Chronic Pelvic Pain is one of the most common medical problems among women. It is defined as pain lasting longer than 6 months between the bottom of the navel and the pelvis.
It can cause physical, mental and psychological wear and tear. 25% of women with chronic pelvic pain complaints have difficulty in maintaining their daily social life at least 2-3 days per month.
90% may feel pain during intercourse. Chronic pelvic pain may include pain that persists for 6 months or longer, conventional treatments do not relieve pain or provide little relief, and a sustained decrease in physical activity.
Chronic pelvic pain can have many causes. If chronic pelvic pain is due to a known health problem, treatment of this problem will be sufficient to completely relieve the pain and pain medication will not be needed.
Gynecological causes of chronic pelvic pain
- Endometriosis and endometrioma
- Adhesions (intra-abdominal adhesions)
- pelvic congestion
- Uterine position disorders
- Ovarian cysts
- uterine prolapse
- Difficult postpartum ligament tears
Other causes of chronic pelvic pain
- irritable bowel syndrome
- chronic appendicitis
- Inflammatory bowel diseases
- abnormal bladder function
- chronic urethritis
- Psychological problems
- nerve pressure
Diagnosis of chronic pelvic pain
Diagnosis can be reached with a careful anamnesis (medical history) and post-examination tests to laparoscopy to find the underlying cause.
Treatment of chronic pelvic pain
Painkillers alone are not the solution. Using painkillers without the cause of chronic pelvic pain will complicate the diagnosis. Treatment according to the cause is the best option.