Diagnosis and treatment of the causes of chronic pelvic pain

Carter JE, J.E. CARTER
The Journal of the American Association of Gynecologic Laparoscopists · 1996 · vol. 3(4) , pp. S5–S6 · doi:10.1016/s1074-3804(96)80145-9 · PMID:9074089 · W2142007925
article OA: closed CC0 ⤵ 2 in-corpus citations
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A decade of evaluations in 500 women with chronic pelvic pain revealed that laparoscopy is often unnecessary, as 30% of cases stem from non-gynecologic causes while endometriosis accounts for approximately 70% of gynecologic findings.

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Abstract

Ten years of clinical evaluations of women with chronic pelvic pain resulted in concern that diagnostic laparoscopic surgery is performed too frequently in these patients. Of 500 women, the pain was due to urologic, myofascial, musculoskeletal, gastrointestinal, or psychologic causes in 30%, rather than to disorders of the reproductive organs. Laparoscopy would be inappropriate in these patients. By providing women with appropriate therapy of nongynecologic pain, those whose pain is due to gynecologic sources can be treated more appropriately. In approximately 70% of these latter patients, endometriosis is the primary finding. A paradigm for the diagnosis and the cost-effective treatment of women with chronic pelvic pain of gynecologic cause was developed.

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chronic_pelvic_pain

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License: CC0 · commercial use OK