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