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Misdiagnosis of Chronic pelvic pain

Alternative diagnoses list for Chronic pelvic pain:

For a diagnosis of Chronic pelvic pain, the following list of conditions have been mentioned in sources as possible alternative diagnoses to consider during the diagnostic process for Chronic pelvic pain:

Rare Types of Chronic pelvic pain:

Chronic pelvic pain: Medical Mistakes

Related medical mistakes may include:

Chronic pelvic pain: Undiagnosed Conditions

Commonly undiagnosed conditions in related areas may include:

Common Misdiagnoses and Chronic pelvic pain

Unnecessary hysterectomies due to undiagnosed bleeding disorder in women: The bleeding disorder called Von Willebrand's disease is quite common in women, but often fails to be correctly diagnosed. Women with the condition tend to have heavy periods, since they actually have a bleeding disorder. Severe afflictions may result in the women receiving a hysterectomy unnecessarily, when the underlying cause has not been identified. See the introduction to Von Willebrand's disease and bleeding disorder.

Cluster of diseases with difficult diagnosis issues: There is a well-known list of medical conditions that are all somewhat difficult to diagnose, and all can present in a variety of different severities. Diseases in this group include multiple sclerosis, lupus, Lyme disease, fibromyalgia, thyroid disorders (hypothyroidism or hyperthyroidism), chronic fatigue syndrome, diabetes - all of these can have vague symptoms in their early presentations. Also, depression can have some symptoms similar to these conditions, and also the reverse, that many of these conditions can mimic depression and be misdiagnosed as depression.

Rare type of breast cancer without a lump: There is a less common form of breast cancer called inflammatory breast cancer. Its symptoms can be an inflammation of the breast tissue, such as with a breast rash with redness and warmth, but not necessarily a physical breast lump. This type of breast cancer should be considered as an uncommon possibility for certain types of breast symptoms.

Leg cramps at night a classic sign: The symptom of having leg muscle cramps, particularly at night, is a classic sign of undiagnosed diabetes. However, there are also various other causes. See causes of leg cramps or misdiagnosis of diabetes.

Interstitial cystitis an under-diagnosed bladder condition: The medical condition of interstitial cystitic is a bladder condition that can be misdiagnosed as various conditions such as overactive bladder or other causes of pelvic pain. This condition can cause chronic pelvic pain or symptoms of urinary incontinence, similar to overactive bladder. Millions of patients may be misdiagnosed - an estimated third of the 9 million women with chronic pelvic pain (CPP) or 4.5 million of the 17 million women with overactive bladder syndrome do not respond well to treatment, and may have interstitial cystitis rather than their given diagnosis. In other words, about 6 million US women may have misdiagnosed interstitial cystitis. See interstitial cystitis or overactive bladder, or incontinence.

Female athlete syndrome leads to undiagnosed osteoporosis: Younger women are not usually considered as candidates for diagnosis of osteoporosis. However, a pattern of three conditions can occur in female athletes: disordered eating, amenhorrhea, and bone loss (osteoporosis). See introduction to osteoporosis.

Vitamin B12 deficiency under-diagnosed: The condition of Vitamin B12 deficiency is a possible misdiagnosis of various conditions, such as multiple sclerosis (see symptoms of multiple sclerosis). See symptoms of Vitamin B12 deficiency or misdiagnosis of multiple sclerosis.

Chronic pelvic pain: Rare Types

Rare types of medical disorders and diseases in related medical areas:

Failure To Diagnose Chronic pelvic pain

Failure to diagnose Chronic pelvic pain may be associated with the following:

  • Some causes of pelvic pain may be serious (e.g. cancer) and thus accurate diagnosis is important. The true cause of many cases of chronic pelvic pain remains undiagnosed
  • The number of different specialists that may be involved in the search for a cause of chronic pelvic pain means that often patients give up on finding a cause after visits to several different specialists or they are misdiagnosed by one of these specialists who often focus on the possible causes within their field rather than having a broader view of possible causes. The type of practitioners that may be involved in the diagnosis includes family physicians, gynaecologists, neurologists, urologists, pain specialists, physical therapists, internists and sexual counsellors
  • Often patients are too embarrassed to bring up pelvic pain with their health physician and their condition remains undiagnosed until it becomes more severe

Notes On Hidden Causes Of Chronic pelvic pain

The following may be hidden causes of Chronic pelvic pain:

  • Chronic pelvic pain may be caused by a number of conditions or it may have no detectable cause in which case the symptom becomes a condition
  • Urinary tract conditions are a relatively uncommon cause of chronic pelvic pain. These conditions include urinary tract infection, urethritis and interstitial cystitis. However, some experts believe that undiagnosed interstitial cystitis may be a more common cause of chronic pelvic pain than previously thought
  • Gastrointestinal causes of chronic pelvic pain include hernia and irritable bowel diseases such as ulcerative colitis and Crohn's disease
  • Gynaecological causes of chronic pelvic pain include endometriosis, chronic pelvic inflammatory disease, pelvic adhesions, Mittelschmerz, ovarian remnant syndrome, pelvic congestion syndrome and cyclic pelvic or uterine pain due to primary or secondary dysmenorrhea
  • Poor posture is often overlooked as a possible cause of chronic pelvic pain
  • Psychological disorders such as sexual and physical abuse, marriage problems, personality disorders, somatoform disorder, chronic stress, depression and sleep disorders are also often associated with pelvic pain. Psychological conditions may manifest as physical symptoms such as chronic pelvic pain

Notes On Wrong Diagnosis Of Chronic pelvic pain

Wrong diagnosis of Chronic pelvic pain may be associated with the following:

  • Chronic pelvic pain is a symptom common to a very large of conditions which makes it easily misdiagnosed especially since many of the underlying causes are themselves very difficult to diagnose or have no specific diagnostic test. Chronic pelvic pain syndrome is chronic pelvic pain that has no apparent cause. Difficult to diagnose causes of pelvic pain may be ignored and a diagnosis of chronic pelvic pain syndrome given
  • Occasionally there may be more than one condition that contributes to the chronic pelvic pain which may make diagnosis more difficult and misdiagnosis more likely
  • Patients with chronic pelvic pain tend to be referred to a gynaecological specialist who is less likely to detect non-gynaecological causes such as poor posture or underlying psychological conditions such as depression or personality disorder

General Misdiagnosis Articles

Read these general articles with an overview of misdiagnosis issues.

About misdiagnosis:

When checking for a misdiagnosis of Chronic pelvic pain or confirming a diagnosis of Chronic pelvic pain, it is useful to consider what other medical conditions might be possible misdiagnoses or other alternative conditions relevant to diagnosis. These alternate diagnoses of Chronic pelvic pain may already have been considered by your doctor or may need to be considered as possible alternative diagnoses or candidates for misdiagnosis of Chronic pelvic pain. For a general overview of misdiagnosis issues for all diseases, see Overview of Misdiagnosis.


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