Pain beside pelvis

The pelvis is a place with bones. If pain occurs in this place, there may be many factors. The most common one is the involvement of internal organs and multiple organ tissues, which will cause pelvic pain. When you feel pain next to the swelling, you should first check and determine the cause, and then choose the appropriate method of treatment, so that recovery can be faster.

Chronic pelvic pain is a multifactorial problem. There is no simple etiology to explain it, so a clear diagnosis is not easy. Although pain caused by many visceral injuries is known, little is known about the relationship between pelvic organ injury and pain in women.

In at least one-third of patients with CPP, no obvious cause can be found even after laparoscopy. In addition, pelvic organ distortion caused by adhesions and endometriosis does not necessarily cause pain. Even if it causes pain, its location and degree may not be related to the location and severity of the lesion. Furthermore, CPP may have different sensory, emotional, and behavioral responses compared to acute pain.

Chronic pelvic pain (CPP) is a symptom. For some patients, the cause can be found, such as organic diseases such as chronic pelvic inflammatory disease, endometriosis, adenomyosis, pelvic adhesions, etc., but many patients only have mild pathological changes or no organic changes. For these patients, some explanations can be obtained from the social-psychological aspects. Doctors often diagnose it as functional chronic pelvic pain, but according to the theory of modern bio-psychosocial medical model, it should be called psychological (mental) chronic pelvic pain. Some domestic scholars have conducted a survey and found that the cause of CPP is due to social and psychological factors, accounting for 5% to 25% of the total.

Stout et al. evaluated 294 CPP patients using the CES-D scale and found that 59% of the women scored in the depression range (total score ≥ 16 points). Scloulmb et al. used the Hopkins Symptom Scale to examine and found that CPP patients scored higher in anxiety, depression, anger/hostility and somatic symptoms, while 56% of women scored within the normal range. Therefore, it is unclear whether psychological abnormalities are the cause of the disease or the result of pain.

Some CPPs are also associated with traumatic sexual experiences. Reiter et al. studied 106 CPP patients and found that 48% of the patients had traumatic sexual experiences, including sexual harassment, incest, or rape, while only 6.5% of the 92 people in the control group had such experiences (P < 0.01). The incidence of sexual trauma in childhood was also higher in the CPP group than in the control group (64%/23%), and there were no qualitative or quantitative differences in laparoscopy between the two groups.

Other studies have suggested that the occurrence of CPP is related to marital unhappiness and sexual dysfunction. Stout used the Locke-Wallace Marital Status Rating Scale to test 220 married CPP patients and found that 56% scored < 100 points, indicating marital distress.