Pelvic Pain

Jan 01, 2022 Issue
Adenomyosis: Diagnosis and Management [Article]

Adenomyosis is a clinical condition where endometrial glands are found in the myometrium of the uterus. One in three patients with adenomyosis is asymptomatic, but the rest may present with heavy menstrual bleeding, pelvic pain, or infertility. Heavy menstrual bleeding is the most common symptom. Ad...

Dec 01, 2021 Issue
Single-Dose Oral NSAIDs and Acetaminophen for Perineal Pain in the Early Postpartum Period [Cochrane for Clinicians]

In patients with acute perineal pain at four hours' postpartum, a single dose of an oral NSAID and a single dose of oral acetaminophen are each effective at achieving adequate pain relief. Both NSAIDs and acetaminophen are effective at reducing the need for further analgesia. It is unclear whether a...

Feb 1, 2021 Issue
Chronic Pelvic Pain in Women: ACOG Updates Recommendations [Practice Guidelines]

The American College of Obstetricians and Gynecologists has new recommendations for managing chronic pelvic pain.

Nov 1, 2019 Issue
Breast Problems, Pelvic Pain, Allergic Rhinitis, Polypharmacy, Peripheral Artery Disease [AFP Clinical Answers]

Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.

Jun 1, 2019 Issue
Alternative Interventions for Chronic Prostatitis/Chronic Pelvic Pain Syndrome in Men [Cochrane for Clinicians]

In men with chronic pelvic pain and urinary dysfunction who have not responded to standard medical management, extracorporeal shock wave therapy reduces symptoms and increases quality of life. Acupuncture may also provide benefit to some patients.

May 1, 2019 Issue
Aromatase Inhibitors Such as Letrozole (Femara) vs. Clomiphene (Clomid) for Subfertile Women with PCOS [Cochrane for Clinicians]

When treated with letrozole, subfertile women with PCOS who are trying to conceive have increased chances of pregnancy (number needed to treat [NNT] = 11) and live birth (NNT = 10) compared with those treated with clomiphene.

Mar 1, 2016 Issue
Chronic Pelvic Pain in Women [Article]

Find out which tests should be ordered initially, what red flag signs to look for, which pharmacologic and nonpharmacologic treatments are supported by the evidence, and when to refer patients for laparoscopy or long-term opioid therapy.

Jan 1, 2016 Issue
Common Questions About the Evaluation of Acute Pelvic Pain [Article]

Find out which history and physical examination findings can help narrow the differential diagnosis, and which imaging and laboratory tests are most helpful.

Jul 15, 2010 Issue
Evaluation of Acute Pelvic Pain in Women [Article]

Diagnosis of pelvic pain in women can be challenging because many symptoms and signs are insensitive and nonspecific. As the first priority, urgent life-threatening conditions (e.g., ectopic pregnancy, appendicitis, ruptured ovarian cyst) and fertility-threatening conditions (e.g., pelvic inflammato...

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