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Link to original content: https://pubmed.ncbi.nlm.nih.gov/10806259
Pain referral patterns in the pelvis - PubMed Skip to main page content
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Clinical Trial
. 2000 May;7(2):181-3.
doi: 10.1016/s1074-3804(00)80037-7.

Pain referral patterns in the pelvis

L A Demco  1
Affiliations
Clinical Trial

Pain referral patterns in the pelvis

L A Demco. J Am Assoc Gynecol Laparosc. 2000 May.

Abstract

Study objective: To determine if right-left pelvic pain orientation exists in all patients, and to estimate the frequency of pain referral patterns in the pelvis.

Design: Prospective, nonrandomized trial (Canadian Task Force classification II-1).

Setting: University-affiliated hospital.

Patients: One hundred consecutive women with no pain undergoing tubal sterilization or investigation of infertility (group A) were compared with 225 women with chronic pelvic pain of greater than 6 months' duration (group B).

Intervention: Patient-assisted laparoscopy with intravenous conscious sedation and pelvic pain mapping.

Measurements and main results: Of women in group A, 69% had correct right-left orientation, 18% had pain perceived on the opposite side of the abdomen, and 31% had pain referred to another location in the abdomen. The results were similar in women in group B, 65% of whom had correct orientation, 15% had pain perceived on the opposite side of the abdomen, and 35% had pain referred to another location.

Conclusion: This demonstrates the need to ask on which side a woman feels pain during physical examination. It is not correct to assume that an answer of "yes" means the same side of the pelvis that is being examined. Patient-assisted laparoscopy and pelvic pain mapping are excellent in correlating the symptom with the pathology.

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