J Med Assoc Thai 2003; 86 (6):404

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Laparoscopic Finding in Thai Women with Chronic Pelvic Pain
Bunyavejchevin S Mail, Rungruxsirivorn T , Pinchantra P , Wisawasukmongchol W , Suwajanakorn S , Limpaphayom K

Objective
: To study the laparoscopic findings in Thai women with chronic pelvic pain.
Setting:
The Gynecology Endoscopy unit, Department of Obstetrics and Gynecology, Faculty
of Medicine, King Chulalongkorn Memorial hospital.
Design:
Descriptive study.
Material and Method
:The medical records of Thai women with chronic pelvic pain under-
going laparoscopic diagnosis from January 1996 to December 2001 at King Chulalongkorn Hospital
were reviewed. Patients' characteristics and laparoscopic findings were reviewed and analyzed.
Results
: One hundred and ten eligible women were enrolled in this study. The mean age was
33.9
เธ‘
7.2 years old (16-54 years old). Sixty-seven (60.90%) women had endometriosis, 14 (12.73%)
women had pelvic adhesion, 4 (3.64%) women had myoma uteri, 4 (3.64%) women had tubal occlusion
and 13 (11.81%) women had normal findings. The majority (38.15%) of endometriosis findings were
in minimal stage of American Fertility Society (AFS) scores.
Conclusions
: The vast majority of causes of chronic pelvic pain in women in this study was
pelvic endometriosis. Laparoscopic diagnosis was an important tool for identifying the causes in Thai
patients.
Key word
: Chronic Pelvic Pain, Laparoscopy

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