Chronic Pelvic Pain

Juliana Taney, Frank F. Tu
In: Female Sexual Pain Disorders · 2020 · pp. 313–321 · doi:10.1002/9781119482598.ch35 · W3080398373
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This chapter outlines a stepwise diagnostic and treatment strategy for chronic pelvic pain, considering gynecological, non-gynecological, and unidentifiable causes, and noting its association with neurological dysfunction.

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Abstract

This chapter discusses the strategy for approaching the diagnosis and treatment of chronic pelvic pain (CPP). CPP affects approximately 4–16% of the general population, including 6–25% of reproductive-aged women. There is also a likely association between neurological dysfunction and CPP, as well as with other overlapping chronic pain conditions. There are many potential causes of CPP. Etiologies can be divided into gynecological, non-gynecological, and unidentifiable causes. The most common non-gynecological causes include irritable bowel syndrome and bladder pain syndrome/interstitial cystitis. The provider should take a stepwise approach to evaluation of CPP. This includes a detailed history, a thorough physical examination, and selected laboratory testing and imaging when indicated. The best treatment for CPP depends on whether or not there is an identifiable cause of the pain. As such, many therapies for CPP are treatments utilized in other chronic pain syndromes.

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Condition tags

chronic_pelvic_paininterstitial_cystitisirritable_bowel_syndrome

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References (42)

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