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Objective-To determine whether bilateral oophorectomy combincd with hysterectomy is an effective ... more Objective-To determine whether bilateral oophorectomy combincd with hysterectomy is an effective treatmcnt for chronic pelvic pain due to congestion. Design-Prospective non-randomized single centre study. Setting-Tertiary referral ccntrc to a specialist pelvic pain clinic in a tcaching hospital. Subjects-36 womcn, 33 of whom had failed to obtain long tcrm relicf of pain on medical therapy. Main outcome measures-Relief of pain, coital frequency, and effect on daily lifc. Histology of uterus and ovaries. Results-Median pain scorc on visual analogue scale fcll from a prc-opcrativc value of 10 t o 0 at one year. Twelvc of the 36 womcn had some residual pain at one year postoperativcly, but in only onc woman was the pain affecting hcr daily lifc. Thirty women were noted to have pelvic tcndcrness pre-opcratively. at one year, 26 had no tenderness and four miniinal tenderness on pelvic examination. Thc median frcqucncy of scxual ititcrcourse increascd from once per month preoperatively to eight times pcr month onc year postoperativcly. The uterus was histologically normal in 25 women, adenomyosis was present in cight of whom two had ovarian endometriosis. Fibroids were present in three and endometriosis was found confincd to thc ovaries in one woman. Multiple peripheral cysts were prescnt in the ovaries of 25 womcn. Conchdon-Bihtera1 oophorectomy combined with hysterectomy and hormone replacement therapy is an effective trcatmcnt for chronic pelvic pain due to venous congestion, which has failed to respond to mcdical trcatmcnt and leads to restoration of normal coital function and daily lifc. An effective treatmcnt for chronic disabling pclvic pain in women of reproductive age in whom

Objective-To determine whether bilateral oophorectomy combincd with hysterectomy is an effective ... more Objective-To determine whether bilateral oophorectomy combincd with hysterectomy is an effective treatmcnt for chronic pelvic pain due to congestion. Design-Prospective non-randomized single centre study. Setting-Tertiary referral ccntrc to a specialist pelvic pain clinic in a tcaching hospital. Subjects-36 womcn, 33 of whom had failed to obtain long tcrm relicf of pain on medical therapy. Main outcome measures-Relief of pain, coital frequency, and effect on daily lifc. Histology of uterus and ovaries. Results-Median pain scorc on visual analogue scale fcll from a prc-opcrativc value of 10 t o 0 at one year. Twelvc of the 36 womcn had some residual pain at one year postoperativcly, but in only onc woman was the pain affecting hcr daily lifc. Thirty women were noted to have pelvic tcndcrness pre-opcratively. at one year, 26 had no tenderness and four miniinal tenderness on pelvic examination. Thc median frcqucncy of scxual ititcrcourse increascd from once per month preoperatively to eight times pcr month onc year postoperativcly. The uterus was histologically normal in 25 women, adenomyosis was present in cight of whom two had ovarian endometriosis. Fibroids were present in three and endometriosis was found confincd to thc ovaries in one woman. Multiple peripheral cysts were prescnt in the ovaries of 25 womcn. Conchdon-Bihtera1 oophorectomy combined with hysterectomy and hormone replacement therapy is an effective trcatmcnt for chronic pelvic pain due to venous congestion, which has failed to respond to mcdical trcatmcnt and leads to restoration of normal coital function and daily lifc. An effective treatmcnt for chronic disabling pclvic pain in women of reproductive age in whom

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