Pelvic pain is a common complaint. Its nature and intensity may fluctuate, and its cause is often obscure and in some cases no disease can be shown. Pelvic pain may originate from common sites such as the uterus, tubes, and ovaries, or in less common sites. At times, the pain may psychogenic, or at least related to emotional states. To diagnosis the causes of and prescribe treatment for pelvic pain, physicians conduct a thorough personal and medical history, with special attention to: type of discomfort, distribution and radiation of pain, duration of pain, associated symptoms, and relation to urination, bowel movements, and sexual intercourse. Particularly important is the relationship to the menstrual cycle. Pelvic pain may have multiple causes, including inflammation or direct irritation of nerves caused by adhesions or scar tissue. Appropriate management of pelvic pain ranges from conservative or medical management (including hormonal treatments and pain killers) to surgical management (often including laparoscopy). A thorough evaluation and directed treatment by a trained physician will relieve pain in over 80% of women.
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