Pelvic pain
Painful menstruation (except when caused by specific pathology)
Medical Therapies
- Analgesics
- Antispasmodics
- Nonsteroidal anti-inflammatory drugs
[R] Nonsteroidal anti-inflammatory drugs for primary dysmenorrhoea
- Oral contraceptive pill
[R] Combined oral contraceptive pill (OCP) as treatment for primary dysmenorrhoeaa
- Progestogens
- Vasodilators
Surgery
- Presacral neurectomy
[R] Surgical interruption of pelvic nerve pathways for
primary and secondary dysmenorrhoea
- Laparoscopic uterine/uteroscral nerve ablation.
[R] Surgical interruption of pelvic nerve pathways for
primary and secondary dysmenorrhoeaea
Psychological Interventions
- [P] Behavioural interventions for primary and secondary dysmenorrhoea.
Transcutaneous electrical nerve stimulation
- [R] Transcutaneous electrical nerve stimulation and
acupuncture for primary dysmenorrhoea a
Alternative therapies:
- Acupuncture
[R] Transcutaneous electrical nerve stimulation and acupuncture
for primary dysmenorrhoea a
- Spinal manipulation
[R] Spinal manipulation for primary and secondary dysmenorrhoea
- Herbal/Dietary Supplements
[R] Herbal and dietary therapies for primary and secondary dysmenorrhoea
- Exercise
[P] Exercise for primary dysmenorrhoea
Endometriosis/adenomyosis
Medical Therapies
- Danazol
[R] Danazol for pelvic pain associated with endometriosis
- Gestrinone
- Gonadotrophin releasing hormone
[R] Gonadotrophin-releasing hormone analogues for pain associated with endometriosis
[R] Gonadotrophin-releasing hormone analogues for endometriosis: bone mineral density
- Hormone replacement therapy post pelvic clearance (surgical menopause)
- Nonsteroidal anti-inflammatory drugs
[P] Non-steroidal anti-inflammatory drugs for pain in women with endometriosis
- Pre- and Post- operative medical treatment
[R] Pre and post operative medical therapy for endometriosis surgery
- Progestogens
[R] Progestagens and anti-progestagens for pain associated with endometriosis
- Oral contraceptive pill
[R] Modern combined oral contraceptives for pain associated with endometriosis
Surgery
- Drainage of endometriomas
- Hysterectomy (with or without bilateral salpingo-oohorectomy)
- Laparoscopic techniques - laser, diathermy
[R] Laparoscopic surgery for pelvic pain associated with
endometriosis
- Laparoscopic uterine/uterosacral nerve ablation
- Presacral neurectomy
Pelvic venous congestion
Medical Therapies
- Gonadotrophin releasing hormones
- Progestagens
- Other hormonal/chemical agents
- Vasoconstrictors
Surgery
Psychological Interventions
Other chronic pelvic pain (unspecified but excluding pathology)
Medical Therapies
- Antidepressants
- Local anaesthetic
- Nonsteroidal anti-inflammatory drugs
- Oral contraceptive pill
Psychological Interventions
- Counselling
- Photographic reinforcement
All
- [R] Interventions for treating chronic pelvic pain in women
Ovarian remnant syndrome
Residual ovary syndrome
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Key
[R] = Review
[P] = Protocol
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