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“A Clinical Study on Chronic Pelvic Pain in Gynecology”

Introduction: Pelvic pain is a poorly understood phenomenon. Acute pain is a protective mechanism that alerts the central nervous system to impending peripheral Injury. Previously pain was believed to be a simple, signal from peripheral pain neurons to the brain (the ‘somatic theory’). Eventually, it became clear that pain is much more complex. Objective: To assess the clinical study on chronic pelvic pain in gynecology. Methodology: The descriptive cross sectional study was conducted in the Department of Obstetrics & Gynaecology, Tairunnessa Memorial Medical College and Hospital, Gazipur, Bangladesh over a period of 6 months between August 2015 to January 2016. A total of 50 cases within the study period were consecutively included in the study. Female patients with chronic pelvic pain admitted at IPD (in patient department) of the above mentioned hospital during the study period. Results: A total number of 50 cases were studied. Two-third (62%) of the patients were 35 or > 35 years and 38% below 35 years old. Majority (90%) of the patients was married and housewife (88%). About 32% were illiterate, 44% primary level educated. Seventy percent of patients belonged to low socioeconomic class. Majority (98%) of the patients complained of lower abdominal pain and 2% backache. Nearly 60% of the patients had pain for >1.5 years or more. Very few (8%) patients complained of severe pain. Dysmenorrhoea was the predominant complaint (90%) menorrhagia (76%), dysparunia (48%) and polymenorrhagia (12%). Forty two percent cases were clinically diagnosed as PID and endometriosis with chocolate cyst were 38%. About 60% of deliveries were conducted by UTBA (Untrained birth attendant), 40% terminated pregnancy by MR, and 8% had history of spontaneous abortion. Laboratory investigations showed leucocytosis in 14% cases and raised ESR in 4% cases. Of the 50 cases, 18 were tested for endocervical swab. Of them 4(22.2%) were found positive, while out of 28 Paps Smear Test, 46.4% .......