Chronic pelvic pain in women

Alice Gardner
In: InnovAiT: Education and inspiration for general practice · 2017 · vol. 10(9) , pp. 522–527 · doi:10.1177/1755738017717284 · W2737874873
article OA: closed CC0 ⤵ 4 in-corpus citations
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This article outlines a primary care framework for assessing, investigating, and managing chronic pelvic pain in women, noting that complex cases may require multidisciplinary referral.

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Abstract

Chronic pelvic pain in women is commonly seen in general practice. Chronic pain is usually defined as the continuation of pain for more than 3 to 6 months, and it may have more than one cause. Pelvic pain is defined as pain in the lower abdomen or within the pelvis. Chronic pelvic pain may include dysmenorrhoea, dyspareunia, dysuria and pain on passing a stool (dyschesia), but can occur without any of these symptoms. Managing chronic pelvic pain can seem daunting, but it is appropriate to assess, investigate and manage this problem in primary care. This article provides a framework for history, examination and initial investigation of chronic pelvic pain in primary care. However, more complex cases may require a multidisciplinary approach, with referral to secondary care services such as a pain clinic, urology or gynaecology.

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chronic_pelvic_paindysmenorrheadyspareunia

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License: CC0 · commercial use OK