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

Assessment of cases of chronic pelvic pain presents a challenging problem, and many physicians overlook the association of sleep disorders and depression with such pain. We examined these linkages in our chronic pelvic pain clinic, using a questionnaire that assists in diagnosis and management of these cases. To date, the cases of 72 patients (both physician- and self-referred) with pelvic pain have been evaluated. Of these patients, 51 of 71 (72%) reported sleep disorders, and 37 of 72 (51%) had clinical depression, as determined by the Beck Depression Inventory. After adjustment for a sleep-related item on the Beck scale, these two measures showed a positive correlation of .355 (P < .01). The scores of pain patients differed significantly from those of a control group of asymptomatic patients on the depression and sleep disorder measures. By being aware and using a simple questionnaire, the clinician may readily identify overlooked factors, such as sleep disorders and depression, when assessing cases of chronic pelvic pain.
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PMID:Unrecognized association of sleep disorders and depression with chronic pelvic pain. 147 Sep 59

Patients with chronic pelvic pain are challenging, from both diagnostic and therapeutic viewpoints. At the pain clinic at the Medical College of Georgia School of Medicine, Augusta, we have discovered over the past 3 years that psychiatric disease is probably underrecognized in these patients and that physicians are often reluctant to discuss intimate details of a patient's sex life even though they may provide important information. In addition, sleep disorders are very prevalent. Use of vaginal-probe ultrasound may decrease the need for diagnostic laparoscopy, especially in patients without pelvic disease. In most cases, ovarian cysts in ovulating patients do not represent an abnormality. Laparoscopy and major pelvic surgery should be limited to patients with a high probability of anatomic abnormalities or persistent symptoms.
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PMID:Chronic pelvic pain. Differentiating anatomic from functional causes. 817 Aug 72

Objective: We performed a pilot study to determine if patients with chronic pelvic pain have a consistent or unique sleep disorder by a polysomnographic sleep study.Methods: Overnight polysomnography was performed prospectively in 11 women with chronic pelvic pain (ages 33-44 years, mean 35). None of the women were taking sedating or psychoactive medications in the month prior to testing. Sleep indices were derived using polysomnography scoring guidelines currently recommended by the American Sleep Disorder Association.Results: Statistical comparisons with age-matched normative data (Williams and Karacan, 1974) revealed increased stage 1 sleep (P < 10(-7)), reduced REM sleep (P < 10(-6)), increased slow wave sleep (P <.001), and REM sleep onset latencies (P <.01) in women with chronic pelvic pain. One woman had periodic leg movements, but none had obstructive sleep apnea.Conclusion: Previously, sleep disorders in patients with chronic pelvic pain (CPP) have been characterized by history alone. We have characterized sleep disturbances in individuals with CPP by polysomnographic sleep studies. Patients with CPP have different sleep patterns than patients with depression. Our preliminary findings and review of the literature conclude that patients with CPP have a unique sleep disorder. We are currently studying the effects of low doses of amitriptyline in altering sleep patterns to determine if there is a clinical response.
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PMID:Polysomnographic characteristics of sleep disorders in chronic pelvic pain. 1083 70

Any illness is viewed as inherently evil, so it must be eradicated because it often significantly affect the quality of life. Vaginal hysterectomy is indicated in patients with some severe gynecological conditions; it is beneficial but can also have a detrimental impact on women's quality of life. The aim of our study was to explore subjective experience of the disease and vaginal hysterectomy (VH) among women before and after surgery. We conducted a qualitative prospective study based on clinical data collection over a period of 12 months; it involved women who had undergone vaginal hysterectomy. Those who decided not to take part in this study or lack of phone contact were not enrolled. During their disease, women experienced: discomfort during sex 26/40 (65%); vaginal bleeding 12/40 (30%); 13/40 pelvic pain (32.5%). Postoperatively, transient dyspareunia 30/40 (75%); headache after anesthesia 4/40 (10%) were noted. Women's psychological experience before VH was dominated by surgery fear in all patients, sleep disorders 38/40 (95%), anxiety 30/40 (75%), feelings of shame related to difficulty in performing the sexual intercourse because of prolapse 26/40 (65%) and/or because of genital bleeding due to uterine fibroids 14/40 (35%). The feeling of loss of femininity was reported in 26/40 women with uterine prolapse (65%), changes in self-esteem in 26/40 (65%). These subjective assessments were improved in women undergoing VH, offsetting the loss of their reproductive organ. No information was given by women to their loved ones and family members before surgery, reflecting their feeling of embarrassment or shame. The cessation of symptoms was observed in all cases, although in one case (1.25%) a new complication (rectal lesion) was noted. As regards sexual activity, all couples declared their satisfaction after treatment. Women's dramatic experience of the disease and vaginal hysterectomy improved significantly after surgery.
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PMID:[Evaluation of quality of life and subjective experience of the disease before and after vaginal hysterectomy among women admitted to the University Hospital in Brazzaville]. 2829 42