Management of Pelvic Pain in Older Women

Chronic pelvic pain (CPP) is defined as intermittent or constant pain in the lower abdomen or pelvis for at least 6 months in duration, with subsequent impact on the ability to attend to daily living activities. Gynecologists have traditionally focused on the organ-specific approach or viscera to explain or identify the pain source. It is important to recognize that as many as 55% of women presenting with CPP will have no well-defined etiology following completion of all investigations. CPP is fairly common, with an estimated prevalence of 3.8% in the adult female population. It is the impetus for 10% of gynecologic referrals, 12% of hysterectomies, and 40% of laparoscopic procedures. The socioeconomic CPP cost is considerable, with estimated direct health care cost of $880 million per year in the United States, besides $2 billion dollars direct and indirect costs annually. Of these women, 15% report missing work, and 45% note experiencing reduced productivity. This chapter will provide a comprehensive summary of chronic pelvic pain management in older women for the generalist and to facilitate appropriate investigation and management Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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