If you would like to come in for a face-to-face consultation then you can complete the form below. Case 2 A year-old G3P presents with vaginal bleeding and abdominalpain that started a week ago. If a physical problem is suspected, tests will be ordered. Boston: Butterworths; Chronic pelvic pain is often difficult to diagnose and treat properly. Once the patient is stabilized, perform an ultrasound to evaluate for placenta previa bimanual exam would be contraindicated if placenta previa is detected.
If the urine pregnancy test is negative and suspicion remains high, continue to pursue ectopic pregnancy as the leading diagnosis as above. Physicians called on to treat this problem may not be able to give a specific diagnosis. Pelvic pain in the female, therefore, may or may not require intervention and treatment. Baltimore: Williams and Wilkins, National Center for Biotechnology Information , U.
Pelvic Pain in Women | Causes, Investigation & Diagnosis of Acute & Chronic Pelvic Pain
Such pain may be acute, chronic, or intermittent and may be simulated by gastrointestinal disease such as diverticulitis or by lumbosacral arthritis. Acute pelvic pain is pain which manifests itself suddenly and for the first time. Circulation may need to be addressed immediately if the bleeding is heavy or if they have symptoms of poor perfusion such as altered mentation, dizziness, or difficulty breathing. This content does not have an English version. Paulson , MD and Joseph N.
Goyal DG expert opinion. Common tests performed on the specimens look for bacterial vaginosis, yeast and trichomonas wet mount as well as chlamydia and gonorrhea. One in six women of childbearing age have experienced pelvic pain in the past few months. Endometriosis does not need to cover extensive areas of the pelvic organs to cause pain; even microscopic implants can cause aching or stabbing pain. If blood loss exceeds 80 ml and occurs at irregular intervals, it is termed menometrorrhagia. The most common presenting complaint is bleeding with or without associated pelvic pain. Definitive treatment is surgical.