title: Pelvic pain presenting in a combat environment.
abstract: OBJECTIVE
  The objective was to identify the incidence of pain disorders in the deployed female active duty population in support of Operation Iraqi Freedom.
  
  
  METHODS
  Retrospective chart review was completed on all patients who were seen for gynecologic services at Camp Doha, Kuwait, from September 2003 through March 2004. One thousand seven hundred thirty-seven patients were identified. Statistical analysis was performed.
  
  
  RESULTS
  Of the 1,737 patients seen during the study period, 150 patients were identified as having a pelvic pain disorder. These patients accounted for 14% of all patients seen for gynecologic services. Mean age was 28 +/- 8 years (range, 15-53 years). Pelvic pain of unclear etiology and cystitis were the most common diagnoses made accounting for 19% and 16% of encounters.
  
  
  CONCLUSIONS
  Acute pelvic pain disorders can be effectively managed in the combat environment. Optimization of predeployment regimens for management of pain is strongly recommended. Consideration should be given to making soldiers with chronic pelvic pain disorders that fail to respond to predeployment medical management nondeployable.
authors.affiliation: Department of Obstetrics and Gynecology, Walter Reed Army Medical Center, Washington, DC 20307, USA.
authors.forename: Johnnie
authors.initials: J
authors.lastname: Wright
authors.forename: Todd S
authors.initials: TS
authors.lastname: Albright
authors.forename: Alan P
authors.initials: AP
authors.lastname: Gehrich
authors.forename: Susan G
authors.initials: SG
authors.lastname: Dunlow
authors.forename: Christine F
authors.initials: CF
authors.lastname: Lettieri
authors.forename: Jerome L
authors.initials: JL
authors.lastname: Buller
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D005260:Female; D006801:Humans; D015994:Incidence; D007493:Iraq; D008875:Middle Aged; D008887:Military Medicine; D008889:Military Personnel / Q000706:statistics & numerical data*; D017699:Pelvic Pain / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D014481:United States / Q000453:epidemiology; D014857:Warfare