Differentials

Common

Primary dysmenorrhea

History

occurs 6-12 months following menarche, once ovulatory cycles have been established; pain usually lower abdominal and cramping in nature, radiates to the back and inner thigh, usually lasts from 8-72 hours and accompanies menstrual flow or precedes it by only a few hours; pain associated with systemic symptoms such as vomiting, nausea, diarrhea, fatigue, and headache

Exam

typically normal

1st investigation
  • no initial test:

    clinical diagnosis

Other investigations

    Pelvic inflammatory disease

    History

    lower abdominal, often bilateral; deep dyspareunia; abnormal vaginal discharge; abnormal bleeding; may be a history of previous sexually transmitted infection/pelvic inflammatory disease or risk factors

    Exam

    lower abdominal tenderness; fever; mucopurulent cervical or vaginal discharge; cervicitis; cervical motion tenderness; uterine and/or adnexal tenderness or mass

    1st investigation
    • genital cultures or detection assays for gonorrhea, chlamydia, Mycoplasma genitalium:

      positive

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    Other investigations
    • WBC:

      leukocytosis or normal

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    • erythrocyte sedimentation rate:

      >20 mm/hour

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    • pelvic ultrasonography:

      normal or presence of adnexal mass

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    • diagnostic laparoscopy:

      confirms PID diagnosis

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    Endometriosis

    History

    pelvic pain before and during menses or at other times in the menstrual cycle; symptoms progressively worsening over time; dyspareunia; dyschezia

    Exam

    cul-de-sac nodularity; uterosacral ligament thickening, tenderness or nodularity; fixed and retroverted uterus; lateral cervical deviation; adnexal masses

    1st investigation
    • pelvic ultrasonography:

      may show presence of ovarian endometriomas

    Other investigations
    • diagnostic laparoscopy:

      powder burn lesions due to endometriotic implants

    Adenomyosis

    History

    usually parous; heavy menstrual flow, or abnormal bleeding pattern

    Exam

    diffusely enlarged, globular uterus; uterine tenderness, particularly during the menses

    1st investigation
    • pelvic ultrasonography (transvaginal ultrasound scan):

      normal or enlarged uterus (in absence of fibroids); often asymmetrical enlargement of the anterior or posterior myometrium; lack of homogeneity/disturbed architecture within the myometrium

    Other investigations
    • MRI pelvis:

      enlarged uterus; abnormal signal intensities within myometrium;

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    Uterine leiomyoma (fibroids)

    History

    heavy and/or prolonged menstrual bleeding; abnormal bleeding pattern; pelvic "pressure" symptoms; urinary frequency and/or urgency; constipation; rectal pressure

    Exam

    enlarged uterus with smooth or irregular contour (depending on fibroid number and location)

    1st investigation
    • pelvic ultrasonography:

      visualization of leiomyoma as solid, hypoechoic masses; provides characterization of location, size, and number of leiomyomas

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    Other investigations
    • sonohysterogram:

      identification of submucosal leiomyoma with intracavitary component

    • MRI pelvis:

      visualization of leiomyoma with characterization of location, size, and number; may be useful for surgical or radiologic treatment planning

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    • endometrial biopsy:

      normal

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    Uterine polyps

    History

    irregular menstrual bleeding, heavy menstrual bleeding, or intermenstrual bleeding

    Exam

    normal; rarely, a polyp protruding through the cervix can be seen during the speculum exam

    1st investigation
    • pelvic ultrasonography:

      a separated mass in the inner lining of the uterus

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    Other investigations
    • hysteroscopy:

      can be seen as a sessile or pedunculated mass arising from the lining of the uterus (can be used for both diagnosis and subsequent resection)

    Uncommon

    Ovarian cyst with hemorrhage

    History

    sudden onset, midcycle, unilateral pain

    Exam

    adnexal mass and/or tenderness

    1st investigation
    • pelvic ultrasonography:

      cystic adnexal structure with internal echoes suggestive of hemorrhage; may be free fluid in pelvis

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    Other investigations
    • diagnostic laparoscopy:

      hemorrhagic ovarian cyst

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    Ovarian torsion

    History

    lateral component to pain; acute onset of symptoms; nausea and vomiting; history of pelvic surgery

    Exam

    adnexal mass and/or tenderness

    1st investigation
    • pelvic ultrasonography:

      enlarged ovary due to impaired venous and lymphatic drainage (torsion)

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    Other investigations
    • diagnostic laparoscopy:

      torsed enlarged ovary

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    Obstructive Mullerian duct anomalies

    History

    cyclic pain; onset of symptoms with or shortly after menarche

    Exam

    pelvic mass or asymmetric enlargement of uterus (due to hematometra)

    1st investigation
    • pelvic ultrasonography:

      Mullerian duct malformation; rudimentary, noncommunicating uterine horn with entrapped blood

    Other investigations
    • MRI pelvis:

      Mullerian duct malformation; rudimentary, noncommunicating uterine horn with entrapped blood

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    Cervical stenosis

    History

    history of surgical procedures for cervical dysplasia e.g., large loop excision of the transformation zone (LLETZ); secondary amenorrhea; cyclic component to pain

    Exam

    normal or enlarged uterus (if hematometra present due to outflow obstruction)

    1st investigation
    • pelvic ultrasonography:

      normal or fluid collection in uterus

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    Other investigations

      Intrauterine devices

      History

      presence of symptoms following copper intrauterine device insertion may be suggestive of the etiology; perforation or malposition of a device may lead to pain

      Exam

      absence of visible threads on speculum examination may suggest perforation

      1st investigation
      • pelvic ultrasonography:

        echogenic device within the uterine cavity.

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      Other investigations
      • abdominal x-ray:

        echogenic device in the abdominal cavity; subdiaphragmatic gas if perforation has occurred

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      Asherman syndrome

      History

      pregnancy event followed by dilation and curettage leading to menstrual irregularities; less commonly leads to recurrent miscarriages and secondary infertility

      Exam

      normal

      1st investigation
      • sonohysterography (or hysterosalpingography):

        abnormal distorted endometrial cavity with multiple adhesions

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      Other investigations
      • pelvic ultrasonography:

        uterus partially enclosed by corporal adhesions

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      • hysteroscopy:

        distorted cavity by fibrous tissue; fallopian ostia may be occluded

      Pelvic congestion syndrome

      History

      dull ache aggravated by standing or other physical activity; may have deep dyspareunia, postcoital tenderness, menstrual irregularities, or back ache

      Exam

      cervical motion tenderness, adnexal tenderness, and/or uterine tenderness on bimanual palpation

      1st investigation
      • laparoscopy:

        dilated pelvic veins

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      Other investigations
      • pelvic ultrasonography:

        dilated pelvic veins

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      • pelvic venography:

        transuterine injection of water-soluble radio-opaque contrast outlines the pelvic veins; the ovarian vein diameter, congestion of ovarian plexus, and the time taken for the disappearance of the contrast medium are considered to score the venogram; a score of 6 is diagnostic of pelvic congestion

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