Chronic pelvic pain in gynaecology

Article

Pathophysiology of visceral pain

 

Pathophysiology of visceral pain

Scoring of pain
Pain is a subjective feeling and cannot be measured objectively.

As scoring systems have been developed

* the Biberoglu-Behrman scale scoring dysmenorrhoea, chronic pelvic pain, deep dyspareunea, (and dyschesia) , pelvic nodularity and tenderness

* more elaborate visual analog scales and questionnaires

Endometriosis
Endometriosis is a prime cause of chronic pelvic pain in women. In summary:

Subtle: no pain

Typical: can be a cause of pain but many women do not have pain

Cystic: most women have severe pain but some 10 to 20% are pain free

Deep: most women have very severe pain but some 10% are without pain

Adenomyosis: probably the majority of women is pain free

Pelvic adhaesions
Adhaesions can cause pain, but probably 50% of women with adhaesions do not have pain.

Other causes
Almost any pathology can cause pain e.g.

Gynaecology: bleeding, a persistent copus luteum, myoma, hydrosalpinx, bowels

Radiated pain from the sacro-ileac joint

Treatment and Placebo effect
Since pain is so multifactoreal a careful investigation is mandatory.

Treatment of pain is associated with a high placebo effect: pain gets better for a few months after which pain starts again.

 

Visit Dr. Koninckx website Gynsurgery.org

Related Videos
Why doxycycline PEP lacks clinical data for STI prevention in women
The importance of nipocalimab’s FTD against FNAIT | Image Credit:  linkedin.com
Enhancing cervical cancer management with dual stain | Image Credit: linkedin.com
Fertility treatment challenges for Muslim women during fasting holidays | Image Credit: rmanetwork.com
Understanding the impact of STIs on young adults | Image Credit: providers.ucsd.edu.
CDC estimates of maternal mortality found overestimated | Image Credit: rwjms.rutgers.edu.
Study unveils maternal mortality tracking trends | Image Credit: obhg.com
How Harmonia Healthcare is revolutionizing hyperemesis gravidarum care | Image Credit: hyperemesis.org
Unveiling gender disparities in medicine | Image Credit:  findcare.ahn.org.
Exploring the intersection of heart health and women's health | Image Credit: cedars-sinai.org
Related Content
© 2024 MJH Life Sciences

All rights reserved.