This study evaluated chronic pelvic pain in 150 females of reproductive age from two hospitals in Pakistan. The subjects had a mean age of 34.8 years. The most common presenting complaint was vaginal discharge, reported in 56% of subjects. Other common complaints included infertility (7%) and dysmenorrhea with pelvic pain (7%). The conclusion is that physicians should take a detailed gynecological history when evaluating and treating chronic pelvic pain in female patients.
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Abstract for presentation
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ABSTRACT
CLINICAL EVALUATION OF CHRONIC PELVIC PAIN
OBJECTIVE
The Objective of this study is to Evaluate Chronic Pelvic Pain in females of reproductive age.
STUDY DESIGN
Our design is Descriptive Study: Cross Sectional type. The Study is conducted at Abassi
Shaheed Hospital, North Nazimabad (Government sector) and Liaquat National Hospital,
Stadium road (Private sector).
SAMPLING TECHNIQUE
It was Convenient Sampling (Non-Probability). Those who qualified the Inclusion Criteria and
willing to cooperate were selected.
SUBJECTS & METHOD
A sample of 150 Subjects is selected (75 from each hospital). The survey was conducted by
self administered questionnaire comprising of questions regarding Pain, Gynecological,
Medical and surgical history. After selection of subjects from the Hospital, their verbal consent
is taken. They are asked questions and the questionnaire is filled after translating it to them in
Urdu. Data was analyzed using SPSS software13.0 and graphs and charts were formulated
using Microsoft Excel 2007.
INCLUSION CRITERIA
Females of Reproductive age with Chronic Pelvic Pain are Included.
EXCLUSION CRITERIA
Prepubertal, Postmenopausal and pregnant females are excluded. Females having acute
pelvic pain are also excluded.
Research Report | Clinical Evaluation of chronic Pelvic Pain
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RESULT
The mean age of subjects is 34.8 ± 7.8 years and the mean age of menarche is 12.9 ± 1 years.
18% of the female were practicing contraception. Out of 150 patients 27% presented with the
sole complaint of chronic pelvic pain while 56% presented with vaginal discharge, 7% with
infertility, 3% with Menstrual Irregularities, and 7% with Dysmenorrhea along with Pelvic pain.
CONCLUSION
In this sample of patients the most common presenting complaint among patients with
chronic pelvic pain is vaginal discharge. Physicians should take detailed gynaecological
history while evaluating and treating chronic pelvic pain in female patients.
KEYWORDS
Chronic Pelvic Pain, Reproductive Health, Vaginal discharge, Female
REFERENCES
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Essentials of obstetrics and gynecology; 3rd ed., Saunders, p499
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[3]Murray Longmore, Ian Wilikson, Esttee Torok (2002); ―At the bedside in Oxford handbook of
clinical medicine; 5th ed., Oxford University Press, p64
[4] Ortiz DD; ―Chronic pelvic pain in women; Am Fam Physician. June 2008; 77(11):1544.
[5] Tori Hudson; ―Chronic pelvic pain Part I: prevalence, etiology, diagnosis. in Townsend
Letter: The Examiner of Alternative Medicine; Gale Group, Farmington Hills, Michigan
November 1, 2006
[6]Ying Cheong, William Stones,Investigations for chronic pelvic pain in Reviews in
Gynaecological Practice; December 2005: 5(4), pp 227-236.
[7]Cited in ―Chronic Pelvic Pain Fast Facts in
www.nationalpainfoundation.org/MyTreatment/articles/Pelvic_FastFacts.asp
[8]Cited in ―Pelvic Pain: Wikipedia.com; in http://en.wikipedia.org/wiki/Pelvic_pain
[9] OGCCU King Edward Memorial Hospital Team (June 2001), ―Acute pain in OGCCU King
Edward Memorial Hospital Manual; chapter6.1
Research Report | Clinical Evaluation of chronic Pelvic Pain