Chronic pelvic pain in women
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⤵ 70 in-corpus citations
AI-generated summary
Chronic pelvic pain affects 2.1-24% of women globally, presents commonly in UK primary care, and is challenging to diagnose and treat due to associated conditions and psychosocial factors.
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Abstract
#### Summary points
Chronic pelvic pain in women is a debilitating condition that impairs quality of life. Studies using various definitions estimated that its prevalence ranges from 2.1% to 24% of the female population worldwide.1 It is a common presentation in UK primary care, with 38 per 1000 women affected annually—a rate comparable to those of asthma (37 per 1000) and back pain (41 per 1000).2 Because pelvic pain is associated with conditions such as endometriosis and interstitial cystitis, a diagnosis is often difficult to establish, leading to a delay in appropriate treatment. Social and psychological factors are strongly associated with chronic pelvic pain, so tailored, effective treatment can be challenging to provide.
#### Sources and selection criteria
We searched EMBASE and Medline for articles with titles that included the keywords “chronic pelvic pain” with the limits “meta-analysis, review and randomised controlled trial”. We restricted the search to articles published in English in the past five years. We identified all systematic reviews and trial citations in the Cochrane Library under the MeSH terms pelvic pain and dysmenorrhoea. Articles of interest cited in these papers were identified. Finally we reviewed published clinical guidelines from international pain associations and gynaecological societies and searched the National Guidelines Clearing House.
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References (23)
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Cited by (50)
- Adolescent Endometriosis and Chronic Pelvic Pain 2026
- Pelvic floor dysfunction—understanding pelvic pain in female athletes 2026
- ACR Appropriateness Criteria® Postmenopausal Subacute or Chronic Pelvic Pain: Update 2025 2026
- Gynecologic and reproductive morbidity during adolescence and subsequent chronic pelvic pain in adulthood: a population-based matched cohort study 2026
- Navigating healthcare in higher education for students with gynaecological pain: an exploratory survey 2025
- Efficacy and safety of drug combinations for chronic pelvic pain: a systematic review 2025
- Clinical predictors of treatment response to gabapentin in women with unexplained chronic pelvic pain 2024
- Dorsal Root Ganglion Stimulation for Chronic Pelvic Pain Secondary to Endometriosis 2024
- Incidence of Chronic Pelvic Pain in Females Attending a Gynaecology Outpatient Department 2023
- Symptoms of complex pelvic pain: A survey in three cohorts of women 2023
- The role of catastrophizing in chronic cyclical pelvic pain: A systematic review and meta-analysis 2023
- Deep phenotyping of women with endometriosis-associated pain and bladder pain syndrome: the TRiPP (Translational Research in Pelvic Pain) study protocol 2022
- Selected Disorders of the Female Reproductive System 2022
- Is gabapentin effective and safe in the treatment of chronic pelvic pain in women: a systematic review and meta-analysis 2022
- Efficacy and Safety of Drug Combinations for Chronic Pelvic Pain: Protocol for a Systematic Review 2021
- Clinical Outcomes of a Multidisciplinary Female Chronic Pelvic Pain Program 2021
- Chronic pelvic pain in patients of reproductive age with endometriosis 2021
- Abnormal pathology seen on appendectomy in patients with predominant right-sided pelvic pain 2020
- Gabapentin for chronic pelvic pain in women (GaPP2): a multicentre, randomised, double-blind, placebo-controlled trial 2020
- Differential Expression of KRAS and SIRT1 in Ovarian Cancers with and Without Endometriosis 2020
- MEMPHIS: a smartphone app using psychological approaches for women with chronic pelvic pain presenting to gynaecology clinics: a randomised feasibility trial 2020
- Neuroanatomical Insights in Adolescents with Endometriosis and Pain 2020
- Selected Disorders of the Female Reproductive System 2020
- Safety and efficacy of ilioinguinal and iliohypogastric nerve blocks for treatment of pelvic pain 2019
- Psychological interventions for endometriosis-related symptoms: a systematic review with narrative data synthesis 2019
- The use of brain functional magnetic resonance imaging to determine the mechanism of action of gabapentin in managing chronic pelvic pain in women: a pilot study 2019
- Impact of ultrasound diagnosis for chronic pelvic pain 2019
- Vulvodynia and chronic pelvic pain in a gynecologic outpatient clinic 2018
- 45% of UK gynaecologists think chronic pelvic pain is managed badly 2018
- An odyssey through chronic pelvic pain in women 2018
- Are pelvic adhesions associated with pain, physical, emotional and functional characteristics of women presenting with chronic pelvic pain? A cluster analysis 2018
- GaPP2, a multicentre randomised controlled trial of the efficacy of gabapentin for the management of chronic pelvic pain in women: study protocol 2018
- MRI versus laparoscopy to diagnose the main causes of chronic pelvic pain in women: a test-accuracy study and economic evaluation 2018
- Neuropelveology: An Emerging Discipline for the Management of Chronic Pelvic Pain 2017
- Postablation neuroma of the myometrium-a report of 5 cases 2017
- Medical and surgical management of chronic pelvic pain 2017
- A Review and Reconsideration of Nonneoplastic Myometrial Pathology 2017
- Female chronic pelvic pain: the journey to diagnosis and beyond 2017
- Selected Disorders of the Female Reproductive System 2016
- Mechanisms of pain in endometriosis 2016
- Gabapentin for the Management of Chronic Pelvic Pain in Women (GaPP1): A Pilot Randomised Controlled Trial 2016
- Selected Disorders of the Female Reproductive System 2015
- MRI reporting standard for chronic pelvic pain: consensus development 2015
- Chronic pelvic pain in women: an epidemiological perspective 2015
- Chronic pelvic pain, quality of life and sexual health of women treated with palmitoylethanolamide and α-lipoic acid 2015
- Psychological considerations and therapies in patients with chronic pelvic pain 2014
- Should women with chronic pelvic pain have adhesiolysis? 2014
- Non-surgical interventions for the management of chronic pelvic pain 2014
- Medical and surgical management of chronic pelvic pain 2014
- Prevalence and use of complementary health approaches among women with chronic pelvic pain in a prospective cohort study 2014
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- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:08:04.945943+00:00
- unpaywall
- last seen: 2026-10-10T06:25:47.132674+00:00
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