Evaluation of chronic pelvic pain in females a prospective observational study

Introduction: Pain is an unpleasant sensory and emotional experience associated with actual potential tissue damage or described in terms of such damage. Chronic pelvic pain (CPP) is defined by the European Association of Urology (EAU) as “chronic or persistent pain perceived in structures related to pelvis. It is often associated with negative cognitive, behavioral, sexual and emotional consequences and might have symptoms suggestive of lower urinary tract, sexual, bowel, pelvic floor or gynaecological dysfunction.Aim& ObjectivesAim: To evaluate the causes of chronic pelvic pain in females.Objectives: To describe the differential diagnosis of chronic pelvic pain. To detect chronic pelvic pain early and aid in its management plan further.Materials and Methodology: Female patients attending department Obstetrics and Gynaecology of KIMS hospitals between 18-70 years age, were enrolled into study during the period from 14th September, 2020 to 31st May 2022.Results: It is observed that 38% of the women were diagnosed under the category Endometriosis and 14% with Adenomyosis. Hence endometriosis is the most common cause of CPP based on the study.It is observed that 48% women had to undergo surgical management, 27% went for medical management. Almost 9% cases were referred to other branches which included psychology and orthopaedics.Conclusion: Women with CPP often have other associated symptoms. Most common factor was dysmenorrhea as per this study (51%). When past surgical history in the 100 women was taken into consideration, CPP was more prevalent in those who had a history of LSCS (63%) Multidisciplinary approach is helpful in most of the cases.