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GYNAECOLOGY

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Dr. Dhanshree Salunkhe

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Chronic pelvic pain

Chronic pelvic pain (CPP) refers to persistent, non-cyclic pain in the pelvic region that lasts for at least six months. It can be a complex and challenging condition with multiple potential causes.

Common Causes of Chronic Pelvic Pain:

  • Pelvic Inflammatory Disease (PID): Infections in the reproductive organs, such as PID, can cause chronic pelvic pain.
  • Endometriosis: Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the uterus, leading to pain and inflammation.
  • Pelvic Adhesions: Scar tissue (adhesions) in the pelvic area, often from previous surgeries or infections, can contribute to pain.
  • Interstitial Cystitis: A chronic condition involving inflammation of the bladder wall, leading to pelvic pain and discomfort.

Considerations:

  • Multidisciplinary Approach: Managing chronic pelvic pain often requires a multidisciplinary approach involving gynecologists, urologists, gastroenterologists, physical therapists, and mental health professionals.
  • Patient Education: Educating patients about their condition and involving them in the decision-making process is crucial for effective management.
  • Long-Term Management: Chronic pelvic pain may require long-term management, and periodic follow-ups are essential to monitor progress and adjust treatment as needed.