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Abdomino-pelvic pain

The Australian Centre for Female Pelvic and Vaginal Rejuvenation
The Australian Centre for Female Pelvic and Vaginal Rejuvenation

Causes of abdomino-pelvic pain

Gynaecological causes of abdomino-pelvic pain

  • Endometriosis
  • Ovarian cyst
  • Adhesions
  • Pelvic inflammatory disease
  • Fibroid degeneration
  • Dysmenorrhoea
  • Ovulation
  • Cystitis

Non-gynaecological causes of abdomino-pelvic pain

Include but are not limited to:

  • Irritable bowel syndrome
  • Diverticulitis
  • Appendicitis
  • Cholecystitis
  • Adhesions
  • Gastric or Duodenal ulcer
  • Pancreatitis
  • Bowel obstruction
  • Kidney infection
  • Leaking or ruptured blood vessel
  • Gastroenteritis
  • Strangulated hernia

Undetermined causes of abdomino-pelvic pain

Pain that persists and for which no cause can be found after appropriate investigations is called ‘undetermined.’ It is noteworthy that up to 30% of abdomino-pelvic pain resolves after laparoscopy at which no cause for the pain is found. The exact basis of this phenomenon is not known, however it might represent a placebo effect.

May need to exclude:

  • Cardiac or respiratory disease
  • Muscle and bone conditions

Investigation of abdomino-pelvic pain

May include but is not limited to:
Laparoscopy
Cystoscopy
Examination under anaesthetic
Ultrasound
X-ray
MRI
ECG
Angiogram
Endoscopy
Colonoscopy
Blood tests
CT

Treatment of abdomino-pelvic pain

It may be appropriate to use a variety of conservative treatments to manage the pain. Definitive treatment, though, must be based on a working diagnosis formulated after taking a history, performing an examination and getting the results of appropriate investigations

Laser Vaginal Rejuvenation Institute of Adelaide
Laser Vaginal Rejuvenation Institute of Adelaide