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Pelvic pain presenting in a combat environment.

Johnnie Wright1, Todd S Albright, Alan P Gehrich

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Pain disorders affected 14% of female service members during Operation Iraqi Freedom. Effective management in combat settings is possible, with recommendations for predeployment screening and treatment of chronic pelvic pain.

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Area of Science:

  • Military Medicine
  • Gynecology
  • Pain Management

Background:

  • Pelvic pain is a common gynecologic complaint.
  • Understanding its incidence in deployed female populations is crucial for operational readiness.

Purpose of the Study:

  • To determine the incidence of pain disorders among female active duty personnel deployed during Operation Iraqi Freedom.
  • To identify common causes of pelvic pain in this population.

Main Methods:

  • Retrospective review of gynecologic service records.
  • Analysis of 1,737 patient encounters at Camp Doha, Kuwait (September 2003 - March 2004).

Main Results:

  • 150 patients (14%) presented with pelvic pain disorders.
  • Common diagnoses included pelvic pain of unclear etiology (19%) and cystitis (16%).
  • Mean patient age was 28 years.

Conclusions:

  • Acute pelvic pain disorders are manageable in combat environments.
  • Predeployment optimization of pain management regimens is recommended.
  • Consideration for nondeployability for chronic pelvic pain non-responders is advised.