Dysmenorrhea is highly prevalent and undertreated, substantially impairing quality of life in reproductive-age individuals. Excessive uterine contractility is widely considered a key mechanistic contributor to menstrual pain. We conducted a…
BACKGROUND: Obliteration of the posterior cul-de-sac is a challenging, often unexpected surgical finding. Developing the dissection skills required to manage this finding during laparoscopy is essential for optimizing treatment of many pain…
BACKGROUND: The lack of noninvasive methods to study dysmenorrhea has resulted in poor understanding of the mechanisms underlying pain, insufficient diagnostic tests, and limited treatment options. To address this knowledge gap, we have dev…
PURPOSE OF REVIEW: The objective of this study is to review an evidence-based approach to surgical treatment of key chronic pelvic pain (CPP) contributors emphasizing the importance of preoperative evaluation and counseling. RECENT FINDING…
Chronic pelvic pain (CPP) is a frustrating clinical condition affecting roughly 9 million women each year. The American College of Obstetricians and Gynecologists defines the disorder as noncyclic lower abdominal pain persisting for at leas…
Disorders of the musculoskeletal elements interconnecting the female pelvic girdle and lumbosacral spine are commonly found in patients with symptomatic chronic pelvic pain. This chapter links the known anatomy and pathophysiology to an und…
Endometriosis, a common cause of cyclic and chronic pelvic pain in women, can present with a multitude of symptoms. Numerous case reports exist describing the involvement of the sciatic nerve with endometriosis; however, there are few repor…
Myomectomy remains the surgical option of choice for women with symptomatic leiomyomata who desire uterine conservation or in particular future fertility. The ability to enucleate leiomyomata and repair the uterus with a multilayer-sutured …