SIGNS & SYMPTOMS, INVESTIGATIONS & DIAGNOSIS, TREATMENT PLAN

SIGNS & SYMPTOMS

• Chronic pelvic pain >6 months: cyclical or continuous
• Dyspareunia
• Post-coital pain
• Dysmenorrhoea
• Cyclical GI/urinary symptoms: painful bowel/urinary movements

INVESTIGATIONS & DIAGNOSIS

• Transvaginal ultrasound
• If normal with high clinical suspicion: secondary care referral for diagnostic laparoscopy

TREATMENT PLAN

Conservative:

• Simple analgesia trial for 3 months
• Hormonal treatments: COCP, POP, implant, injectable, LNG-IUS

Review 3-6 months Secondary care:

• Laparoscopic investigation +/- hormonal treatment
• Possible hysterectomy