Chronic Pelvic Pain

In: Psychological Challenges in Obstetrics and Gynecology · 2007 · pp. 291–298 · doi:10.1007/978-1-84628-808-1_25 · W1494017342
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This chapter explores the prevalence, incidence, diagnostic patterns, and treatment outcomes of chronic pelvic pain in women within the context of general practice and specialist care.

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This paper is a 2007 book chapter overview of chronic pelvic pain, describing epidemiology, patterns of diagnosis and referral in women, associated quality-of-life and health-economic correlates, and discussion of categories such as gynacologic causes and interstitial cystitis. It synthesizes evidence from prior studies and systematic reviews, including national general practice database analyses, community prevalence work, and Cochrane review material, while also considering psychosocial factors and the influence of consultation context, with an explicit limitation being that it is a narrative chapter rather than an original empirical study. The chapter does not present new data and instead compiles findings across multiple settings and study types. Relevance to endometriosis: endometriosis is not explicitly discussed in the provided text excerpt, though the chapter is included in this corpus via a keyword match in the upstream search index.

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References

Zondervan KT, Yudkin PL, Vessey MP, Dawes MG, Barlow DH, Kennedy SH. Prevalence and incidence of chronic pelvic pain in primary care: evidence from a national general practice database. Br J Obstet Gynaecol. 1999;106:1149–1155. Zondervan KT, Yudkin PL, Vessey MP, Dawes MG, Barlow DH. Kennedy SH., Patterns of diagnosis and referral in women consulting for chronic pelvic pain in UK primary care. Br J Obstet Gynaecol. 1999;106:1156–1161. Mathias SD, Kuppermann M, Liberman RF, Lipschutz RC, Steege JF. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates, Obstet Gynecol. 1996;87:321–327. Zondervan KT, Yudkin PL, Vessey MP, et al. Chronic pelvic pain in the community—symptoms, investigations, and diagnoses. Am J Obstet Gynecol. 2001;184(6):1149–1155. Zondervan KT, Yudkin PL, Vessey MP, et al. The community prevalence of chronic pelvic pain in women and associated illness behaviour. Br J Gen Pract. 2001;51(468):541–547. Stones RW. Chronic pelvic pain (Chapter 60). In: Shaw RW, Soutter WP, Stanton SL, eds. Gynaecology. 3rd ed. Edinburgh: Churchill Livingstone; 2003. Parsons CL, Dell J, Stanford EJ, Bullen M, Kahn BS, Willems JJ. The prevalence of interstitial cystitis in gynecologic patients with pelvic pain, as detected by intravesical potassium sensitivity. Am J Obstet Gynecol. 2002;187:1395–1400 Stones RW. Female genital pain (Chapter 17). In: Fillingim RB, ed. Sex Gender and Pain. Progress in Pain Research and Management, vol. 17. Seattle: IASP Press, 2000. Selfe SA, van Vugt M, Stones RW. Chronic gynaecological pain: an exploration of medical attitudes. Pain. 1998;77:215–225. Selfe SA, Matthews Z, Stones RW. Factors influencing outcome in consultations for chronic pelvic pain. J Womens Health. 1998;7:1041–1048. Stones RW, Lawrence WT, Selfe SA. Lasting impressions: influence of the initial hospital consultation for chronic pelvic pain on dimensions of patient satisfaction at follow-up. J Psychosom Res. 2006;60:163–167. Onwude L, Thornton J, Morley S, Lilleyman J, Currie I, Lilford R. A randomised trial of photographic reinforcement during postoperative counselling after diagnostic laparoscopy for pelvic pain. Eur J Obstet Gynecol Reprod Biol. 2004;112:89–94. Stones RW, Price C. Health services for women with chronic pelvic pain. J R Soc Med. 2002;95:531–535. Padmadas SS, Stones RW. Matthews Z. Dyspareunia and urinary sensory symptoms in India: population based study. J Sex Med. 2006;3:114–120. Stones W, Cheong Y, Howard FM. Interventions for treating chronic pelvic pain in women. The Cochrane Database of Systematic Reviews 2005, Issue 3. Art. No.: CD000387. DOI:10.1002/14651858.CD000387. Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2007 Springer-Verlag London Limited About this chapter Cite this chapter Stones, R.W. (2007). Chronic Pelvic Pain. In: Cockburn, J., Pawson, M.E. (eds) Psychological Challenges in Obstetrics and Gynecology. Springer, London. https://doi.org/10.1007/978-1-84628-808-1_25 Download citation DOI: https://doi.org/10.1007/978-1-84628-808-1_25 Publisher Name: Springer, London Print ISBN: 978-1-84628-807-4 Online ISBN: 978-1-84628-808-1 eBook Packages: MedicineMedicine (R0)

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