Pelvic pain - Chronic

Question 1

Pelvic Pain

Chronic

Endometriosis

Answer 1

• Chronic pelvic pain
• Dysmenorrhoea - pain often starts days before bleeding
• Deep dyspareunia
• Subfertility

Question 2

Pelvic Pain

Chronic

IBS

Answer 2

• Extremely common. The most consistent features are abdominal pain, bloating and change in bowel habit
• Features such as lethargy, nausea, backache and bladder symptoms may also be present

Question 3

Pelvic Pain

Chronic

Ovarian cyst

Answer 3

• Unilateral dull ache which may be intermittent or only occur during intercourse. Torsion or rupture may lead to severe abdominal pain
• Large cysts may cause abdominal swelling or pressure effects on the bladder

Question 4

Pelvic Pain

Chronic

Urogenital prolapse

Answer 4

• Seen in older women
• Sensation of pressure, heaviness, ‘bearing-down’
• Urinary symptoms: incontinence, frequency, urgency