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CLINICAL ASSESMENT OF
Chronic Pelvic Pain
Principal Investigator
Saad Zia Ahmed Khan
Co-Authors
Sardar Ali Khan
Faizan Khan
Sidra Shakeel
Iqrah Zafar
Supervisor
Dr. Farah Asad Mansuri (H.O.D. CM)
Institution
 (Karachi Medical & Dental College)
INTRODUCTION


 What is Chronic Pelvic   Pain?


 “  Any Pain in the Pelvic




                           ”
     region that lasts for
    more than 6 Months.
INTRODUCTION

 Etiology of Chronic Pelvic Pain?
•Inflammatory
•Proliferative
•Spasmodic
•Psychological Factors
•GI Disorders
INTRODUCTION

Investigations for Chronic Pelvic Pain
•Lab Diagnosis
•Laparoscopy & Imaging
•Pain Mapping
RESULTS
DEMOGRAPHIC DATA
DEMOGRAPHIC DATA
PAIN INTENSITY
                        GOVT.     PRIVATE
            84%

                                  48%
                 28%
      24%
                           11%
 5%

   Mild      Moderate           Severe
CPP 27%


CPP+Vaginal
                          3% 7%
Discharge 56%        7%
                                  27%
CPP+Infertility 7%


CPP+Mentrual
Irregularities 3%
                           56%
CPP+Dysmennorrhea
7%
PRESENTING COMPLAINTS COMPARISON

                                          61%
Urinary Disturbance
                                       48%
                      1%
   Dysmennorrhea
                           12%
                                         GOVT.
                       7%
                                         PRIVATE
   Abdominal mass
                                 25%
                       7%
 Vaginal discharge
                                       48%
COLOR OF VAGINAL DISCHARGE

                   5%
Yellow Purulent
                        30%
Green Irritant


White Curdy
                              2%
                  63%
Blood Stained
COMPARISON COLOR

                               60%
   White Curdy
                                  76%
                  1%
 Green Irritant
                   4%
                         39%
Yellow Purulent                  GOVT.
                   20%           PRIVATE
COMPARISON CONSISTENCY

                                  42%
          40% 42%
   33%
                                       20%
                    17%
                         5%
 1%
  Thick    Watery   Watery and   Thick and Sticky
                      Sticky
COMPARISON AMOUNT
                        GOVT.
           18%          PRIVATE
    Mild
            19%

                           56%
Moderate
                  30%

              26%
 Copious
                        51%
ODOR & ITCHING


                                     48%
          45%      55%        52%
PRIVATE


           68%      32%        75%       25%
  GOVT.


    Secific Odor   Odorless     Itcing    No Itching
ABORTION


            13%        3%
  GOVT.




                21%              10%
PRIVATE



    Skilled Abortion   Unskilled abortion
CONCLUSION

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Clinical assessment of chronic pelvic pain