Hinduja Hospital Webinar on Chronic Pelvic Pain

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Hinduja hospital conducts regular webinars and tweetinars for online users where they can seek advice from expert doctors of hinduja hospital for free. Above is the webinar conducted by hinduja …

Hinduja hospital conducts regular webinars and tweetinars for online users where they can seek advice from expert doctors of hinduja hospital for free. Above is the webinar conducted by hinduja hospital on chronic pelvic pain where issues like chronic pelvic pain, chronic pelvic pain in women, chronic pelvic pain treatment were discussed successfully by Dr. Samar Gupte, Jr. Consultant Gynaecological Oncology at Hinduja hospital.
To know more about such upcoming webinars and tweetinars from hinduja hospital , visit http://www.hindujahospital.com/communityportal/

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  • 1. Chronic Pelvic Pain (CPP)Dr. Samar GupteJr. Consultant Gynaecological OncologyMBBS, MD (Obstetrics and Gynaecology), DGO, Fellowship in GynaecologicalOncology
  • 2. Chronic Pelvic pain• Chronic pelvic pain can be defined as intermittent or constant pain in the lower abdomen or pelvis of a woman of at least 6 months in duration, not occurring exclusively with menstruation or intercourse and not associated with pregnancy.• It is a symptom not a diagnosis
  • 3. CPP• Difficult to diagnose • FRUSTRATION FOR• Difficult to treat PATIENT & DOCTOR• Difficult to cure
  • 4. CPP• Affects 15-20% of all women in the reproductive age group• Accounts for 20% of all diagnostic laparoscopies in women• Accounts for 15% of all hysterectomies in women
  • 5. Why?• There is frequently more than one component to chronic pelvic pain• Physical, psychosocial , emotional and social factors• Pain is, by definition, a sensory and emotional experience associated with actual or potential tissue damage or described in those terms
  • 6. Causes of Pain
  • 7. Causes of Pain• Hormone related: ▫ Endometriosis ▫ Adenomyosis• Adhesions• Irritable bowel syndrome• Interstitial cystitis• Musculoskeletal• Nerve entrapment• Psychosocial issues
  • 8. Assessment• History ▫ Appropriate referral to urologist, gastroenterologist, physiotherapist, psychologist , psychosexual counsellor etc.• Examination• Investigations ▫ Screen for infections ▫ USG ▫ MRI ▫ Diagnostic Laparoscopy
  • 9. Red Flag Symptoms• Bleeding from the rectum• New Bowel symptoms after age 50 years• New pain after menopause• Lump in the abdomen• Irregular bleeding after age 40 years• Post coital bleeding• Excessive weight loss• Suicidal ideas
  • 10. Treatment• Treatment of specific gynaecologic disorder if any• Hormonal therapy for cyclical pain• Antispasmodics for irritable bowel syndrome / interstitial cystitis• Lifestyle changes• Pain specialist
  • 11. Dr. Samar Gupte•samargupte@hotmail.com•+91-9820458696•P.D.Hinduja Hospital, Mahim: Tuesday,Wednesday and Friday•Hinduja Surgical Healthcare, khar : Tuesday•Other days by appointment