The association of sexual abuse with pelvic pain complaints in a primary care population

In: American Journal of Obstetrics and Gynecology · 1997 · vol. 177(6) , pp. 1408–1412 · doi:10.1016/s0002-9378(97)70083-8 · PMID:9423743 · W1995507038
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This study found that women aged 18-45 reporting sexual abuse in both childhood and adulthood had significantly higher rates of most pain complaints, including pelvic pain, compared to non-abused women.

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Abstract

ObjectiveOur purpose was to determine the prevalence of sexual abuse during childhood and adulthood and its association with pelvic and other pain complaints in a population of reproductive-aged women.Study designA 10-page questionnaire was administered to 581 nonpregnant women aged 18 to 45 years examined in primary care offices.ResultsThe reported incidences of childhood and adult sexual abuse were 26% and 28%. In regression analyses, with the exception of irritable bowel syndrome, women with only a history of childhood sexual abuse and no abuse later in life are not more likely than nonabused women to report pain syndromes. By contrast, with the exception of dysmenorrhea, all pain complaints studied were more common in women reporting abuse both as children and as adults.ConclusionsSexual abuse that occurs during childhood and again as an adult is strongly associated with pelvic pain complaints.

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