Differential Diagnosis for Chronic Right Sided Pelvic Pain in a Female of Reproductive Age
Single Most Likely Diagnosis
- Ovarian Cyst: A common cause of chronic pelvic pain in women of reproductive age, ovarian cysts can cause intermittent or constant pain, especially if they rupture, bleed, or torsion occurs.
Other Likely Diagnoses
- Endometriosis: A condition where tissue similar to the lining of the uterus grows outside the uterus, leading to chronic pain, especially during menstruation.
- Pelvic Inflammatory Disease (PID): An infection of the female reproductive organs that can cause chronic pain if not properly treated.
- Uterine Fibroids: Non-cancerous growths in the uterus that can cause chronic pain, heavy menstrual bleeding, and pressure on surrounding organs.
- Irritable Bowel Syndrome (IBS): A gastrointestinal disorder that can cause chronic abdominal pain, bloating, and changes in bowel movements.
Do Not Miss Diagnoses
- Ectopic Pregnancy: A life-threatening condition where a pregnancy develops outside the uterus, requiring immediate medical attention.
- Appendicitis: Inflammation of the appendix that can cause severe abdominal pain, nausea, and vomiting, requiring prompt surgical intervention.
- Ovarian Torsion: A condition where the ovary twists around its ligaments, cutting off blood supply and requiring emergency surgery.
- Diverticulitis: Inflammation of the diverticula in the intestine, which can cause severe abdominal pain, fever, and changes in bowel habits.
Rare Diagnoses
- Adenomyosis: A rare condition where tissue similar to the lining of the uterus grows into the muscular wall of the uterus, causing chronic pain and heavy bleeding.
- Ureteral Obstruction: A blockage of the ureter that can cause severe abdominal pain, nausea, and vomiting, often due to kidney stones or other underlying conditions.
- Chronic Pelvic Pain Syndrome: A condition characterized by chronic pain in the pelvic region, often with no identifiable cause, and may be related to psychological or neurological factors.
- Malakoplakia: A rare inflammatory condition that can affect the bladder, ureters, or other parts of the urinary tract, causing chronic pain and urinary symptoms.