Pelvic Congestion Syndrome clinical performance

Pelvic Congestion Syndrome in the major performance of the wide range of chronic pain, extreme fatigue and certain neurasthenic symptoms. With chronic lower abdominal pain, low back pain, feeling unhappy, extreme fatigue, excessive and leucorrhea dysmenorrhea most common, almost 90% of patients with varying degrees of symptoms. The so-called chronic pain, means all forms of pain lasted more than six months, the frequency of not less than five days a week, daily pain no less than four hours. In addition, patients also often menorrhagia, premenstrual breast pain, premenstrual defecation pain, bladder and vaginal irritation fell pain, anal fell pains. These symptoms were in the afternoon, evening or after standing aggravated sexual intercourse, menstruation to the Provisional even before. One, lower abdominal pain for the majority of chronic ear bone joint on the district diffuse pain, or both sides of the lower abdomen pain, the side is often heavier, and at the same time involved ipsilateral or lower extremities, especially the thigh or hip pain weakness, started in midcycle. A few patients showed occasional acute abdominal pain, easily misdiagnosed as acute appendicitis, ruptured follicle, ruptured ectopic pregnancy. Two, low back pain patients referred to the site of pain equivalent to the level of sacral gluteal region, a small number of the second half of the sacrum, accompanied lower abdominal pain. Premenstrual long standing and after sexual intercourse increased. 3, dysmenorrhea patients over almost half of this symptom. Characteristics of a few days before menstruation began to occur under abdominal pain, lower back pain or pelvic pain with constipation, some have gradually into spasm and pain, menstrual the day before or the first days of the most powerful. after the second day of menstruation reduced significantly. 4, sexy unhappy and asked if the patient often complains of sexual intercourse with different degrees of pain, mostly for sexual intercourse deep pain, Some almost intolerable, and then not only pain, the next day pain, low back pain, symptoms Baidai more obviously heavier, thus patients on the sex life of tired. 5, extreme fatigue patients often feel very tired all day, almost unable to complete its work by the shoulder (including home). 6, Leucorrhea over more than half of the patients have symptoms of excessive leucorrhea. Leucorrhea most of the characters clear mucus, infection levy. 7, menstrual changes part of the patients have menorrhagia change, because uterine hypertrophy often misdiagnosed as uterine fibroids or uterine hypertrophy. There are some patients menstrual flow-less than before. But obviously associated with the premenstrual breast pain. 8, stasis breast pain more than 70% of patients stasis associated with breast pain and swelling. Patients can touch their breast nodules, and tenderness than the midcycle line with the above symptoms appear together, to menstrual day before or the first menstrual ebb and reached a peak after menstruation, the symptoms accompanying mitigation, or disappear completely. Some breast pain their patients than for heavy pelvic pain, as well as attending to become the chief. 9, vulvovaginal swelling, bleeding, fell to pelvic pain patients often within the genital and vaginal swelling, falling pain, or genital burns, Pruritus flu. Genital performance can be colored, swelling or labia hypertrophy, as well as some degree of venous filling, or computed varices. 10, bladder and urethra symptoms about 1 / 3 more than in patients with pre-clear urine frequency of urination and pain symptoms, often suspected urinary tract infection, urine routine examination but normal. For some patients with serious symptoms to make further cystoscopy examination, can be found bladder Triangle venous filling, hyperemia and edema. Individual patients with bleeding due to rupture of the small veins can lead to hematuria. 11, rectal pain, fell to part with a different degree of rectal catch flu, rectal pain when defecating or rectal pain, On a more obvious early, particularly after uterine third degree to those who see more. 12, the autonomic nervous system symptoms of the vast majority of patients with pelvic congestion has been associated with some of the autonomic nervous system symptoms. Its performance and severity, though not identical, they are confined to the following : (a) general neurological symptoms : feeling irritable, easily agitated, was furious, the use of crying tears, depression or melancholy mood, Night's Dream, daytime fatigue strength and the spirit of the incompetence flu often very serious, often have headaches, most of the posterior occipital pain rather than the Premenstrual headache type. (2) Cardiovascular : have heart palpitations, nausea heart before District bulging discomfort. (3) Respiratory : a sense of shortness of breath, frequently forced inspiratory big mouth. (4) the digestive system : a uh gas, bloating and exhaust sluggish feeling. Consciously poor appetite, indigestion, but not actually eat less, not thinner. (5) Other : Systemic everywhere Monet untold discomfort or pain, such as shoulder pain, hip pain, fingers tight flu, many people have a sense of bulging eyeballs and so on. 13, signs with the subjective severity of the symptoms incompatible. Abdominal examination was found to be the only tenderness, location and more on the pubic symphysis, or the next sides of deep abdominal tenderness, Generally is not significant, not even a constant particularly obvious tenderness, even in the most pain patients is the location, no abdominal tensions and anti-throbbing. Double gynecology doctor, found after hysterectomy for more spaces, or slightly larger than normal. Cervical hypertrophy, violet blue was mostly smooth, there were erosion. Some patients have consciously breast nodules, but check below the nipple seen only diffuse swelling of the breast tissue, more with different degree of tenderness.