Reproductive tract |
Gynecologic: Infectious |
- Pelvic inflammatory disease
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Gynecologic: Noninfectious |
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- Ovarian cyst (ruptured or intact)
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- Uterine leiomyoma (fibroid): Degenerating or not
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- Mittelschmerz (midcycle ovulatory pain)
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- Adnexal torsion (ovary and/or fallopian tube)
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- Ovarian hyperstimulation syndrome
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- Uterine perforation (in women who have undergone a uterine procedure)
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Pregnancy-related |
First trimester |
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- Ectopic pregnancy, including heterotopic pregnancy
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Second and third trimesters |
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- Degenerating uterine leiomyoma (fibroid)
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- Medical complications during pregnancy, such as appendicitis
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Postpartum |
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- Wound infection (cesarean section, laceration, or episiotomy repair)
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- Ovarian vein thrombosis or septic pelvic thrombophlebitis
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