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Chronic Pelvic Pain

Chronic pelvic pain (>6 months in duration) is less likely to be associated with a readily identifiable cause than is acute pain and pain of less than 3 months duration. Acute pain is more likely to be associated with an identifiable pathophysiologic disorder.

Clinical Evaluation of Chronic chronic pelvic pain, endometriosis, dysmenorrhea Pelvic Pain

The character, intensity, distribution, and the character and location of pain are important. Radiation of the pain chronic pelvic pain, pelvic, pain, endometriosis or coexisting pain in other locations chronic pelvic pain, endometriosis, dysmenorrhea, endometreosis should be assessed.

The temporal patterns of the pain (onset, duration, changes, cyclicity) and aggravating or relieving factors, such chronic pelvic pain, pelvic, pain, endometriosis as posture, meals, bowel movements, voiding, menstruation, intercourse, or medications, chronic pelvic pain, pelvic, pain, endometriosis are documented.

Chronic Pelvic Pain Chronic Pelvic Pain

Associated Symptoms. Anorexia, constipation, or fatigue are often present.

Previous surgeries, pelvic infections, infertility, or obstetric experiences may provide additional clues.

For patients of reproductive age, the timing and characteristics of their last menstrual period, the presence of non-menstrual vaginal bleeding or discharge, and the method of contraception used should be determined.

Life situations and events that affect the pain should be sought.

Chronic Pelvic Pain

Gastrointestinal and urologic symptoms, including the relationship between these systems to the pain should be chronic pelvic pain, endometriosis, dysmenorrhea reviewed.

The patient's affect may

Laboratory Studies

Signs and symptoms may indicate the need for a urinalysis, cultures, serum chemistry, or complete blood count.

Diagnostic Studies

Ultrasonography may be chronic pelvic pain, endometriosis, dysmenorrhea