Pain due to pelvic congestion syndrome is relieved by:
Correct Answer: OC pills.
Description: 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
Category:
Gynaecology & Obstetrics
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