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Medical Science Optional daily answer writing practice for CSE 2023 – Nov 7

Topic: Cancer cervix.Leucorrhoea,  pelvic  pain

Question: Define chronic pelvic pain. What are the various causes of chronic pelvic pain in women?

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Chronic pelvic pain is defined as pain in the pelvic region that persists for at least 6 months. Some key causes of chronic pelvic pain in women include:

– Endometriosis – Endometrial tissue growing outside the uterus commonly on ovaries, fallopian tubes, pelvic sidewalls. Causes inflammation and scarring.

– Adenomyosis – Endometrial tissue growing into the muscular wall of the uterus. Leads to menstruation-linked pelvic pain.

– Uterine fibroids – Noncancerous growths in the uterus that can cause heavy menstrual bleeding and pelvic pain.

– Pelvic inflammatory disease – Infection and inflammation of the female reproductive organs caused by STIs like chlamydia and gonorrhea. Can damage and scar fallopian tubes.

– Interstitial cystitis – Chronic inflammation of the bladder wall leading to pelvic pain.

– Irritable bowel syndrome – Abdominal cramping, pain linked to changes in bowel habits.

– Pelvic adhesions – Scar tissue bands causing organs to stick together abnormally after infections, surgery.

– Pelvic congestion syndrome – Varicose veins in the pelvis causing chronic aching pain exacerbated by long periods of sitting or standing.

– Previous pelvic surgeries – Such as hysterectomy, c-section, tubal ligation which can cause nerve damage and pain.

– Pelvic floor muscle dysfunction – Tight pelvic floor muscles can go into spasms causing pain.

A detailed history, physical exam and investigations like imaging and laparoscopy are needed to discern the specific cause in a woman presenting with chronic pelvic pain for appropriate management. 

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