Chronic Pelvic Pain Syndrome among women - challenge in diagnostics and management. Current literature review
This review summarizes the challenges in diagnosing and managing Chronic Pelvic Pain Syndrome in women, highlighting its complex, multifactorial nature and the need for multidisciplinary treatment approaches.
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This article is a narrative literature review that examines chronic pelvic pain syndrome (CPPS) in women, focusing on diagnostic and management challenges using epidemiologic findings and prior studies describing symptom patterns and treatment approaches. It characterizes CPPS as intermittent or constant lower abdominal/pelvic pain lasting at least 6 months, noting that prevalence is reported at 5.7–26.6% among reproductive-age women while only about one-third seek medical care, and it highlights that multifactorial symptom overlap (pelvic floor, urinary, and gastrointestinal dysfunction) complicates diagnosis and delays appropriate management. The review concludes that the most successful treatment strategies emphasize multidisciplinary collaboration across gynecology, gastroenterology, mental health, and physiotherapy, while stating that the pathophysiology has not been comprehensively studied and more research on multimodal strategies is needed. Relevance to endometriosis: the paper is included as a CPPS review in a corpus that specifically covers gynecologic pain conditions, and it cites endometriosis-oriented medical management studies within its reference list (e.g., dienogest vs combined oral contraceptive for endometriosis-associated pain and other endometriosis hormone-therapy trials), though its main focus is CPPS broadly rather than endometriosis or adenomyosis specifically.
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References (25)
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