Pain due to pelvic congestion syndrome is relieved by:
PELVIC CONGESTION SYNDROME There is congestion or dilatation of uterine or ovarian plexuses. Symptoms: Patient has a congestive type of dysmenorrhea without any demonstrable pelvic pathology. other symptoms include: bilateral lower abdominal pain, dyspareunia, abnormal uterine bleeding, chronic fatigue and irritable bowel symptoms Diagnosis: clinical, Tranuterine venography, MRI are for primary diagnosis. Pelvic USG and laparoscopy may disclose varicosities Management: Pain relief: Oral Contraceptive Pills (containing low estrogen and high Progesterone), GnRH analogues Hormonal suppression: medroxyprogesterone acetate (30 mg daily), Goserelin (GnRH analogue) Non responsive: Percutaneous transcatheter embolisation
OC pills.
Tamoxifen
Mefenamic Acid.
Mifepristone.
Normal Menstruation, Abnormal Menstruation, Menopausal Physiology and forsight of conception