CHRONIC PELVIC PAIN
Chronic pelvic pain (CPP) is defined as the noncyclic pain (non-menstrual) of 6 months duration or more localized to the pelvis, anterior abdominal wall below the pelvis or lower back, severe enough to cause functional disability that require medical or surgical treatment.
CPP is a common problem (10%) seen in the gynecologic outpatient. Approximately 20–30 percent of laparoscopies and 10 percent of all hysterectomies are done due to CPP.
Diagnosis: While it is comparatively easy to diagnose the cyclic chronic pelvic pain, it is difficult at times to pinpoint the diagnosis of acyclic and the non-gynecologic group. However, meticulous history taking and thorough clinical examinations — abdominal and vaginal with the possibility in mind, are often enough to clinch the diagnosis.
SYMPTOMS OF CHRONIC PELVIC PAIN : -
These may include: -
- Intermittent, dull, aching pain that comes and goes.
- Sharp pains or cramping.
- Pressure or heaviness deep within the pelvis.
- Pain during intercourse.
- Pain while having a bowel movement or urinating.
- Pain while sitting for long periods of time.
CAUSES OF CHRONIC PELVIC PAIN :-
- Endometriosis
- Musculoskeletal problems.
- Chronic PID.
- Ovarian remna
- Fibroids
- IBS
- Painful bowel syndrome.
- Pelvic congestion syndrome.
HOMEOPATHIC MANAGEMENT OF CHRONIC PELVIC PAIN: -
- Aesculus hip
- Arsenic album
- Belladonna
- Gossypium
- Agaricus
- Aconitum
