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CLINICAL ASSESMENT OF
Chronic Pelvic Pain
INTRODUCTION
WHY RESEARCH
OBJECTIVES
SUBJECTS & METHODOLOGY
RESULTS & CONCLUSION
RECOMMENDATIONS
INTRODUCTION




     What is CPP?
INTRODUCTION




   What is Etiology
      of CPP?
INTRODUCTION




What Investigations
   are Made?
WHY RESEARCH?



Explore Possible Causes
Formulate Management Guidelines
Promote Cost Effective Therapy
OBJECTIVES

        GENERAL

To Assess CPP in Females of
     Reproductive Age
OBJECTIVES

             SPECIFIC

1. To Assess Symptomatology of
   CPP in Govt. & Private sectors
2. To Compare health seeking
   behavior in both sectors
SUBJECTS & METHODOLOGY




         SETTING
SUBJECTS & METHODOLOGY




STUDY DESIGN
SUBJECTS & METHODOLOGY




DURATION
SUBJECTS & METHODOLOGY


            SAMPLING
SUBJECTS & METHODOLOGY




SAMPLE SIZE
SUBJECTS & METHODOLOGY

   INCLUSION CRITERIA
EXCLUSION CRITERIA
SUBJECTS & METHODOLOGY




   DATA COLLECTION
SUBJECTS & METHODOLOGY

ANALYSIS
SUBJECTS & METHODOLOGY




    VARIABLES
RESULTS
RESULTS

  35
          DEMOGRAPHIC DATA

             13                   14
                       4
  Age      Menarchy   Parity   Married for
PRESENTING COMPLAINTS
                                 7%
AP                          3%
                       7%
AP+Vaginal Discharge                   27%

AP+Infertility

AP+Mentrual
Irregularities                   56%
AP+Dysmennorrhea
COMPARISON
    Urinary                                   1%
    Disturbances                         6%
                        1%
  Dysmennorrhea                                ASH
                             3%
                                               LNH
                         3%
 Abdominal mass
                                   13%
                                                         48%
Vaginal discharge
                                                   37%
                    0             20     40        60     80
VAGINAL DISCHARGE
                    5%
 Yellow Purulent
                         30%
 Green Irritant


 White Curdy                   2%
                   63%
 Blood Stained
COMPARISON COLOR

   White Curdy
                                  60%
                                         74%
                            ASH    LNH
 Green Irritant
                  1%
                   4%

Yellow Purulent
                          39%
                    20%
COMPARISON AMOUNT

    Mild
           18%         ASH   LNH
           19%

Moderate
                             56%
                 30%

 Copious
              26%
                        51%
COMPARISON CONSISTENCY

          40% 42%                 42%
   33%
                    17%                20%

 1%                      5%
  Thick    Watery   Watery and   Thick and Sticky
                      Sticky
COMPARISON COLOR


       61%       21%     52%       48%
LNH
       48%        44%        75%        25%
ASH

  Secific Odor    Odorless     Itcing     No Itching
ASSOCIATED COMPLAINT


              61%       21%         77%
ASH

            48%         44%         56%
LNH

      Urinary Disturbance   Bowel Disturbance   None
PAIN INTENSITY
                        ASH    LNH
            84%

                              48%
      24%        28%
 5%                     11%

   Mild      Moderate    Severe
ABORTION

ASH       13%        3%


LNH           21%              10%

  Skilled Abortion   Unskilled abortion
CONCLUSION
RECOMMENDATION

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