Chronic Pelvic Pain
Refer to General Gynae Clinic with pelvic USS
Definition:
Intermittent or constant pain in the lower abdomen or pelvis of at least 6 months’ duration, not occurring exclusively with menstruation or intercourse and not associated with pregnancy.
Information to include when referring
- Parity
- Describe symptoms and effect on QOL, duration, relation to cycle
- Concerns
- Irritable Bowel Syndrome(IBS) considered and treated
- Abnormal smears
Investigations prior to referral
- Swabs (Chlamydia / HVS)
- Pelvic USS
Desirable Information
- Smear history (including last smear & result) the patient will still be seen without this but if you can retrieve it automatically it speeds up the appointment
-
Treatment so far
- Eg COCP / Mirena
- Expectations of referral
Red Flag Symptoms
If >50 years and/or symptoms of constant bloating, pain and clinical suspicion consider Ca125 along with pelvic USS
Reference:
RCOG Greentop Guideline No 41 April 2005 ‘The initial management of chronic pelvic pain’
Download Chronic Pelvic Pain PDF
Date reviewed 26/06/19
Next review due 26/06/20
Dr Anna Harrlold
Dr Jo Parry
Version 1.1