{"paper_id":"f3232115-c4f4-4029-9921-ebfe57e92616","body_text":"Abstract\nThe sensation of pain varies greatly among individuals, with one person’s nuisance being another individual’s agony.1 Patients present to the gynecologist with pain that can be located anywhere from the diaphragm to the knees. Furthermore, this pain may be complicated by the fact that it is associated with nausea, vomiting, diarrhea, dizziness, palpitations, syncope, and migraine headache. The latter types of dysfunction may be associated with aberrant prostanoid and/or sex steroid production. Pelvic pain may come from bone, the neuromuscular system, nerve compression or irritation, the bowel, the bladder, connective tissue, the reproductive system, or the psyche.2–4 The pain may be point specific or diffuse, it may be intermittent or continuous, cyclic or noncyclic, or related to activity and exercise, as well as diet. The patient who presents with chronic abdominopelvic pain may have a history of chronic disease, such as pelvic inflammatory disease, endometriosis, and has probably undergone multiple surgical procedures. Therefore, in the later stages, most abdominal pains have an iatrogenic underlying component that has been introduced into the situtation as a result of surgery.56\nPreview\nUnable to display preview. Download preview PDF.\nSimilar content being viewed by others\nReferences\nBonica JJ. General considerations of chronic pain. In Bonica JJ, ed. The management of pain. Lea & Febiger, Philadelphia, 1990, p 180.\nKaplan C, Lipkin M Jr., Gordon GH. Somatization in primary care: patients with unexplained and vexing medical complaints. J Gen Int Med 1988; 3: 177.\nKaton W, Lin E, Von Korff M, et al. Somatization: a spectrum of severity. Am J Psychiatry 1991; 148: 34.\nQuill TE. Somatization: one of medicine’s blide spots. JAMA 1985; 254: 3075.\nGoldstein DP. Acute and chronic pelvic pain. Pediatr Clin North Am 1989; 36: 573.\nSteege JF, Stout AL, Somkuti SG. Chronic pelvic pain: toward an integrative model. J Psychosom Obstet Gynecol 1991, in press.\nBrownlee HJ, ed. Symposium on management of acute nonspecific diarrhea. Am J Med 1990; 88(6A): 1S.\nJohnason JF, Sonnenberg A, Koch TR. Clinical epidemiology of chronic constipation. J Clin Gastroenterol 1989; 11: 525.\nWald A, Hinds JPJ, Caruana BJ. Psychological and physiological characteristics of patients with severe idiopathic constipation. Gastroenterology 1989; 97: 932.\nFreidman G. Treatment of the irritable syndrome. Gastroenteriol Clin North Am 1991; 20: 325.\nKlein KB. Controlled treatment trials in the irritable bowel syndrome. A critique. Gastroenterology 1988; 94: 232.\nEddy DM. Screening for colorectal cancer. Ann Intern Med 1990; 113: 373.\nInternational Association for the Study of Pain. Classification of chronic pain: Description of chronic pain syndrome s and definitions of pain states. In Merskey H. ed. Pain 1986; (Suppl3): Sl.\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 1998 Springer Science+Business Media New York\nAbout this chapter\nCite this chapter\nBlackwell, R.E. (1998). Chronic Pelvic Pain: Overview of Evaluation and Treatment. In: Blackwell, R.E., Olive, D.L. (eds) Chronic Pelvic Pain. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1752-7_1\nDownload citation\nDOI: https://doi.org/10.1007/978-1-4612-1752-7_1\nPublisher Name: Springer, New York, NY\nPrint ISBN: 978-1-4612-7265-6\nOnline ISBN: 978-1-4612-1752-7\neBook Packages: Springer Book Archive\nKeywords\n- Irritable Bowel Syndrome\n- Pelvic Pain\n- Pelvic Inflammatory Disease\n- Short Bowel Syndrome\n- Chronic Pelvic Pain\nThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.","source_license":"CC0","license_restricted":false}