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Diagnostic Tests for Pelvic pain

Diagnostic Test list for Pelvic pain:

The list of diagnostic tests mentioned in various sources as used in the diagnosis of Pelvic pain includes:

  • Physical examination
    • Look for signs of shock? - e.g. reduced blood pressure, increased heart rate - suggesting acute ruptured ectopic pregnancy or ruptured appendix.
    • Temperature. If temperature is elevated must consider pelvic inflammatory disease, diverticulitis, appendicitis, urinary tract infection or osteomyelitis
    • Gentle Abdominal and pelvic examination feeling for tenderness, mass or rigidity of the abdominal wall
    • Manual vaginal examination to feel for any tenderness or pelvic mass. The presence of a pelvic mass would suggest pelvic inflammatory disease, ectopic pregnancy, endometriosis, fibroid in the uterus or an ovarian tumor
    • Speculum vaginal examination looking for a vaginal discharge which suggests pelvic inflammatory disease
    • Rectal examination - noting any tenderness, masses or blood.
  • Blood tests
    • Full blood count and ESR
    • Pregnancy test
    • Electrolytes
    • Blood cultures, if fever is present
    • Syphilis screen
    • Tumor markers such as CA 125, HCG and alpha fetoprotein may assist in diagnosis and management of malignant ovarian tumor
  • Urine tests
    • Urinalysis
    • Urine sample for microscopy and culture to detect urinary tract infection
    • First pass urine pcr for Chlamydia and gonorrhea
  • Pap smear
  • Swab of vaginal discharge for microscopy and culture - to test for gonorrhea and Chlamydia.
  • Swab of cervical canal and rectum for microscopy and culture to test for gonorrhea and Chlamydia
  • Stool tests
    • Test for occult blood (if positive may suggest diverticulitis)
  • Radiological investigations
    • Pelvic ultrasound scan
    • CT Scan of the pelvis and abdomen may be necessary
    • X-Ray, CT Scan or MRI Scan of the pubic bones, if suspect
    • Osteomyelitis or bone tumor
    • Bone Scan will help diagnose osteomyelitis or tumor of the pubic bones
  • Surgical Laparoscopy or exploratory laparotomy - may be performed.
  • Colonoscopy - may help to diagnose diverticulitis.

Home Diagnostic Testing

These home medical tests may be relevant to Pelvic pain causes:

Conditions listing medical symptoms: Pelvic pain:

The following list of conditions have 'Pelvic pain' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Pelvic pain or choose View All.

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Conditions listing medical complications: Pelvic pain:

The following list of medical conditions have 'Pelvic pain' or similar listed as a medical complication in our database.

 

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