Hinduja Hospital Webinar on Chronic Pelvic Pain
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Chronic Pelvic Pain (CPP) Dr. Samar Gupte Jr. Consultant Gynaecological Oncology MBBS, MD (Obstetrics and Gynaecology), DGO, Fellowship in Gynaecological Oncology
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Hinduja hospital conducts regular webinars and tweetinars for online users where they can seek advice from expert doctors of hinduja hospital for free. Above is the webinar conducted by hinduja hospital on chronic pelvic pain where issues like chronic pelvic pain, chronic pelvic pain in women, chronic pelvic pain treatment were discussed successfully by Dr. Samar Gupte, Jr. Consultant Gynaecological Oncology at Hinduja hospital. To know more about such upcoming webinars and tweetinars from hinduja hospital , visit http://www.hindujahospital.com/communityportal/
Transcript of Hinduja Hospital Webinar on Chronic Pelvic Pain
Chronic Pelvic Pain (CPP)
Dr. Samar Gupte
Jr. Consultant Gynaecological Oncology
MBBS, MD (Obstetrics and Gynaecology), DGO, Fellowship in Gynaecological Oncology
Chronic Pelvic pain
• Chronic pelvic pain can be defined as intermittent or constant pain in the lower abdomen or pelvis of a woman of at least 6 months in duration, not occurring exclusively with menstruation or intercourse and not associated with pregnancy.
• It is a symptom not a diagnosis
CPP
• Difficult to diagnose
• Difficult to treat
• Difficult to cure
• FRUSTRATION FOR PATIENT & DOCTOR
CPP
•Affects 15-20% of all women in the reproductive age group
•Accounts for 20% of all diagnostic laparoscopies in women
•Accounts for 15% of all hysterectomies in women
Why?
•There is frequently more than one component to chronic pelvic pain
•Physical, psychosocial , emotional and social factors
• Pain is, by definition, a sensory and Pain is, by definition, a sensory and emotional experience associated with emotional experience associated with actual or potential tissue damage or actual or potential tissue damage or described in those termsdescribed in those terms
Causes of Pain
Causes of Pain• Hormone related:
▫ Endometriosis▫ Adenomyosis
• Adhesions• Irritable bowel syndrome• Interstitial cystitis• Musculoskeletal• Nerve entrapment• Psychosocial issues
Assessment•History
▫Appropriate referral to urologist, gastroenterologist, physiotherapist, psychologist , psychosexual counsellor etc.
•Examination•Investigations
▫Screen for infections▫USG▫MRI▫Diagnostic Laparoscopy
Red Flag Symptoms• Bleeding from the rectum• New Bowel symptoms after
age 50 years• New pain after menopause• Lump in the abdomen• Irregular bleeding after age
40 years• Post coital bleeding• Excessive weight loss• Suicidal ideas
Treatment
•Treatment of specific gynaecologic disorder if any
•Hormonal therapy for cyclical pain•Antispasmodics for irritable bowel
syndrome / interstitial cystitis•Lifestyle changes•Pain specialist
Dr. Samar Gupte
•[email protected]•+91-9820458696•P.D.Hinduja Hospital, Mahim: Tuesday,Wednesday and Friday•Hinduja Surgical Healthcare, khar : Tuesday•Other days by appointment
