Incidence of Chronic Pelvic Pain in Females Attending a Gynaecology Outpatient Department
Background and Aims: Chronic pelvic pain (CPP) is a persistent pelvic pain that leads to reduced work performance and impaired quality of life in females. Nearly 15% of females report time off from paid work and around 45% report reduced work productivity. There is a paucity of studies to address t...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
European Medical Journal
2023-02-01
|
| Series: | European Medical Journal |
| Online Access: | https://www.emjreviews.com/flagship-journal/article/incidence-of-chronic-pelvic-pain-in-females-attending-a-gynaecology-outpatient-department/ |
| _version_ | 1797193863076511744 |
|---|---|
| author | Sadia Shoukat Maria Tasneem Tehreem Zahid Jahooran Mariyah Bibi Goolamnobee |
| author_facet | Sadia Shoukat Maria Tasneem Tehreem Zahid Jahooran Mariyah Bibi Goolamnobee |
| author_sort | Sadia Shoukat |
| collection | DOAJ |
| description |
Background and Aims: Chronic pelvic pain (CPP) is a persistent pelvic pain that leads to reduced work performance and impaired quality of life in females. Nearly 15% of females report time off from paid work and around 45% report reduced work productivity. There is a paucity of studies to address the issue, especially with a multidisciplinary and multifactorial view. Various gynaecological disorders are associated with CPP such as endometriosis, adenomyosis, adhesions, chronic pelvic inflammatory disease, and pelvic congestion syndrome. The objective is to determine the frequency of CPP in females attending gynaecologic outpatient departments. Materials and Methods: A total of 201 patients aged 14–48 years attending the gynaecologic outpatient department for gynaecological disorders with complaints of lower abdominal pain were included in this study. Patients enrolled in the study were assessed by a detailed history and pelvic examination, and a structured questionnaire was filled out. Data were analysed using the statistical package for social sciences version 23.0 (International Business Machines Corporation, Armonk, New York, USA). Results: The mean age of the patients was 32.39±6.98 years. The frequency of CPP in females was observed as 95.52% (95% confidence interval: 91.67–97.93%) The rate of CPP was significantly high in females with parity ≤5 and those who had a duration of pain lower than 36 months. In multivariate analysis, adjusted odds ratio by stepwise logistic regression model showed that parity (parity 0–1) and duration of pain (≤36 months) were significantly associated with CPP in females. Conclusion: The study indicates that the most common gynaecological causes of CPP in females attending the outpatient department were those with endometriosis followed by adenomyosis. The management of CPP needs patient-centred care with a multidisciplinary approach. This will lead to early and effective management. |
| first_indexed | 2024-04-24T05:47:08Z |
| format | Article |
| id | doaj.art-a13c8eb871d840a5a51ed82454105606 |
| institution | Directory Open Access Journal |
| issn | 2397-6764 |
| language | English |
| last_indexed | 2024-04-24T05:47:08Z |
| publishDate | 2023-02-01 |
| publisher | European Medical Journal |
| record_format | Article |
| series | European Medical Journal |
| spelling | doaj.art-a13c8eb871d840a5a51ed824541056062024-04-23T13:31:18ZengEuropean Medical JournalEuropean Medical Journal2397-67642023-02-0110.33590/emj/10302260Incidence of Chronic Pelvic Pain in Females Attending a Gynaecology Outpatient DepartmentSadia Shoukat0Maria Tasneem1Tehreem Zahid2Jahooran Mariyah Bibi Goolamnobee3Dr Ruth K.M. Pfau Civil Hospital, Karachi, PakistanJinnah Medical and Dental College, Karachi, PakistanShifa International Hospitals Ltd., Islamabad, PakistanDr Ruth K.M. Pfau Civil Hospital, Karachi, Pakistan Background and Aims: Chronic pelvic pain (CPP) is a persistent pelvic pain that leads to reduced work performance and impaired quality of life in females. Nearly 15% of females report time off from paid work and around 45% report reduced work productivity. There is a paucity of studies to address the issue, especially with a multidisciplinary and multifactorial view. Various gynaecological disorders are associated with CPP such as endometriosis, adenomyosis, adhesions, chronic pelvic inflammatory disease, and pelvic congestion syndrome. The objective is to determine the frequency of CPP in females attending gynaecologic outpatient departments. Materials and Methods: A total of 201 patients aged 14–48 years attending the gynaecologic outpatient department for gynaecological disorders with complaints of lower abdominal pain were included in this study. Patients enrolled in the study were assessed by a detailed history and pelvic examination, and a structured questionnaire was filled out. Data were analysed using the statistical package for social sciences version 23.0 (International Business Machines Corporation, Armonk, New York, USA). Results: The mean age of the patients was 32.39±6.98 years. The frequency of CPP in females was observed as 95.52% (95% confidence interval: 91.67–97.93%) The rate of CPP was significantly high in females with parity ≤5 and those who had a duration of pain lower than 36 months. In multivariate analysis, adjusted odds ratio by stepwise logistic regression model showed that parity (parity 0–1) and duration of pain (≤36 months) were significantly associated with CPP in females. Conclusion: The study indicates that the most common gynaecological causes of CPP in females attending the outpatient department were those with endometriosis followed by adenomyosis. The management of CPP needs patient-centred care with a multidisciplinary approach. This will lead to early and effective management.https://www.emjreviews.com/flagship-journal/article/incidence-of-chronic-pelvic-pain-in-females-attending-a-gynaecology-outpatient-department/ |
| spellingShingle | Sadia Shoukat Maria Tasneem Tehreem Zahid Jahooran Mariyah Bibi Goolamnobee Incidence of Chronic Pelvic Pain in Females Attending a Gynaecology Outpatient Department European Medical Journal |
| title | Incidence of Chronic Pelvic Pain in Females Attending a Gynaecology Outpatient Department |
| title_full | Incidence of Chronic Pelvic Pain in Females Attending a Gynaecology Outpatient Department |
| title_fullStr | Incidence of Chronic Pelvic Pain in Females Attending a Gynaecology Outpatient Department |
| title_full_unstemmed | Incidence of Chronic Pelvic Pain in Females Attending a Gynaecology Outpatient Department |
| title_short | Incidence of Chronic Pelvic Pain in Females Attending a Gynaecology Outpatient Department |
| title_sort | incidence of chronic pelvic pain in females attending a gynaecology outpatient department |
| url | https://www.emjreviews.com/flagship-journal/article/incidence-of-chronic-pelvic-pain-in-females-attending-a-gynaecology-outpatient-department/ |
| work_keys_str_mv | AT sadiashoukat incidenceofchronicpelvicpaininfemalesattendingagynaecologyoutpatientdepartment AT mariatasneem incidenceofchronicpelvicpaininfemalesattendingagynaecologyoutpatientdepartment AT tehreemzahid incidenceofchronicpelvicpaininfemalesattendingagynaecologyoutpatientdepartment AT jahooranmariyahbibigoolamnobee incidenceofchronicpelvicpaininfemalesattendingagynaecologyoutpatientdepartment |