Diagnosis and management of chronic pelvic pain

Karen L. Lifford, Robert L. Barbieri
In: Urologic Clinics of North America · 2002 · vol. 29(3) , pp. 637–647 · doi:10.1016/s0094-0143(02)00054-x · W2004023939
review OA: closed CC0 ⤵ 11 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This review discusses the diagnosis and management strategies for chronic pelvic pain, highlighting its complex etiology and multidisciplinary treatment approaches.

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Abstract

Chronic pelvic pain is difficult to diagnose and to treat [81] because of the multiple and often overlapping causes [82]. A systematic approach aids in the thorough evaluation and appropriate therapy. At the initial visit(s), a thorough history should be taken and complete physical examination performed. Screening for co-existing conditions, such as depression, narcotic dependency, and physical, sexual, or emotional abuse is crucial so these issues may be addressed immediately while additional causes for pelvic pain are evaluated. The relative likelihood of gastrointestinal, urologic, musculoskeletal, or gynecologic etiology must be considered to guide a more thorough initial evaluation. With gynecologic chronic pelvic pain, differentiation between hormonally responsive and nonresponsive conditions is helpful for diagnosis and treatment. Therapy can then be instituted or an appropriate referral made.

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Condition tags

chronic_pelvic_pain

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License: CC0 · commercial use OK