Chronic Pelvic Pain in Women: A Retrospective Analysis at a Tertiary Care Centre in Bihar

ABSTRACT

Introduction: Chronic pelvic pain (CPP) is common amongwomen of reproductive age group. Prevalence of chronicpelvic pain vary widely depending on the definition usedand range from 2% to 27% of adult females worldwide.Theobjective of this study was to know the ‘period prevalence ‘ ofCPP from December 15th 2018 to May 15 th 2019 along with asecondary aim to identify the associated risk factors.Material and methods: The retrospective study was carriedout in the department of Obstetrics and Gynaecology,at atertiary care teaching hospital. The study period was for sixmonths (Dec ’18-May’19).Results: The prevalence of chronic pelvic pain was 25%(n=1413) in women > 18 years with a maximum prevalenceof 34% (n=484) in women of 30-39 years age group. Thirtyseven percent(n=530) were associated with irritable bowelsyndrome; Psychosocial factors were seen in 35% cases;31%(n=438) suffered from constipation; 30% had associatedurinary symptoms; 0.2% (n=4) had varicose veins in innerthigh and vulval region, 9% (n=127) had chronic PID.3% hadsuspected nerve entrapment and another 3% had adhesions.Eight percent had pain related to musuloskeletal system.6%(n= 84) with no other associated symptom had usg finding ofendometriosis.Conclusion: The prevalence appears to be high (25%) in ourpart of the country. Owing to its multifactorial aetiology, thegynaecologists should develop the habit of looking beyond theuterus.