Allen-Masters syndrome: Description, causes and Risk Factors:
Pelvic pain resulting from an old laceration of the broad ligament received during delivery.
ICD9 CODE: 620.6.
The main underlying pathology of the Allen-Masters syndrome is based on lacerations of the broad ligament. This sometimes incapacitating disease is expressed by persistent pelvic pain, dyspareunia and menstrual disturbances. Damage to muscle layers in the pelvis which allows the abnormally increased movement of the cervix. It often occurs after a traumatic surgical birth, induced abortion or excessive vaginal packing.
It is suggested that pelvic peritoneal defects may be causally related to endometriosis, the disease either attacking presumably previously altered peritoneal surfaces or causing peritoneal scarring, duplication, and reduplication secondary to the cyclic insults of the ectopic endometrium and thereby producing the appearance of traumatic lacerations. Further, it is suggested that when such defects are noted at laparoscopy, the presence of other associated pathologic abnormalities, including endometriosis, should be investigated.
Several different hypotheses have been put forward as to what causes this. Unfortunately, none of these theories have ever been entirely proven, nor do they fully explain all the mechanisms associated with the development of the disease. Thus, the cause of this disease remains unknown.
Risk factors Include metaplasia, retrograde menstruation, lymphatic or vascular distribution, genetic predisposition, immune system dysfunctions, and environmental influences.
Symptoms include pelvic pain, dyspareunia, menstrual disturbances, sore back, pain during intercourse, and fatigability.
This makes diagnosing of this is challenging, and therefore an experienced gynecologist should be able to recognize symptoms through talking with the woman and obtain a history of her symptoms. For this to be effective, it is important that the woman is honest with her physician about all of her symptoms and the pattern of these.
There are other tests, which the gynecologist may perform. These include ultrasound, MRI scans, CA125, and gynecological examinations. None of these can definitively confirm the disease (though they can be suggestive of the disease).
Treatment modes employed hitherto consisted of either suturing the peritoneal defect or of hysterectomy. The treatment should be individualized according to the needs of each patient. Generally, the most common approaches are with hormonal therapy, laparoscopic surgery, and major surgical management.
For many women, management of this disease may be a long-term process. Therefore, it is important to educate yourself, take the time to find a good doctor, and consider joining a local support group.
DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.
Related disease: Pelvic inflammatory disease
You may experience an upset stomach from a wide range of causes including viruses, parasites, having a food allergy or sensitivity. Also, certain medications, such as antibiotics, can also affect the stomach function. When you have an upset stomach, the first thing to...
Recent research from the University of California – Berkeley, US, finds that the deep sleep, which is called non-rapid eye-movement slow-wave sleep (NREM), can calm and reset the anxious brain. To study the effect of the deep sleep, a team of researchers performed a...
No Results Found
The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.
When it is so hot outside you still can find hundreds of ways to cool yourself and drinking a mocktail is one of them. Here are few wonderful recipes for you to try. Kiwi Sour 1 oz orange juice 3 slices kiwi 0.75 oz demerara green tea syrup 0.75 oz lime juice 1 oz...
Many people are motivated for active sports in spring. However, before you buy a membership, you should check which exercises are useful to you and which ones should not be done in any way. Unfortunately, nowadays there are practically no people with an absolutely...
In childhood, many of us dreamed of learning to jump high. Now, after years, it became easier - Kangoo Jumps has appeared. This is one of the relatively new, but quickly gaining popularity types of fitness training. There are several advantages of jumpers. ...