An aberrant or functional perineal pain in otherwise psychological disturbed women: A thought provoking study.

Abstract

Objective: To provide update about increase frequency of aberrant perineal pain among women with Psychological disorders. Moreover, to signify the practicing health services about prevention of injudicious and on demand perineal operative interventions. Study Design: Prospective and descriptive. Period: Surgery OPD from January 2023 to July 2024. Methods: Female patients with perineal pain along with Psychological disorders with constipation, disturbed sleep and appetite. All male and female who had obvious perineal pathology. All patients biodata, personal history, socioeconomic status, number of children, marietal status, dietary, sleep, bowel habits recorded in the preset approved Performa from hospital’s ethical review committee. In addition, perineal pain and its onset, characteristics, nature, duration and intensity by Visual analogue scale (VAS) scale also recorded and data compiled in SPSS version 17. After confirming the unremarkable clinical examination on follow-ups, the patients’ Psychological status inquired by detailed personal history, and referred to psychiatric services for evaluation of aberrant perineal pain. Psychological disturbance marked when they found anxious and depressed. Detailed history revealed sedentary living (no marriages), post puerperal stress, weird life style (frequent use of junk food, excessive use of screen), low finances and high expenditure, increase work load at home (increase number of children, joint family system) are the contributory factors. Consequently, conservative local initial treatment started with acknowledgement of symptoms, reassurance, 0.2 % GTN, Sitz bath and psycho education about reschedule of routine, nutritious rich fiber diet, and advice of good thinking lead to good performance. Psychiatrist intervention with selective serotonin receptor inhibitor (SSRI) found helpful in refractory cases. Results: Total 200 female patients having Psychological disorders included in the study. Age range from 16 to 75 years studied about their aberrant perineal pain with no any organic cause. Conclusion: Although aberrant perineal pain in women without any organic cause but with Psychological disorders is, frequent and important to update the practicing contemporary health professionals to prevent future injudicious and on demand perineal operative interventions. The Psychological disorders manifested as aberrant perineal pain, postpartum depression and constipation found interlinked each other. This pain entity is frequent and successfully reverse with conservative measures.