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

After a long period of neglect, pelvic vein pathology must be recognized today as a true pathological entity. It is easy to understand how fragile the veins are and how liable to poor venous return when the anatomical, histological and functional characteristics of the venous system of the pelvis are properly understood. Furthermore this pathology has an adverse effect on peripheral and underlying venous functions. Initially revealed by transuterine hysterophlebography, the morphological and functional disorders of the pelvic veins can now be shown by color Doppler ultrasonography, which is indeed the tool of first intention for diagnosis and therapeutic assessment, being capable of displaying the variations in calibre of the veins and more particularly of establishing their flow rates. Study of pelvic vascularization has two fundamental applications for gynecology: non specific chronic, pelvic pain which represents between 15 and 20% of reasons for patients consulting, and premenstrual syndrome dominated by congestive phenomena. The indispensable accompaniment to Doppler ultrasonography for investigation of persistent pelvic pain is laparoscopy, which confirms the venous dilatation involved, assesses any associated lesions also liable to slow venous flow and offers simple and efficient methods for treatment.
J Mal Vasc 1999 Oct
PMID:[Chronic varicose pelvic veins]. 1058 75

One thousand eight hundred and thirty-six clinical and biological cervico-vaginal flora samples from genital infections in women observed in community practice in 1987 were compared to 368 samples collected in 2001. The diagnosis of sexually transmitted infection (STI) was rarely made. Nonetheless, examining these samples made it possible either to prescribe a specific treatment for a confirmed infection (chlamydia, trichonomiasis, candidiasis, gonococci, vaginosis), or to modify a long-term treatment that was often ineffective and sometimes badly tolerated. Not all vulvar itching, associated or not with pelvic pain, is caused by mycosis. Treatment based on a syndromic approach was often ineffective, because clinical symptoms, whether isolated or associated, even when they were suggestive of an etiology, presented only a minor positive predictive value (the PPV for the association ichting + pelvic pain was only 10% for chlamydia, but 45% for candidiasis). The diagnosis of vaginosis, suggested for the past 10 years as an improvement in the diagnosis of vulvo-vaginitis, was made in only 13% of the cases. The only significant difference in our two studies was a lower number of cases of gonococci, chlamydiae, and ureaplasms in 2001, the settings having remained identical, except for a lower number of patients in 2001.
Med Mal Infect 2004 Feb
PMID:[Genital infections in women, in community practice. Comparison of two studies, 1987 and 2002]. 1562 21