What is the step-by-step assessment of Chronic Periodontal Disease (CPD)?

A comprehensive step-by-step assessment of CPD (Chronic Pelvic Disease) involves a systematic approach beginning with a detailed patient history focusing on pain characteristics, duration, and associated symptoms. First, conduct a thorough physical examination including abdominal, pelvic, and neurological assessments to identify tenderness, masses, or neurological abnormalities. Laboratory tests should include complete blood count, urinalysis, STI screening, and inflammatory markers like CRP and ESR. Imaging studies are essential, starting with transvaginal or transabdominal ultrasound to evaluate pelvic organs, followed by MRI for detailed soft tissue visualization if needed. CT scans may be used to assess for abscesses or complications. Laparoscopy serves as both diagnostic and therapeutic, allowing direct visualization of pelvic structures and tissue sampling. Pain mapping during examination helps identify specific pain triggers and locations. Psychological assessment is important as chronic pain often affects mental health. Treatment should be tailored to the underlying cause, potentially including antibiotics for infection (such as doxycycline 100mg twice daily for 14 days for PID), hormonal therapy for endometriosis, physical therapy for musculoskeletal causes, or pain management strategies. This systematic approach ensures comprehensive evaluation of the complex and often multifactorial nature of chronic pelvic pain, addressing both physical and psychological components.