Pelvic pain causes: Difference between revisions
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| Line 10: | Line 10: | ||
====Acute (<6 months)==== | ====Acute (<6 months)==== | ||
*[[Abdominal aortic aneurysm]] | *[[Abdominal aortic aneurysm]] | ||
*[[Cervicitis]] | *[[Cervicitis]] | ||
| Line 18: | Line 17: | ||
*Incomplete [[abortion]] | *Incomplete [[abortion]] | ||
*[[Intra-uterine device]] | *[[Intra-uterine device]] | ||
*[[Irritable | *[[Irritable bowel syndrome]] | ||
*[[Midcycle ovulation]] | *[[Midcycle ovulation]] | ||
*[[Mesenteric ischemia]]/[[Mesenteric ischemia|infarction]] | *[[Mesenteric ischemia]]/[[Mesenteric ischemia|infarction]] | ||
| Line 24: | Line 23: | ||
*[[Ovarian cyst]] | *[[Ovarian cyst]] | ||
*[[Ovarian torsion]] | *[[Ovarian torsion]] | ||
*[[Pelvic | *[[Pelvic inflammatory disease]] | ||
*Pelvic [[neoplasm]] | *Pelvic [[neoplasm]] | ||
*[[Pelvic floor]] [[prolapse]] | *[[Pelvic floor]] [[prolapse]] | ||
| Line 33: | Line 32: | ||
*Threatened [[abortion]] | *Threatened [[abortion]] | ||
*[[Tubo-ovarian abscess]] | *[[Tubo-ovarian abscess]] | ||
*[[Urinary | *[[Urinary tract infection]] | ||
*[[Uterine fibroids]] | *[[Uterine fibroids]] | ||
*[[Vaginitis]] | *[[Vaginitis]] | ||
Revision as of 03:02, 31 January 2013
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Pain in the pelvis can be described as acute or chronic. Urologic, gastrointestinal and gynocologic problems can all be possible.
Causes
Causes in Alphabetical Order [1] [2]
Acute (<6 months)
- Abdominal aortic aneurysm
- Cervicitis
- Diverticulitis
- Ectopic pregnancy
- Endometriosis
- Incomplete abortion
- Intra-uterine device
- Irritable bowel syndrome
- Midcycle ovulation
- Mesenteric ischemia/infarction
- Nephrolithiasis
- Ovarian cyst
- Ovarian torsion
- Pelvic inflammatory disease
- Pelvic neoplasm
- Pelvic floor prolapse
- Primary dysmenorrhea
- Ruptured corpus luteal cyst
- Septic abortion
- Sexual abuse/trauma
- Threatened abortion
- Tubo-ovarian abscess
- Urinary tract infection
- Uterine fibroids
- Vaginitis
Chronic (>6 months)
- Adenomyosis
- Depression
- Diverticulosis
- Diverticular abscess
- Hernia
- IBD
- IBS
- Interstitial Cystitis
- Leiomyoma
- Lymphoma
- Pelvic adhesions
Diagnosis
History and Symptoms
- Nature
- Sensitivity
- Onset
- Pain occurrence
- intercourse
- menstrual
- chronic vs. acute
- Risk of pregnancy
- Associated symptoms:
Abdomen
- Full abdominal & pelvic exam - speculum, bimanual, rectal
Other
- Examine for signs of physical abuse
Laboratory Findings
- Labs include:
- Urine pregnancy test
- urinalysis
- gram stain & culture
- STD tests
- vaginal smear wet mount
Echocardiography or Ultrasound
- Ultrasound for ovarian cyst, mass, ectopic pregnancy vs. intrauterine pregnancy
Treatment
- Positive pregnancy test
- Determine LMP
- confirm intrauterine pregnancy
Acute Pharmacotherapies
- Endometriosis
- Oral contraceptives 3-4 months
- Provera 39mg QD/2 months
- Danazol 200-800mg QD/6 month
- GnRH agonist
- Primary dysmennorhea
- Oral contraceptives
- Treat STD's accordingly