To provide useful advice to women with CPP emphasis on careful clinical method is critical: a full history including details of symptoms from all relevant organs, a physical examination that aims to localize tenderness so as to narrow down the diagnostic options and deployment of relevant investigations. Not all patients require laparoscopy, the findings of which can sometimes confuse rather than aid diagnosis through the presence of coincidental findings. There are some therapeutic interventions backed up by randomized trial evidence, but most importantly clinicians need to match their advice to the aspirations and circumstances of each patient.
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The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.