Chronic Pelvic Pain

In: Handbook of Women’s Sexual and Reproductive Health · 2002 · pp. 217–229 · doi:10.1007/978-1-4615-0689-8_12 · W4240961322
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Chronic pelvic pain in women is often poorly understood, leading to inadequate medical care and significant psychosocial sequelae due to unidentifiable etiologies.

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This chapter discusses chronic pelvic pain (CPP) in women in a gendered social context, focusing on how pelvic/perineal pain is often inadequately investigated and how etiology is frequently unidentifiable despite symptoms. It outlines how CPP is associated with reduced social support, financial hardship and insurance loss from impaired occupational functioning, and downstream effects such as decreased physical activity, impaired social relations, altered family roles, depression, and vegetative dysregulation (sleep and appetite). A major limitation is that the discussion emphasizes broad psychosocial and care-encounter factors without presenting new empirical data within the chapter itself. Relevance to endometriosis: endometriosis is not explicitly discussed in the provided text of this chapter, though it is included in the corpus via a keyword match in the upstream search index.

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Abstract

In a gendered social environment, the mores regarding a woman’s body powerfully influence the medical care she will receive. Women who suffer from pain that arises from the pelvic cavity and the perineum comprise a group whose medical care historically has been inadequate. Because the etiology of chronic pelvic pain (CPP) is often unidentifiable, the disorder is a perplexing and frustrating condition for patients and for providers. Often the severity of pain is not proportional to the degree of pelvic pathology. Women with long-standing pelvic pain frequently have limited social support systems and may experience financial hardship and subsequent loss of medical insurance due to impaired occupational functioning. Other sequelae include decreased physical activity, impaired social relations, altered family roles, depression, and accompanying vegetative signs such as sleep and appetite dysregulation. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2002 Springer Science+Business Media New York About this chapter Cite this chapter Rapin, A.J., Morgan, M.L. (2002). Chronic Pelvic Pain. In: Wingood, G.M., DiClemente, R.J. (eds) Handbook of Women’s Sexual and Reproductive Health. Issues in Women’s Health. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0689-8_12 Download citation DOI: https://doi.org/10.1007/978-1-4615-0689-8_12 Publisher Name: Springer, Boston, MA Print ISBN: 978-1-4613-5196-2 Online ISBN: 978-1-4615-0689-8 eBook Packages: Springer Book Archive

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