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Pelvic pain

Pelvic pain is pain in the area of the pelvis, and acute pain is more common than chronic pain.

If the pain lasts for more than six months, it is ref2241ed to be 2242ystitis and a number of poorly understood conditions that may represent abnormal psychoneuromuscular function.

Most women, at some time experience pelvic pain.

Many different conditions can cause pelvic pain including:

exaggerated bladder, bowel, or uterine pain sensitivity

pelvic girdle pain

Pudendal nerve entrapment

Dysmenorrhea—pain during the menstrual period

Endometriosis—pain caused by uterine tissue that is outside the uterus.

Endometriosis can be visually confirmed by laparoscopy in approximately 75% of adolescent girls with chronic pelvic pain that is resistant to treatment, and in approximately 50% of adolescent in girls with chronic pelvic pain that is not necessarily resistant to treatment.

Müllerian abnormalities

Pelvic inflammatory disease

Ovarian cysts

Ovarian torsion

Ectopic pregnancy

Loin pain hematuria syndrome

Proctitis

Colitis

Appendicitis

Internal hernias

The diagnostic workup begins with a history and examination, followed by a pregnancy test.

The absence of visible pathology in chronic pain syndromes should not form the basis for either seeking psychological explanations or questioning the reality of the patient’s pain.

Management: consultation with a physical therapist, a trial of anti-inflammatory medications, hormonal therapy, or even neurological agents.

A hysterectomy is sometimes performed.

Male pelvic pain:

Chronic prostatitis/chronic pelvic pain syndrome also known as chronic nonbacterial prostatitis.

Men in this category have no known infection, but do have extensive pelvic pain lasting more than 3 months.

It is a diagnosis is by exclusion.

Multimodal therapy options ,includes: α-blockers,, and protocols aimed at quieting the pelvic nerves through myofascial trigger point release with psychological re-training for anxiety control.

Chronic pelvic pain is a common condition with rate of dysmenorrhoea between 16.8—81%, dyspareunia between 8—21.8%, and noncyclical pain between 2.1—24%.

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