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Chronic pelvic pain Plan

BHCG CBC C-Reactive Protein

Urinalysis and urine culture

Chlamydia and gonorrhea test

Pelvic ultrasound

Gyn referral

Pelvic physical therapyPe


Aacetaminophen, NSAIDs

Amitriptyline 10-20mg HS

Gabapentin (Neurontin) 300mg hs day 1, 300mg am and hs day 2 then 300mg tid

Pregabalin (Lyrica) 50mg HS x 7days then 50mg bid x 7days then 75mg bid

SSRI (Fluoxetine, Sertraline, Escitalopram) or SNRI (Venlafaxine, Duloxetine)

Oral contraceptives for cyclic pain


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