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Chronic Pelvic Pain
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Chronic Pelvic pain is defined as any pain in the Pelvic region, that is the area below the bellybutton and between the hips and it lasts six months or longer.

If a person were asked to locate the pain, then he would more likely sweep the hand over that entire area rather than painting to one spot. Chronic pelvic pain can be a symptom of another disease or it can be diagnosed as a condition in its own right.

Causes of Chronic Pelvic Pain

Some of the common causes of chronic pelvic pain are as follow:-

(a) Endometriosis : This is a condition in which the tissues from the uterine lining grow outside the uterus. These tissues respond to the menstrual cycle, just as the uterine lining does-like thickening, breaking down and bleeding each month as the hormone levels rise and fall.

Because it’s happening, outside the uterus, hence the blood and tissue can’t exist our body through the vagina and become trapped in the abdomen. This can lead to painful cysts and adhesions.

(b) Chronic Pelvic inflammatory disease: This can occur if a long-term infection, often sexually transmitted, causes the fallopian tubes to scar and adhere to the ovaries.

(c) Ovarian remnant: - During a complete hysterectomy, that is the surgical removal of the uterus and ovaries, a small piece of ovary may be left inside, which can later develop tiny, painful cysts.

(d) Irritable bowel syndrome: Symptoms associated with irritable bowel syndrome, that is bloating, constipation or diarrhoea can be a source of uncomfortable pelvic pain and pressure.

(e) Psychological Factor: If a person is depressed, or have been sexually or physically abused, then he/’she is more likely to experience chronic pelvic pain. This is because the emotional distress makes pain worse, either by contracting the pelvic floor muscle or by causing chemical changes that affect the person’s ability to tolerate the pain.

So stopping ovulation by using birth control pills or other hormonal medications may help control cyclic pelvic pain. Antidepressants such as Amitriptyline, nortriptyline, etc. can manage many chronic pain syndromes. Physical Therapy, such as applications of heat and cold to the person’s abdomen, stretching, exercise, massage or transcutaneous therapy may improve the chronic Pelvic pain.

Signs and Symptoms of Chronic Pelvic Pain

The chronic pelvic pain exhibits many different characteristics. Among the signs and symptoms are-severe and steady pain, International Pain, that is the pain that comes and goes, Dull aching pain, Sharp pains or cramping and Pressure or heaviness deep within the pelvis.




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