جستجوی مقالات مرتبط با کلیدواژه « chronic pelvic pain » در نشریات گروه « پزشکی »

Iranian Traditional Medicine (ITM) has holistic and systematic approach. From ITM point of view, uterine pain is a pelvic pain with gynecological basis. Many gynecological causes of pelvic pain are unknown in the contemporary medicine. Therefore, this study was performed with aim to survey the causes of unknown cases and evaluate the causes of uterine pain from ITM point of view and compared with contemporary medicine.
The current review study investigated the causes of uterine pain in ITM references from the fourth to the fourteenth centuries. Also, gynecological causes of pelvic pain were collected from gynecological textbooks and 16 articles from databases of Google Scholar, PubMed, Scopus and SID with keywords of chronic pelvic pain and pelvic pain. Then, the causes of uterine pain from ITM point of view were compared with the gynecological causes of pelvic pain from the contemporary medicine.
Uterine pain from ITM’s view is divided into two groups of related and unrelated to specific time. Uterine pain related to specific time is related to menstruation, coitus and delivery. Causes of uterine pain unrelated to specific time include structural, functional and structural-functional causes. From contemporary medicine, pelvic pain is divided into acute, cyclic and chronic that each has different causes.
Uterine pain related to specific time from ITM's view is in accordance with cyclic pelvic pain from the contemporary medicine's view and uterine pain unrelated to specific time is in accordance with chronic pelvic pain with gynecological basis. The most important differences of gynecological causes of chronic pelvic pain between ITM and contemporary medicine are "genital dystemperaments" (Sui' e Mizaj) and "uterine distension" that are among the functional causes and can explain one of the most common and challengeable gynecological causes of chronic pelvic pain, the idiopathic causes, in the contemporary medicine.

Chronic Pelvic Pain (CPP), a common health problem in women, characterized by any lower abdominal pain that lasted at least six months or more, with no relation to pregnancy, menstruation and intercourse. The pain can affects on activities of daily living negatively and lead to medical or even surgical treatment. According to our knowledge, there are limited studies related to CPP in Iran. Therefore, present study was aimed to survey on CPP in women attending Pelvic Floor Clinic at the Imam Khomeini University Hospital. Methods and materials: This cross-sectional study was conducted on 516 married women (who were not virgin). Participants completed a designed questionnaire, which included demographic information and questions regarding involvement of gynecologic, urinary, gastrointestinal, musculo - skeletal and psychological systems. After collecting data, binary logistic regression was used to analysis the data. Values of p<0.05 were considered to be significant. 27/9% of women reported current pain in the pelvic area unrelated to menstruation and sexual intercourse, while totally 17/6% suffered from pain over the past 6-12 months or CPP. There were a significant relationship between CPP, chronic low back pain and dyspareunia (p=0.04 and p=0.03 respectively). Our data did not show significant difference between the prevalence of CPP, types of delivery and history of having trauma to the spine and pelvis. This comprehensive study provided an extensive and multidimensional approach regarding to CPP in our society. As for to estimation 27.9% pelvic pain and 17.6% CPP and their relationship with gynecological, urinary, musculoskeletal and gastrointestinal systems, we suggest doing more population-based epidemiological studies, also emphasis on multidisciplinary approach for managing these patients.

Endometriosis is a chronic gynaecological disease with a prevalence of about 10% in women of reproductive age. The typical symptoms of this disease include chronic pelvic pain, dyspareunia and infertility with an overall negative impact on the psychosocial parameters in the subjects, leading to a significant reduction of quality of life. Health-Related Quality of Life (HRQL) is a multi-dimensional, dynamic concept that encompasses physical, psychological and social aspects of individuals. The aim of this study was to evaluate quality of life in patients with endometriosis. This descriptive, cross-sectional study was performed on forty 22–28 year-old women with endometriosis, attending Avicenna Infertility Clinic and Shahid Beheshti University of Medical Sciences. Endometriosis Health Profile-5 (EHP-5) questionnaire was used in interviews to collect data from individuals willing to participate in the study. The mean age of participants was 35.7±8.3 years with an average duration of the disease of 32 months (6 to 84 months). All the patients were infertile, 75% suffered from dyspareunia and 32% had painful walking. Functional impairment was seen in 62% of the individuals and 92% felt as though symptoms were ruling their lives. Mood swing was seen in 55% of the patients, 37% felt depressed and 34% thought their general appearance had been affected. About 73% believed that healthy individuals and 41% believed that even medical doctors did not realize the gravity of their disease, while 29% felt hopeless because of treatment effectiveness. Endometriosis impairs quality of life, specially in the domains of pain, psychological and functional abilities. Although, medical and surgical measurements improve physical and psychological functions, increase energy levels and lessen pain but psychotherapy and appropriate pharmacotherapy seem to be essential in the management of endometriosis.