Management of Chronic Female Pelvic Pain

Jessica Ibañez; Robert S. Ackerman

doi:10.1089/gyn.2023.0066

Management of Chronic Female Pelvic Pain

Jessica Ibañez, Robert S. Ackerman

In: Journal of Gynecologic Surgery · 2023 · vol. 39(6) , pp. 257–261 · doi:10.1089/gyn.2023.0066 · W4387040455

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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-19 ⓘ

This review discusses the challenges of diagnosing and managing chronic female pelvic pain, emphasizing thorough history and physical exams over limited diagnostic testing, and outlining treatment options from conservative measures to surgery as a last resort.

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Abstract

Chronic pelvic pain in the female patient is often debilitating and can arise from a variety of sources, often with multiple etiologies. Difficulties managing these disorders parallel the difficulties in establishing a specific diagnosis for them. A focused and detailed history and a physical examination are often most helpful, categorizing pain signs and symptoms and suggesting an organ system that is not in homeostasis. Diagnostic laboratory testing and imaging are often of limited value. Initial treatment focuses on identification of the specific causes or sources of this pelvic pain. Oral analgesics, physical and psychologic treatments, interventional procedures, and injections have the potential to be both diagnostic and therapeutic for patients. Surgical management is often maintained as a last-line treatment option and may not necessarily enhance diagnostic evaluation or add pain relief. (J GYNECOL SURG 39:257)

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chronic_pelvic_pain

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References (13)

Chronic Female Pelvic Pain—Part 1: Clinical Pathoanatomy and Examination of the Pelvic Region via openalex
Chronic Female Pelvic Pain—Part 2: Differential Diagnosis and Management via openalex
Chronic Pelvic Pain in Women via openalex
Chronic Pelvic Pain in Women: An Epidemiological Perspective via openalex
Myofascial Pelvic Pain: An Overlooked and Treatable Cause of Chronic Pelvic Pain via openalex
Non-Surgical Management of Chronic Pelvic Pain in Females via openalex
Physical therapy management of female chronic pelvic pain: Anatomic considerations via openalex
Primary care management of chronic pelvic pain in women via openalex
Recent advances in understanding and managing chronic pelvic pain in women with special consideration to endometriosis via openalex
RETIRED: No. 164-Consensus Guidelines for the Management of Chronic Pelvic Pain via openalex
W4225940640 via openalex
W4226020417 via openalex
W3037450883 via openalex

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License: CC0 · commercial use OK

[1] Chronic Female Pelvic Pain—Part 1: Clinical Pathoanatomy and Examination of the Pelvic Region via openalex

[2] Chronic Female Pelvic Pain—Part 2: Differential Diagnosis and Management via openalex

[3] Chronic Pelvic Pain in Women via openalex

[4] Chronic Pelvic Pain in Women: An Epidemiological Perspective via openalex

[5] Myofascial Pelvic Pain: An Overlooked and Treatable Cause of Chronic Pelvic Pain via openalex

[6] Non-Surgical Management of Chronic Pelvic Pain in Females via openalex

[7] Physical therapy management of female chronic pelvic pain: Anatomic considerations via openalex

[8] Primary care management of chronic pelvic pain in women via openalex

[9] Recent advances in understanding and managing chronic pelvic pain in women with special consideration to endometriosis via openalex

[10] RETIRED: No. 164-Consensus Guidelines for the Management of Chronic Pelvic Pain via openalex

[11] W4225940640 via openalex

[12] W4226020417 via openalex

[13] W3037450883 via openalex