Pelvic pain causes: Difference between revisions
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===Causes by Organ System=== | ===Causes by Organ System=== | ||
===Causes in Alphabetical Order | ===Causes in Alphabetical Order=== | ||
*[[Abdominal aortic aneurysm]] | *[[Abdominal aortic aneurysm]] | ||
*[[Cervicitis]] | *[[Cervicitis]] |
Revision as of 18:33, 7 August 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hilda Mahmoudi M.D., M.P.H.[2]
Overview
Pain in the pelvis can be described as acute or chronic. Urologic, gastrointestinal and gynecologic problems can all be possible.
Causes
Life Threatening Causes
- Abdominal aortic aneurysm
- Appendicitis
- Ectopic pregnancy
- Incomplete abortion
- Intussusception
- Large bowel obstruction
- Mesenteric ischemia
- Septic abortion
- Small bowel obstruction
- Volvulus
Common Causes
- Appendicitis
- Irritable bowel syndrome
- Midcycle ovulation
- Pelvic floor prolapse
- Urinary tract infection
- Chronic prostatitis
- Depression
Causes by Organ System
Causes in Alphabetical Order
- Abdominal aortic aneurysm
- Cervicitis
- Diverticulitis
- Ectopic pregnancy
- Endometriosis
- Incomplete abortion
- Intra-uterine device
- Irritable bowel syndrome
- Midcycle ovulation
- Mesenteric ischemia
- Nephrolithiasis
- Ovarian cyst
- Ovarian torsion
- Pelvic inflammatory disease
- Pelvic mass
- Pelvic floor prolapse
- Primary dysmenorrhea
- Ruptured corpus luteal cyst
- Septic abortion
- Sexual abuse/trauma
- Tubo-ovarian abscess
- Urinary tract infection
- Uterine fibroids
- Vaginitis
- Abdominal abscess
- Appendicitis
- Cystitis
- Intussuception
- Large bowel obstruction
- Small bowel obstruction
- Volvulus
- Adenomyosis
- Depression
- Diverticulosis
- Diverticular abscess
- Hernia
- IBD
- Interstitial Cystitis
- Leiomyoma
- Lymphoma
- Pelvic adhesions
- Chronic prostatitis
- Crohn's disease
Diagnosis
History and Symptoms
- Nature
- Sensitivity
- Onset
- Pain occurrence
- Intercourse
- Menstrual
- Chronic vs. acute
- Risk of pregnancy
- Associated symptoms:
Physical Examination
Abdomen
- Full abdominal and pelvic exam - speculum, bimanual, rectal
Others
- Examine for signs of physical abuse
Laboratory Findings
- Labs include:
- Urine pregnancy test
- Urinalysis
- Gram stain and culture
- STD tests
- Vaginal smear wet mount
Ultrasound
- Ultrasound for ovarian cyst, mass, ectopic pregnancy vs. intrauterine pregnancy
Treatment
Medical Therapy
Acute Pharmacotherapies
- Oral contraceptives 3-4 months
- Provera 39mg QD/2 months
- Danazol 200-800mg QD/6 month
- GnRH agonist
- Treat STD's accordingly