Chronic pelvic pain: a dilemma.

OBJECTIVE To determine the frequency of gynaecological factors leading to chronic pelvic pain via diagnostic laparoscopy. To see the association of these factors with demographic variables of the patients. METHODS Fifty patients underwent the study over a period of 1.5 years from 1st January 2007 to 30th June 2008 at the Department of Gynaecology and Obstetrics, Jinnah Postgraduate Medical Centre, Karachi. All patients fulfilling inclusion criteria were admitted via Out Patient Department, underwent initial investigations and later Diagnostic Laparoscopy. RESULTS Twenty nine patients were in 25-34 years age group and had parity between 1 to 5, and 56% of the patients belonged to poor socioeconomic and educational status. Pelvic Inflammatory disease was the most frequently found gynaecological etiology of Chronic Pelvic Pain (20% of patients) followed by endometriosis (14%) and Pelvic Congestion Syndrome (12%). CONCLUSION Chronic Pelvic Pain is a common problem of women with multifactorial etiology. Laparoscopy was found be very effective in diagnosing the various gynaecological causes of the disorder.

[1]  A. M. Amin,et al.  Diagnostic Laparoscopy in Gynaecological Problems: A Retrospective Study , 2011 .

[2]  K. Roy,et al.  Laparoscopic findings in female genital tuberculosis , 2008, Archives of Gynecology and Obstetrics.

[3]  I. Miteva,et al.  [Laparoscopic findings in women with chronic pelvic pain]. , 2008, Akusherstvo i ginekologiia.

[4]  S. Upponi,et al.  Chronic Pelvic Pain due to Pelvic Congestion Syndrome: The Role of Diagnostic and Interventional Radiology , 2007, CardioVascular and Interventional Radiology.

[5]  H. Chung,et al.  Impact of diagnostic laparoscopy on the management of chronic pelvic pain , 2007, Surgical Endoscopy.

[6]  A. Swanton,et al.  Diagnosis, treatment and follow up of women undergoing conscious pain mapping for chronic pelvic pain: a prospective cohort study , 2006, BJOG : an international journal of obstetrics and gynaecology.

[7]  C. Yuan.  Laparoscopic uterosacral nerve ablation and chronic pelvic pain. , 2006, Journal of the Chinese Medical Association : JCMA.

[8]  P. Žúbor,et al.  [Laparoscopy in chronic pelvic pain--a prospective clinical study]. , 2005, Ceska gynekologie.

[9]  L. Bombieri,et al.  What happens to women with chronic pelvic pain after a negative [normal] laparoscopy? , 2005, Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology.

[10]  Naeema Afzal,et al.  An index of depression in patients with chronic nonspecific musculoskeletal pain. , 2005, Journal of Ayub Medical College, Abbottabad : JAMC.

[11]  F. Howard.  Chronic Pelvic Pain , 2003, Obstetrics and gynecology.

[12]  S. Bunyavejchevin,et al.  Laparoscopic finding in Thai women with chronic pelvic pain. , 2003, Journal of the Medical Association of Thailand = Chotmaihet thangphaet.

[13]  N. Sharma,et al.  324 Cases of Misplaced IUCD — A 5-Year Study , 2003, Tropical doctor.

[14]  J. C. Rosa e Silva,et al.  Cesarean section as a cause of chronic pelvic pain , 2002, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[15]  M. Mára,et al.  [Laparoscopy in chronic pelvic pain--a retrospective clinical study]. , 2002, Ceska gynekologie.

[16]  D. Rein,et al.  Direct Medical Cost of Pelvic Inflammatory Disease and Its Sequelae: Decreasing, but Still Substantial , 2000, Obstetrics and gynecology.

[17]  J. Chabadová,et al.  [Laparoscopic findings in women with chronic pelvic pain]. , 2000, Bratislavske lekarske listy.

[18]  F. Fikree,et al.  Prevalence and risk factors of symptoms of pelvic inflammatory disease in a rural community of Jamshoro, Sindh, Pakistan. , 1999, JPMA. The Journal of the Pakistan Medical Association.

[19]  K. Zondervan,et al.  The prevalence of chronic pelvic pain in women in the United Kingdom: a systematic review , 1998, British journal of obstetrics and gynaecology.