Chronic Pelvic Pain (CPP) refers to persistent pain in the pelvic region that lasts for six months or longer. The pelvis is located between the abdomen and the legs and houses vital organs such as the bladder and reproductive organs, including the uterus, fallopian tubes, and ovaries.
If you are experiencing this type of pain, consulting a gynecologist is crucial. The Best Gynecologist in Mumbai at Vardaan Hospital, Dr. Dimple Doshi, emphasizes that prevention is better than cure. She provides precise treatment guidelines and preventive measures to help patients manage and understand CPP effectively. Dr. Dimple Doshi is renowned for her expertise in diagnosing and treating chronic pelvic pain with a compassionate approach and state-of-the-art techniques, making her the top choice for patients seeking relief.
i. Endometriosis: This condition occurs when the endometrial tissue (the lining inside the uterus) grows outside the uterus, leading to pain and discomfort.
ii. Uterine Fibroids: Noncancerous growths within the uterus, known as leiomyomas, can cause dragging discomfort and pelvic pain, especially when the fibroids are large.
iii. Adenomyosis: When endometrial tissue grows within the uterine walls, it causes an enlarged uterus and severe pelvic pain, especially during menstruation.
iv. Pelvic Inflammatory Disease (PID): An infection involving the uterus, fallopian tubes, or ovaries, often caused by sexually transmitted infections or other infections like appendicitis or tuberculosis. Chronic damage from PID can lead to persistent pelvic pain.
v. Pelvic Adhesions: These occur when tissues inside the abdomen stick together due to infections or surgeries, causing chronic pain.
vi. Ovarian cyst and adnexal masses
vii. Pelvic congestion syndrome
viii. Pelvic cancers such as uterine cancer, ovarian cancer, cervical cancer
ix. Pelvic Radiation Therapy for cancer
Since various conditions can cause chronic pelvic pain, a thorough evaluation is essential. Your gynecologist will:
i. Pain Management: Using analgesics or routine painkillers to manage symptoms.
ii. Addressing the Underlying Cause: Targeted treatment based on diagnostic findings, such as medication for infections or hormonal therapies for endometriosis.
iii. Medications for Nerve Sensitivity: Antidepressants and anticonvulsants can help manage exaggerated pain responses.
iv. Surgical Interventions: Procedures like laparoscopy for endometriosis, fibroid removal, or hysterectomy for severe cases of PID or adenomyosis.
v. Psychotherapy: Counseling and support from psychologists, psychiatrists, and social workers to help cope with chronic pain and improve quality of life.
Ans. CPP often requires medical intervention to address the root cause and manage symptoms.
Ans. No, non-gynecological conditions like IBS and bladder issues can also cause pelvic pain.
Ans. Regular gynecological check-ups, practicing safe sex, and addressing infections promptly can help prevent CPP.
Ans. Yes, stress management, physical therapy, and dietary adjustments can alleviate symptoms.
Chronic Pelvic Pain can significantly affect your quality of life, but with timely diagnosis and appropriate treatment, it is manageable. Consulting with a skilled gynecologist, like Dr. Dimple Doshi at Vardaan Hospital in Mumbai, ensures you receive comprehensive care tailored to your needs.
If you are experiencing persistent pelvic pain, don’t hesitate to seek professional help and take the first step towards a pain-free life.
ICD-10 Codes for Chronic Pelvic Pain in Women:
Chronic pelvic pain can result from various conditions. Relevant ICD-10 codes for chronic pelvic pain are:
CPT Codes for Diagnosis and Treatment of Chronic Pelvic Pain:
Diagnosis and management may involve several procedures and visits: