Pelvic+Pain

__//Western Diagnosis//__ may be reproductive or other system in origin

Thorough history
1. OPQRST 2. relationship to movement, defecation, urination, menstrual cycle, sleep, eating, coitus

Gyn pain
1. severe lower abd pain and tenderness 2. fever, leukocytosis, discharge 1. asx 2. pressure from mass may cause discomfort, aching, heaviness 3. sudden, sharp pain is rupture, hemorrhage, torsion worse before and during menstrual flow
 * acute salpingitis**
 * ovarian cyst or other mass**
 * endometriosis**
 * ectopic pregnancy**

Urologic
1. urinary frequency, dysuria, hematuria, fever, chills

Gastrointestinal
1. usually pain not adnexal as much 2. N, V, D, C

Musculoskeletal
1. worse with motion 2. radiation down lower extremities 3. low back pain from gyn only usually in advanced tumors

Diagnosis
1. hx 2. physical 3. testing ---lab ---x-rays ---ultrasound ---endoscopy

treatment
find cause

Townsend Letter November 2006: Chronic Pelvic Pain Part I: Prevalence, Etiology, Diagnosis by Tori Hudson, ND, LAc