For patients presenting with CPP the gynaecological history needs be sufficiently broad as to enable understanding of the impact of symptoms. It is also useful to ascertain at an early stage whether the patient is primarily in search of symptom control, or of diagnosis, advice and explanation. Sometimes those with long standing and disabling symptoms are found to be reluctant to consider symptomatic treatments out of fear that some damaging disease process will be masked and overlooked. Table 43.1 presents a classification of causes of CPP that can be borne in mind while undertaking the clinical assessment.
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Once your pregnancy is over and done with, your baby is happily in your arms, and youre headed back home from the hospital, youll begin to realize that things have only just begun. Over the next few days, weeks, and months, youre going to increasingly notice that your entire life has changed in more ways than you could ever imagine.