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Chronic Pelvic Pain
Saturday, 21 June 2003

Chronic pelvic pain may be a steady pain or a pain that comes and goes, perhaps with a woman's menstrual cycle. The pain may be bad enough to interfere with normal daily activities.

If you have chronic pelvic pain, you may have a problem with something located in the pelvic area. However, your doctor will check for other possible sources for your pain.

Your doctor may ask you questions about your past and present health, you may be asked to describe the kind of pain you have, where it is and how strong it is. Tell your doctor anything you can about what causes the pain to get better or worse.

· Is the pain related to your menstrual cycle?

· Is it related to bowel movements?

· Does it hurt during urination or sexual activity?

· Have you had an infection?

· Have you had surgery in your pelvic area?

A number of tests can help your doctor find the cause of your pain. Your history and physical exam will help him or her decide which, if any, tests to do. You may be referred to a gynecological consultant who may perform a Laparoscopy, this is where by a small telescope is passed into your abdomen through a small incision. A laparoscopy can show the consultant if there are any adhesions for instance.

Treatment depends on your individual problem.

· Use of no steroidal anti-inflammatory pain relievers such as ibuprofen.

· Relaxation exercises

· Antibiotics.

· Surgery. Usually only an option if abnormalities in the pelvis are seen.




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