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Query: UMLS:C0030794 (pelvic pain)
 4,056 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Endometriosis is one of the most common conditions encountered in gynecology and the field of infertility. The clinical presentation depends on the location and the extent of disease, but the severity of symptoms does not correlate directly with the extent of disease. Symptoms of genital endometriosis may be categorized as menstrual dysfunction, ovulatory dysfunction, and reproductive dysfunction. With menstrual dysfunction, the frequent clinical symptoms are cyclic pelvic pain, dysmenorrhea, and dyspareunia. Endometriosis is commonly found to be the cause in younger patients with pain and dysmenorrhea, particularly when the clinician is aware of the appearance of atypical lesions. Types of ovulatory dysfunction reported to be associated with endometriosis include anovulation, premenstrual spotting, luteal phase defects, and LUF syndrome. The data are not sufficient to determine the prevalence of endometriosis, luteal phase defects, and hyperprolactinemia. With LUF syndrome, there are data to support an association, but more data on the frequency of LUF in consecutive normal cycles compared to consecutive cycles in women with endometriosis would be beneficial. A higher rate of infertility is reported in couples with endometriosis. Two approaches are used to evaluate spontaneous abortions and endometriosis. In retrospective studies, the abortion rates are higher in couples with endometriosis; however, when the pregnancy outcomes in untreated couples are studied, there is less evidence to support the association of a higher spontaneous abortion rate. Formerly, the diagnosis of endometriosis depended on the appearance of typical lesions. With the recognition of early or atypical lesions the histologic confirmation of glands and stroma is assuming a more prominent role. Noninvasive techniques such as assays of endometrial antibodies or CA-125 have certain limitations in terms of producing false-positive results and lacking predictability in early stages of disease. Ultrasonography and MRI give additional and confirmatory information. Most noninvasive techniques are ancillary in diagnosis and management. It still needs to be determined whether their routine use will give enough added information to justify their cost. Currently, the diagnosis of endometriosis is best made by histologic evidence of glands and stroma.
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PMID:Clinical presentation and diagnosis of endometriosis. 266 21

Infections caused by Chlamydia trachomatis are the most common sexually transmitted diseases occurring in developed countries. Among women, chlamydia-mediated diseases include urethritis, cervicitis, endometritis, and salpingitis. Sequelae include infertility, pelvic pain, ectopic pregnancy, and perinatal infection. Aspects of epidemiology, pathogenesis, diagnosis, treatment, and prevention are discussed.
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PMID:Chlamydial infection in women. 268 46

Pelvic inflammatory disease is one of the most serious complications of sexually transmitted diseases. It is a medical and public health problem of great magnitude, and adolescents are at greater risk for its development than any other age group. Its sequelae of infertility, ectopic pregnancy, chronic pelvic pain, and dyspareunia may have a devastating impact upon a teenager's life. The epidemiology, pathogenesis, clinical features, differential diagnosis, and management and prevention of this clinical syndrome are presented.
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PMID:Pelvic inflammatory disease in the adolescent. 277 92

A case of primary adenocarcinoma and tuberculosis of the Fallopian tube is presented. The clinical symptoms of the patient were pelvic pain and primary infertility. The gynecologic examination revealed a palpable tubal mass and the diagnosis was performed from the laparotomy and the pathology report.
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PMID:Primary adenocarcinoma of the fallopian tube with tuberculosis (short communication). 280 17

Endometriosis is a common disease associated with pelvic pain and infertility. The etiology and physiology are poorly understood, often frustrating clinicians and patient. Treatment may be medical or surgical, or a combination of these. Nursing care involves education of couples about endometriosis and its physical and psychological implications.
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PMID:Endometriosis. 293 22

Retrospective review of 100 consecutive laparoscopies for chronic pelvic pain and 88 for infertility was undertaken. Twenty-six of the 100 (26%) chronic pelvic pain patients and 34 of the 88 (39%) infertility patients exhibited pelvic adhesions as the only abnormal finding. Patients in each group with findings of pelvic adhesions were compared with respect to symptomatology, density of adhesions, and locations of adhesions. Only four of the 34 infertility patients in whom pelvic adhesions were found complained of pain. Comparison of the chronic pelvic pain patients and the asymptomatic infertility patients did not reveal a significant difference in the density or the location of adhesions. These findings question the role of pelvic adhesions as a cause of chronic pelvic pain.
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PMID:Adhesions and pelvic pain: a retrospective study. 294 7

The major advantage of the argon laser in laparoscopic reproductive pelvic surgery is the ability to transmit the laser beam along a flexible fiber that can easily be directed at a lesion. Its use has been specifically described for the treatment of endometriosis because the absorption of the argon laser beam (488 + 514 nm) coincides with the pigmented endometriotic implants. It has been suggested that the argon laser would not be as useful in other infertility procedures because the lack of such pigmentation would reduce the lesion's absorption of the laser beam and therefore decrease the laser's efficacy of destruction. The argon laser was used in other kinds of reproductive pelvic surgery in 15 patients over seven months. Procedures performed laparoscopically with the laser were neosalpingostomy, fimbrioplasty, salpingo-oophorolysis, adhesiolysis and ablation of the uterosacral ligaments. Of six patients undergoing laparoscopic surgery with a preoperative diagnosis of pelvic pain, five reported complete resolution of the pain following therapy. There were no intraoperative or postoperative complications. In the short follow-up period, none of the patients conceived. In addition to its use in the treatment of endometriosis, the argon laser, transmitted laparoscopically via a fiber, can be safely used to perform a wide variety of other reproductive pelvic surgical procedures. Its relative efficiency with regard to these procedures, the subsequent pregnancy rates and the laser's ability to ameliorate pelvic pain remain to be established.
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PMID:Laparoscopic use of the argon laser in nonendometriotic reproductive pelvic surgery. 294 76

The conception rate, relief of pain, and safety of argon laser photocoagulation of endometriosis were evaluated in 92 patients. All patients were treated at the time of diagnosis with the argon laser delivered through a flexible quartz fiber passed through the operating channel of a standard and unmodified laparoscope. The uncorrected pregnancy rate was 34% (19 of 56), with 64% of the pregnancies occurring within 6 months of therapy. The conception rate was slightly greater in women with infertility of 24 months or less and in women without other fertility factors. Ninety-two percent of 50 women with pelvic pain reported a reduction of their pain after treatment. The argon laser is an effective, simple, and safe alternative for the treatment of mild or moderate endometriosis.
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PMID:Argon laser therapy of endometriosis: a review of 92 consecutive patients. 294 98

One hundred sixty-one women undergoing laparoscopy for infertility of obstructive origin (fallopian tube stenosis or obstruction and periadnexal adhesions) had thorough bacteriologic studies, including Chlamydia trachomatis cultures, of their lower and upper genital tracts. Peritoneal or tubal fluid cytologic features and biopsies of fallopian tubes or adhesions were also studied after each laparoscopy. The serum of each woman was titrated for evidence of C. trachomatis infection. The sera of a control group of 51 women with ovarian infertility but normal fallopian tubes according to laparoscopy and hysterosalpingogram were titrated in an identical manner. The current study confirms previous studies that showed a strong correlation between infertility due to fallopian tube factors and positive C. trachomatis cultures or serologic studies. The current study suggests that C. trachomatis infection does not correlate with a past history of salpingitis or pelvic pain, but that current C. trachomatis infection, as assessed by positive culture, does correlate with gross and histologic evidence of chronic inflammation.
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PMID:Microbiologic study of chronic inflammation associated with tubal factor infertility: role of Chlamydia trachomatis. 295 1

The Authors report the results of a microbiological study of 99 patients who had undergone laparoscopy for infertility and/or pelvic pain. In 64% of the cases the microbiological study gave a positive result and in 45% of these 2 or more microorganisms were isolated; this high positive result was due to the presence of microorganisms with low pathogenicity on the cervical and urethral swabs. The microbiological study, B.S.R. and the leucocytes did not show any significant correlation with the pelvic pathologies found by means of laparoscopy. The only exception to this was Chlamydia T. which gave positive results, both in the direct and indirect test, in 22% of the patients, and which was found most often in the cases where laparoscopy had shown pelvic phlogisis.
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PMID:Results of a microbiological study of 99 patients undergoing laparoscopy due to sterility and/or pelvic pain. 295 62


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