxiety and depression scale (HADS).Result were analyzed on SPSS. Result: The mean ageof women were 25 years, SD = 4.31. The frequency of chronic pelvic pain was 29% (116).Gynecological cause was found in 68.9% (80). Irritable bowel syndrome was seen in 9% (36)women. Significant association of CPP was noted with Dysmenorrhoea (p-value=000,OR=.207), Dyspareunia (p-value = .000, OR = .166), Heavy menstrual flow (p-value = .033, OR= .333), married (p-value = .000, OR = .414), Vaginal discharge (p-value = .000, OR = .260),Anxiety (p-value = .000, OR = .300), depression (p-value = .002, OR = .452), Normal mentalstatus (p-value = .000, OR = 2.488), Irritable bowel syndrome (p-value = .000, OR = .169)and PMS (p-value = .000, OR = .438). Conclusion: Frequency of chronic pelvic pain is high inyoung educated women. Gynecological causes, irritable bowel syndrome and psychologicaldisorder are significantly associated with CPP.

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Irritable Bowel Syndrome and Chronic Pelvic Pain

Journal of Clinical Gastroenterology ◽

10.1097/mcg.0b013e3181d7a368 ◽

2010 ◽

pp. 1 ◽

Cited By ~ 1

Author(s):

Rok Seon Choung ◽

Linda M. Herrick ◽

Giles Richard Locke ◽

Alan R. Zinsmeister ◽

Nicholas J. Talley

Keyword(s):

Irritable Bowel Syndrome ◽

Pelvic Pain ◽

Chronic Pelvic Pain ◽

Irritable Bowel

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Chronic Pelvic Pain and Irritable Bowel Syndrome: Is Subclinical Inflammation Bridging the Gap?

Revista de Chimie ◽

10.37358/rc.19.10.7611 ◽

2019 ◽

Vol 70 (10) ◽

pp. 3634-3637

Author(s):

Doina Georgescu ◽

Mircea Stefan Iurciuc ◽

Izabella Petre ◽

Liviu Andrei Georgescu ◽

Florin Szasz ◽

...

Keyword(s):

Irritable Bowel Syndrome ◽

Abdominal Pain ◽

Pelvic Pain ◽

Inflammatory Markers ◽

Chronic Pelvic Pain ◽

Young Female ◽

Cross Sectional ◽

Young Females ◽

Inflammatory Status ◽

Irritable Bowel

Irritable bowel syndrome (IBS) is characterized by a multitude of symptoms digestive and extra- digestive that need at some point a multidisciplinary approach. This study aimed at profiling IBS associated with chronic pelvic pain (CPP) in young females. A cross sectional observatory study on 40 consecutive young female patients (under 45 years) with IBS (Rome III) was performed. Patients were assigned in two groups, as matched pairs, based on the presence of chronic pelvic pain (CPP) symptoms: cystalgia, urinary urge and dyspareunia: CPP(+) vs. CPP(-) and undertook clinical examinations with special protocols related to migraine disability, fibromyalgia, temporo-mandibular joint dysfunction, as well as assessment of anxiety and severity of abdominal pain. Laboratory work-up (blood, urine and stool) as well as multiple exams: digestive endoscopy, abdominal and pelvic ultrasound//CT were performed. Results: CPP (+) group displayed higher CRP, TNF-alpha, gut dysbiosis (DB) and abdominal pain severity, as well as associated fibromyalgia, migraine and anxiety mood disorder. DB positively correlated with inflammatory markers and symptoms characterizing CPP. In conclusion, young female IBS patients with concurrent CPP symptoms often experienced other associated functional pain conditions like FM and migraine along with anxiety, more severe abdominal complaints as well as higher gut DB and consecutively subclinical pro-inflammatory status. Strong positive correlations of gut DB to inflammatory markers as well as to CPP symptoms give the relationship IBS-CPP a new perspective.

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