chronic pelvic pain

Question 1

• chronic pelvic pain
• dysmenorrhoea - pain often starts days before bleeding
• deep dyspareunia
• subfertility

dx?

Answer 1

endometriosis

Question 2

• extremely common
• most consistent features: abdo pain, bloating, change in bowel habit
• may also be present: lethargy, nausea, backache, bladder sx

dx?

Answer 2

irritable bowel syndrome

Question 3

• unilateral dull ache which may be intermittent / only occur during intercourse
• torsion / rupture → severe abdo pain
• large cysts → abdo swelling / pressure effects on bladder

dx?

Answer 3

ovarian cyst

Question 4

• seen in older women
• sensation of pressure, heaviness, ‘bearing-down’
• urinary sx: incontinence, frequency, urgency

dx?

Answer 4

urogenital prolapse