Chronic Pelvic Pain

In: Primary Care in Obstetrics and Gynecology · 2008 · pp. 215–239 · doi:10.1007/978-0-387-32328-2_11 · W1594799891
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This chapter outlines a structured framework for evaluating and treating chronic pelvic pain by discussing common causes, history, physical examination, diagnostic studies, differential diagnosis, and treatment options.

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This chapter addresses chronic pelvic pain in gynecologic practice, outlining a structured, multifactorial framework for evaluation and management. It discusses approaches to history and physical examination, laboratory and diagnostic studies, building a differential diagnosis, and then considering treatment options. The paper’s explicit limitation is that it functions as an overview of common causes and diagnostic/treatment pathways rather than presenting original data. Relevance to endometriosis: the chapter is included in the corpus because it is focused on pelvic pain in obstetrics/gynecology, a category that commonly encompasses endometriosis-related evaluation even though this specific text excerpt does not explicitly mention endometriosis or adenomyosis.

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Abstract

The practicing gynecologist sees many patients in the office with complaints of chronic pelvic pain. The evaluation and treatment of these patients can often be daunting and evoke a visceral response of angst in the practicing physician. This can be avoided by approaching patients in a structured framework that addresses issues in a multifactorial fashion. The purpose of this chapter is to present some of the more common causes of chronic pelvic pain. This will begin with a brief overview followed by a discussion of an approach to history and physical examination, laboratory and diagnostic studies, differential diagnosis, and finally treatment options. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Preview Unable to display preview. Download preview PDF. Similar content being viewed by others Suggested Reading Blackwell RE, Olive DL, ed. Chronic Pelvic Pain: Evaluation & Management. New York: Springer-Verlag; 1998. Howard FM, Perry CP, et al., ed. Pelvic Pain: Diagnosis & Management. Philadelphia: Lippincott Williams & Wilkins; 2000. Margoles MS, Weiner R, ed. Chronic Pain: Assessment, Diagnosis, and Management. Washington DC: CRC Press; 1999. Steege JF, et al., ed. Chronic Pelvic Pain: An Integrated Approach. Philadelphia: W.B. Saunders Company; 1998. Turk DC, Melzack R, ed. Handbook of Pain Assessment. New York: The Guilford Press; 1992. Author information Authors and Affiliations Rights and permissions Copyright information © 2007 Springer Science+Business Media, LLC About this chapter Cite this chapter Advincula, A.P., Song, A. (2007). Chronic Pelvic Pain. In: Primary Care in Obstetrics and Gynecology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-32328-2_11 Download citation DOI: https://doi.org/10.1007/978-0-387-32328-2_11 Publisher Name: Springer, New York, NY Print ISBN: 978-0-387-32327-5 Online ISBN: 978-0-387-32328-2 eBook Packages: MedicineMedicine (R0)

Keywords

- Irritable Bowel Syndrome - Pelvic Pain - GnRH Agonist - Interstitial Cystitis - Irritable Bowel Syndrome Patient These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Condition tags

chronic_pelvic_pain

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