Experience with Chronic Pelvic Pain

A 12-month study was carried out on 500 patients attending between January 2006 to December 2006 in a private chamber in Rajshahi and outpatient Department of Gynecology and Obstetrics of Rajshahi Medical College. The aim of the study was to assess the frequency of chronic pelvic pain and cause of chronic pelvic pain among the patients attending there. Among the 500 recruited patients 20% had organic cause; the rest 80% had no organic cause. Among the recruited patient, only 20% underwent surgery & improved after surgery. It was also found that another 60% improved with medical treatment, psychotherapy and counseling. doi: 10.3329/taj.v21i2.3789 TAJ 2008; 21(2): 118-120

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Laparoscopic findings in chronic pelvic pain

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v1i2.8146 ◽

2013 ◽

Vol 1 (2) ◽

pp. 100-102

Author(s):

J Bajracharya ◽

NS Shrestha ◽

C Karki ◽

R Saha

Keyword(s):

Pelvic Pain ◽

Chronic Pelvic Pain ◽

Diagnostic Laparoscopy ◽

Multidisciplinary Approach ◽

College Teaching ◽

Reproductive Age ◽

Medical College ◽

Laparoscopic Finding ◽

Reproductive Age Group ◽

Pelvic Congestion

Background: Chronic pelvic pain is a common problem in reproductive age group women. Diagnosis of chronic pelvic pain needs multidisciplinary approach. Diagnostic laparoscopy is one of the investigations which can help in reaching the diagnosis. Objective: To know the etiology in chronic pelvic pain. Methods: This was a descriptive study done in the Department of Obstetrics and Gynaecology of Kathmandu medical college teaching hospital from January 2010 to June 2012 (30 months). All the cases of laparoscopic surgery done for chronic pelvic pain were noted and details of these cases were analyzed regarding age, parity and laparoscopic findings. Results: Total 48 cases of Chronic Pelvic Pain underwent diagnostic laparoscopy during the study period. Mean age of cases were 33 years, ranging from 20-46yrs. Almost half of the cases 43.75% were of parity two. Laparoscopic finding was negative in 29.17% and pelvic pathology was present in 70.83% of the cases. Out of the pelvic pathology endometriosis was present in 55.88% followed by pelvic adhesions, pelvic congestion and pelvic inflammatory disease, chronic ectopic in 20.58%, 14.70%, 5.88%, 2.94% respectively. Conclusion: Diagnostic laparoscopy is a useful modality in the diagnosis of etiology and management of Chronic pelvic pain. In our study, Pelvic endometriosis was the most common pelvic pathology in cases of Chronic pelvic pain. DOI: http://dx.doi.org/10.3126/jkmc.v1i2.8146 Journal of Kathmandu Medical College, Vol. 1, No. 2, Oct.-Dec., 2012: 100-102

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A PROSPECTIVE CROSS SECTIONAL OBSERVATIONAL STUDY OF CHRONIC PELVIC PAIN IN ADOLESCENTS TRANSVAGINAL ULTRASOUND VERSUS LAPAROSCOPY

10.36106/ijsr/7332917 ◽

2021 ◽

pp. 1-3

Author(s):

Supriya Kumari ◽

Surya Narayan ◽

Kumudini Jha ◽

Debarshi Jana

Keyword(s):

Observational Study ◽

Pelvic Pain ◽

Chronic Pelvic Pain ◽

Transvaginal Ultrasound ◽

Cross Sectional ◽

Predictive Values ◽

Medical College ◽

Kappa Test ◽

Laparoscopic Evaluation ◽

Good Agreement

Background: Chronic pelvic pain (CPP)is cyclic or noncyclic, intermittent or constant discomfort in the pelvic region for at least 6 months. It is a common complaint in female adolescents that may be overlooked. Objective: To evaluate CPP in adolescents using transvaginal ultrasound (TVS) and laparoscopy. Study design: This is a prospective cross sectional observational study conducted at Obstetrics and Gynaecology Department of Darbhanga Medical College and Hospital, Laheriasarai, Bihar. A total of 100 adolescents with CPP were evaluated by TVS and laparoscopy and findings were analyzed. Results: The mean age of adolescents was 17 ± 3.5 the majority were parous (51%), rural (69%) and low social class (65 %). Diffuse pelvic pain was present in (62%), Dysmenorrheain (61%), deep abdominal and pelvic tenderness in (55% and 80% respectively). TVS was normal in (40%) andabnormalin (60%). Laparoscopic evaluation was normal in (29%)and abnormal in(71%) in the form of tubo- ovarian masses (19%),endometriosis (18%) ovarian cysts (9%), adenomyosis (8%), Adhesions (6%), PID and RVF uterus (4% for each), subserous fibroid and pelvic congestion (1% for each). sensitivity and specificity of TVS were (81.7% and 93.1% respectively). Positive and negative predictive values were 96.7% and 67.5% respectively. Kappa test between TVS and laparoscopy showed good agreement (kappa = 0.67). Conclusions: Good agreement was found between TVS and laparoscopy, however, laparoscopy is considered as a gold standard tool in evaluating adolescent CPP because of distinct advantages in terms of sensitivity and negative predictive value.

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Gender-based Violence in Women attending Gynecology Outpatient Department in a Hospital of Western Nepal: An Issue of Endurance and Invisibility

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1500 ◽

2017 ◽

Vol 9 (3) ◽

pp. 225-229

Author(s):

Shreyashi Aryal ◽

Sagun B Pant ◽

Sebina Baniya

Keyword(s):

Reproductive Health ◽

Clinical Diagnosis ◽

Pelvic Pain ◽

Chronic Pelvic Pain ◽

College Teaching ◽

Reproductive Age ◽

Outpatient Department ◽

Care Providers ◽

Gender Based Violence ◽

Gender Based

ABSTRACT Introduction Gender-based violence (GBV) is faced by many women in Nepal but health-seeking behavior is rare. A reproductive health facility may be the only place where a woman comes for a health visit. So, health care providers, especially gynecologists, play an important role to identify women suffering from GBV as they see clients suffering from the reproductive health effects of GBV on a daily basis. The purpose of this study was to find the prevalence and severity of GBV in women attending the outpatient department (OPD) and to compare their clinical diagnosis with those not facing GBV. Materials and methods This is a prospective study conducted at Lumbini Medical College Teaching Hospital for a period of 3 months enrolling 741 nonpregnant women attending the OPD. A structured questionnaire was used for interview to identify women facing abuse and to assess their gynecological problems. Results Out of 741 women, 172 faced GBV, so the prevalence was 23.21%. Emotional and physical abuse was the most common type of abuse faced by 56 (32.56%), but the severity was reported more in sexual abuse [8 (57.14%)]. Pain abdomen was the most common symptom [69 (40.12%)], and chronic pelvic pain (CPP) [60 (34.89%)] was the commonest clinical diagnosis made in these women. Chronic pelvic pain was diagnosed more in women facing abuse (p < 0.001). Conclusion In this study, about one in four women in reproductive age group had experienced GBV. Gynecology OPD of a tertiary hospital could be used as a screening setting that can assist in early detection and prevention of GBV in Nepal. How to cite this article Aryal S, Pant SB, Baniya S. Gender-based Violence in Women attending Gynecology Outpatient Department in a Hospital of Western Nepal: An Issue of Endurance and Invisibility. J South Asian Feder Obst Gynae 2017;9(3):225-229.

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Postoperative medical treatment of chronic pelvic pain related to severe endometriosis: levonorgestrel-releasing intrauterine system versus gonadotropin-releasing hormone analogue

Fertility and Sterility ◽

10.1016/j.fertnstert.2010.08.042 ◽

2011 ◽

Vol 95 (2) ◽

pp. 492-496 ◽

Cited By ~ 81

Author(s):

Yesim Bayoglu Tekin ◽

Berna Dilbaz ◽

Sadiman Kiykac Altinbas ◽

Serdar Dilbaz

Keyword(s):

Medical Treatment ◽

Pelvic Pain ◽

Chronic Pelvic Pain ◽

Gonadotropin Releasing Hormone ◽

Hormone Analogue ◽

Releasing Hormone ◽

Gonadotropin Releasing Hormone Analogue ◽

System Versus

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EVALUATE THE DEGREE OF CHRONIC PELVIC PAIN AND DEGREE OF ADHESION: A CLINICO-OBSERVATIONAL STUDY.

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i5.1386 ◽

2020 ◽

Vol 4 (5) ◽

Author(s):

Sweety Rani ◽

Abha Rani Sinha

Keyword(s):

Observational Study ◽

Pelvic Pain ◽

Chronic Pelvic Pain ◽

Study Cohort ◽

Moderate Pain ◽

Medical College ◽

Presenting Symptoms ◽

American Society ◽

Corrective Procedures ◽

Ovarian Involvement

Aim: To evaluate degree of chronic pelvic pain and degree of adhesion. Materials and Methods: The present clinico-observational study was conducted in the Department of Obstetrics and Gynecology, Patna Medical College and Hospital, Patna, from December 2016 to December 2017.among 40 women diagnosed with endometriosis. Pain intensity was assessed by visual analogue scale (VAS) and categorized as mild, moderate or severe accordingly. This was followed by laparoscopy/ laparotomy and staging of endometriosis which was done as per the American Society for Reproductive Medicine (ASRM) classification system. Corrective procedures were done simultaneously. Results: Mean age of study cohort was 30 ±5.75 years. As per VAS, majority felt moderate pain (47.5%) in present study. The presenting symptoms were dysmenorrhoea (45.0%), dyspareunia (17.5%) and chronic pelvic pain (35.5%). Conclusion: Degree of tubal involvement was more in all the women as compared to ovarian involvement. Post-operatively the intensity of the pain subsides. Keywords: VAS, Adhesion, Endometriosis, Tubal, Ovarian

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ROLE OF LAPAROSCOPY IN CHRONIC PELVIC PAIN

10.36106/ijsr/8237105 ◽

2020 ◽

pp. 1-2

Author(s):

Priya Saxena ◽

Bharti Maheshwari ◽

Debarshi Jana

Keyword(s):

Pelvic Pain ◽

Chronic Pelvic Pain ◽

Diagnostic Laparoscopy ◽

Proper Selection ◽

Medical College ◽

Common Causes ◽

Ideal Method ◽

Selection Of ◽

The Ideal

Background/purpose: The purpose of the present study was to evaluate the role of laparoscopy in diagnosis the cases of chronic pelvic pain. Methods: This prospective study was conducted among 100 women who had been suffering from chronic pelvic pain for ≥6 months at Department of Obstetrics & gynaecology, Muzaffarnagar Medical College, Muzaffarnagar from December 2017 to December 2018. After proper selection of cases, a detailed history followed by general, systemic and pelvic examination, diagnostic laparoscopy of the patient was done and noted as per the following protocol. Diagnostic laparoscopy was performed under general anaesthesia using a 5-mm Karl Stortz 30° angle double port laparoscope. The data was collected and subjected to statistical analysis using SPSS version 22.00 Results: Majority (70%) of patients with CPP were in the age group between 26 – 30 years and 31 – 35 years. Two most common causes of CPP detected clinically were endometriosis and chronic PID which together constituted about 56% of the cases with CPP in our study group. Laparoscopy findings revealed that 90% of patients with CPP have one or more positive findings, the commonest being endometriosis in various pelvic sites with or without endometrioma (34%) Conclusion: It can be concluded that ideally hysteroscopy should be performed simultaneously to identify intrauterine pathologies, which can be associated with CPP and which are missed by laparoscopy. Hence combined laparohysteroscopy is the ideal method for diagnosis of CPP.

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