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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
Psychotherapy
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
IUD



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