Blog dedicated to the continuous education in Gynecology and Endocrinology

 

The chronic pelvic pain Cause, diagnostic and therapy from the gynaecologist’s and the endoscopist’s point of view

K. J. Neis, F. Neis

Problem The chronic pelvic pain is defined as permanent heavy pain in the pelvis, which persists for more than half a year and for which no reason is known. The incidence is at approximately10%-15%. The diagnosis of chronic pelvic pain confronts the attended physician again and again with problems, which he often cannot solve alone. Therefore, the women, who were concerned, were presented for specific examination successively to the urologist, orthopaedist, the surgeon or the neurologist. Often no reason for the pain could be found, and the patient is left alone with her problems. Mostly then the medical odyssey starts without a real approach for improvement (3, 12, 19). The given work from the gynaecologist’s and endoscopist’s point of view shall help to delimit morphologically comprehensible changes, which can be treated by an operation or by a medicamentous therapy, from other forms of changes which rather demand a psychosomatic or a pain therapy. So, the way should be described how the patient can be lead as fast as possible to an effective therapy.

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EFFECT OF TREATMENT WITH DYDROGESTERONE OR CALCIUM PLUS VITAMIN D ON THE SEVERITY OF PREMENSTRUAL SYNDROME.

Int J Gynaecol Obstet. 2009 May;105(2):158-61.

Khajehei M, Abdali K, Parsanezhad ME, Tabatabaee HR.

OBJECTIVE: To compare the effects of dydrogesterone and calcium plus vitamin D in women with severe premenstrual syndrome (PMS). METHOD: In this randomized, double-blind, placebo-controlled study, 180 Shiraz University students with PMS used questionnaires daily to rate their symptoms for 2 menstrual cycles. more

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REPRODUCTIVE HORMONES IN PLASMA OVER THE MENSTRUAL CYCLE IN PRIMARY DYSMENORRHOEA COMPARED TO HEALTHY SUBJECTS

Ragner Liedman, Stefan R Hansson, David Howe, Sarah Igidbashian, Alison Mcleod, Rachel J Russell, Mats Ã…kerlund

The pathogenesis of primary dysmenorrhoea is still poorly understood. The objective of this investigation was to study differences in plasma concentrations of reproductive hormones in women with primary dysmenorrhoea versus healthy controls. more

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