Chronic pelvic pain can be caused by any number of conditions. In primary care, nurse practitioners should be able to outline the basic approach to initial evaluation of and management of these disorders. As you have learned in this unit, there are many causes of chronic pelvic pain. Select one of the causes of chronic pelvic pain and describe the symptoms. Why would you refer this patient for consultation, and to whom? What are the steps to writing a referral, and what is the NP’s responsibility in follow-up?
There is also pain during or after intercourse and pain during urination, especially during monthly periods. Also, during menstrual periods one constipates, bloats, or even vomits. I would refer the patient with endometriosis to consult a healthcare specialist in the field to manage the condition at an early stage to avoid severe conditions that come later due to the condition of endometriosis. The other severe condition is ovarian cancer which finally causes death. Therefore, the patient should consult to prevent the condition from worsening. I would refer the patient to a gynecologist because this specialist deals with women’s reproductive health and can treat the condition. There are several steps followed when writing a referral and include the following. The first step is to identify the problem, followed by assessing the data. The third step is to identify and access potential solutions, and the fourth step is to identify additional information needed. Lastly is to make the referral.