Orion Specialist

260 Churchill Avenue,
Subiaco, WA 6008


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Chronic Pelvic Pain & Endometriosis

Dysmenorrhoea is pain occurring during menstruation. It may be primary or secondary dysmenorrhea. Chronic pelvic pain is defined as pelvic pain of at least 6 months duration, not associated with periods or sex and may be continuous or intermittent.​Causes of pelvic pain could be due to:

  • Endometriosis
  • Ovarian cysts
  • Adenomyosis
  • Fibroids
  • Muscle spasm​
  • Pelvic venous congestion
  • Interstitial cystitis/bladder pain syndrome
  • Irritable Bowel Syndrome
  • Vulvodynia

Diagnosis is through careful and detailed history taking, thorough pelvic examination. And Investigations which may   include pelvic ultrasound and sometimes diagnostic laparoscopy.   


Management requires a holistic approach and may sometimes require a multidisciplinary input. Treatment may include NSAIDs, OCPills, and surgical LUNA -Laparoscopic uterine nerve ablation -Cutting or destroying uterine nerves blocks pain signals from reaching tissues and organs. Dietary supplements such as Magnesium and Vitamin B1 may also be helpful.

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