Could chronic pelvic pain be a functional somatic syndrome?

John W Warren; Vadim Morozov; Fred M Howard

doi:10.1016/j.ajog.2011.04.003

Could chronic pelvic pain be a functional somatic syndrome?

John W Warren, Vadim Morozov, Fred M Howard

American journal of obstetrics and gynecology · 2011 · vol. 205(3) , pp. 199.e1–199.e5 · doi:10.1016/j.ajog.2011.04.003 · PMID:21620363 · W2138157529

article OA: closed CC0 ⤵ 17 in-corpus citations

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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper explores the possibility of classifying chronic pelvic pain as a functional somatic syndrome, examining its characteristics and potential underlying mechanisms.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

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Condition tags

mesh:D017699chronic_pelvic_pain

MeSH descriptors

Chronic Pain Pelvic Pain Somatoform Disorders Chronic Pain Chronic Pain Female Humans Pelvic Pain Pelvic Pain Somatoform Disorders Somatoform Disorders

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References (84)

ACOG Practice Bulletin #51: Chronic Pelvic Pain via openalex
Actuarial Analysis of Private Payer Administrative Claims Data for Women With Endometriosis via openalex
A long-term follow-up study of women with asymptomatic endometriosis diagnosed incidentally at sterilization via openalex
Association between endometriosis stage, lesion type, patient characteristics and severity of pelvic pain symptoms: a multivariate analysis of over 1000 patients via openalex
Chronic Pelvic Pain via openalex
Chronic pelvic pain and quality of life after laparoscopy via openalex
Chronic Pelvic Pain in Women in New Zealand: Comparative Well-Being, Comorbidity, and Impact on Work and Other Activities via openalex
Chronic pelvic pain treated with gabapentin and amitriptyline: A randomized controlled pilot study via openalex
Correlation between endometriosis and pelvic pain via openalex
Differences in characteristics among 1,000 women with endometriosis based on extent of disease via openalex
Endometriosis via openalex
Endometriosis and its coexistence with irritable bowel syndrome and pelvic inflammatory disease: findings from a national case–control study—Part 2 via openalex
Endometriosis in Patients with Chronic Pelvic Pain: Is Staging Predictive of the Efficacy of Laparoscopic Surgery in Pain Relief? via openalex
Endometriosis Is Associated With Prevalence of Comorbid Conditions in Migraine via openalex
Endometriosis: Prevalence and anatomical distribution of endometriosis in women with selected gynaecological conditions: results from a multicentric Italian study via openalex
Factors predisposing women to chronic pelvic pain: systematic review via openalex
Follow-up report on a randomized controlled trial of laser laparoscopy in the treatment of pelvic pain associated with minimal to moderate endometriosis via openalex
Frequency and Distribution of Multiple Diagnoses in Chronic Pelvic Pain Related to Previous Abuse or Drug-Seeking Behavior via openalex
Gynecological endoscopy for symptomatic endometriosis. via openalex
High rates of autoimmune and endocrine disorders, fibromyalgia, chronic fatigue syndrome and atopic diseases among women with endometriosis: a survey analysis via openalex
Increased pressure pain sensitivity in women with endometriosis and chronic pelvic pain via openalex
Is insulin resistance an essential component of PCOS?: The endometriosis syndromes: a clinical classification in the presence of aetiological confusion and therapeutic anarchy via openalex
Is pelvic endometriosis always associated with chronic pain? A retrospective study of 618 cases diagnosed by laparoscopy via openalex
Laparoscopic excision of endometriosis: A randomized, placebo-controlled trial via openalex
Laparoscopic surgery for endometriosis: How often do we need to re-operate? via openalex
Laparoscopic surgery for pelvic pain associated with endometriosis via openalex
Laparoscopy and Reported Pain among Patients with Endometriosis via openalex
Long-term follow-up of a controlled trial of laser laparoscopy for pelvic pain. via openalex
Pain and endometriosis via openalex
Pain scoring in endometriosis: entry criteria and outcome measures for clinical trials. Report from the Art and Science of Endometriosis meeting via openalex
Patterns of diagnosis and referral in women consulting for chronic pelvic pain in UK primary care via openalex
Prevalence and anatomical distribution of endometriosis in women with selected gynaecological conditions results from a multicentric Italian study via openalex
Prevalence and Characteristics of Irritable Bowel Syndrome Among Women With Chronic Pelvic Pain via openalex
Prospective, randomized, double-blind, controlled trial of laser laparoscopy in the treatment of pelvic pain associated with minimal, mild, and moderate endometriosis via openalex
Relation between pain symptoms and the anatomic location of deep infiltrating endometriosis via openalex
Relationship between stage, site and morphological characteristics of pelvic endometriosis and pain via openalex
Return of Chronic Pelvic Pain From Endometriosis After Raloxifene Treatment via openalex
Surgical Treatment of Endometriosis via openalex
The effects and effectiveness of laparoscopic excision of endometriosis: a prospective study with 2-5 year follow-up via openalex
The relationship between laparoscopic disease, pelvic pain and infertility; an unbiased assessment via openalex
Too soon, too late, too often, too seldom? via openalex
What happens to women with chronic pelvic pain after a negative [normal] laparoscopy? via openalex
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Cited by (17)

Source provenance

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License: CC0 · commercial use OK

[1] ACOG Practice Bulletin #51: Chronic Pelvic Pain via openalex

[2] Actuarial Analysis of Private Payer Administrative Claims Data for Women With Endometriosis via openalex

[3] A long-term follow-up study of women with asymptomatic endometriosis diagnosed incidentally at sterilization via openalex

[4] Association between endometriosis stage, lesion type, patient characteristics and severity of pelvic pain symptoms: a multivariate analysis of over 1000 patients via openalex

[5] Chronic Pelvic Pain via openalex

[6] Chronic pelvic pain and quality of life after laparoscopy via openalex

[7] Chronic Pelvic Pain in Women in New Zealand: Comparative Well-Being, Comorbidity, and Impact on Work and Other Activities via openalex

[8] Chronic pelvic pain treated with gabapentin and amitriptyline: A randomized controlled pilot study via openalex

[9] Correlation between endometriosis and pelvic pain via openalex

[10] Differences in characteristics among 1,000 women with endometriosis based on extent of disease via openalex

[11] Endometriosis via openalex

[12] Endometriosis and its coexistence with irritable bowel syndrome and pelvic inflammatory disease: findings from a national case–control study—Part 2 via openalex

[13] Endometriosis in Patients with Chronic Pelvic Pain: Is Staging Predictive of the Efficacy of Laparoscopic Surgery in Pain Relief? via openalex

[14] Endometriosis Is Associated With Prevalence of Comorbid Conditions in Migraine via openalex

[15] Endometriosis: Prevalence and anatomical distribution of endometriosis in women with selected gynaecological conditions: results from a multicentric Italian study via openalex

[16] Factors predisposing women to chronic pelvic pain: systematic review via openalex

[17] Follow-up report on a randomized controlled trial of laser laparoscopy in the treatment of pelvic pain associated with minimal to moderate endometriosis via openalex

[18] Frequency and Distribution of Multiple Diagnoses in Chronic Pelvic Pain Related to Previous Abuse or Drug-Seeking Behavior via openalex

[19] Gynecological endoscopy for symptomatic endometriosis. via openalex

[20] High rates of autoimmune and endocrine disorders, fibromyalgia, chronic fatigue syndrome and atopic diseases among women with endometriosis: a survey analysis via openalex

[21] Increased pressure pain sensitivity in women with endometriosis and chronic pelvic pain via openalex

[22] Is insulin resistance an essential component of PCOS?: The endometriosis syndromes: a clinical classification in the presence of aetiological confusion and therapeutic anarchy via openalex

[23] Is pelvic endometriosis always associated with chronic pain? A retrospective study of 618 cases diagnosed by laparoscopy via openalex

[24] Laparoscopic excision of endometriosis: A randomized, placebo-controlled trial via openalex

[25] Laparoscopic surgery for endometriosis: How often do we need to re-operate? via openalex

[26] Laparoscopic surgery for pelvic pain associated with endometriosis via openalex

[27] Laparoscopy and Reported Pain among Patients with Endometriosis via openalex

[28] Long-term follow-up of a controlled trial of laser laparoscopy for pelvic pain. via openalex

[29] Pain and endometriosis via openalex

[30] Pain scoring in endometriosis: entry criteria and outcome measures for clinical trials. Report from the Art and Science of Endometriosis meeting via openalex

[31] Patterns of diagnosis and referral in women consulting for chronic pelvic pain in UK primary care via openalex

[32] Prevalence and anatomical distribution of endometriosis in women with selected gynaecological conditions results from a multicentric Italian study via openalex

[33] Prevalence and Characteristics of Irritable Bowel Syndrome Among Women With Chronic Pelvic Pain via openalex

[34] Prospective, randomized, double-blind, controlled trial of laser laparoscopy in the treatment of pelvic pain associated with minimal, mild, and moderate endometriosis via openalex

[35] Relation between pain symptoms and the anatomic location of deep infiltrating endometriosis via openalex

[36] Relationship between stage, site and morphological characteristics of pelvic endometriosis and pain via openalex

[37] Return of Chronic Pelvic Pain From Endometriosis After Raloxifene Treatment via openalex

[38] Surgical Treatment of Endometriosis via openalex

[39] The effects and effectiveness of laparoscopic excision of endometriosis: a prospective study with 2-5 year follow-up via openalex

[40] The relationship between laparoscopic disease, pelvic pain and infertility; an unbiased assessment via openalex

[41] Too soon, too late, too often, too seldom? via openalex

[42] What happens to women with chronic pelvic pain after a negative [normal] laparoscopy? via openalex

[43] W2101438008 via openalex

[44] W2110129212 via openalex

[45] W1992760119 via openalex

[46] W2114770125 via openalex

[47] W1989068577 via openalex

[48] W2125272584 via openalex

[49] W2125341984 via openalex

[50] W2126031030 via openalex

[51] W2131501232 via openalex

[52] W1984048256 via openalex

[53] W2137698397 via openalex

[54] W2140592884 via openalex

[55] W1983956509 via openalex

[56] W2154559347 via openalex

[57] W2154974503 via openalex

[58] W1979514699 via openalex

[59] W2166858759 via openalex

[60] W1978044953 via openalex

[61] W2291960606 via openalex

[62] W1971279599 via openalex

[63] W2396307599 via openalex

[64] W2614961067 via openalex

[65] W2737418977 via openalex

[66] W6678845569 via openalex

[67] W6711911474 via openalex

[68] W6716955854 via openalex

[69] W2033577846 via openalex

[70] W6737699490 via openalex

[71] W2034542271 via openalex

[72] W2038709220 via openalex

[73] W2040792219 via openalex

[74] W2019175821 via openalex

[75] W2044550133 via openalex

[76] W2016250075 via openalex

[77] W2054563583 via openalex

[78] W2059810347 via openalex

[79] W2064186963 via openalex

[80] W2073789941 via openalex

[81] W2081674796 via openalex

[82] W2089249619 via openalex

[83] W2012842548 via openalex

[84] W2094341279 via openalex