Chronic pelvic pain after hysterectomy in a patient with depressive disorder: A case report

Jae-Eun Ha, Hyun-Joo Son, Bo Young Kim, Yun-Ji Jung, Gun-Young Chun, Jang-Heub Kim, Mee-Ran Kim, Mee‐Ran Kim, Hyun-Hee Cho
In: Korean Journal of Obstetrics & Gynecology · 2011 · vol. 54(9) , pp. 557 · doi:10.5468/kjog.2011.54.9.557 · W2126520610
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This case report describes a woman with chronic pelvic pain unresponsive to hysterectomy, who was subsequently diagnosed with PTSD and depression, highlighting the need for psychological evaluation in such patients.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This case report describes a 39-year-old woman with adenomyosis who experienced chronic pelvic pain and continued pain despite undergoing hysterectomy, prompting evaluation of contributing psychosomatic factors. The patient had wanted to control her pain with medical treatments for adenomyosis but ultimately chose surgical removal due to uncontrolled symptoms, and the persistence of pain after hysterectomy led clinicians to consider depression-related influences. She was diagnosed with PTSD and depression, and the authors discuss that psychological factors can contribute to chronic pelvic pain and its management course. This paper is centrally about adenomyosis — a case of chronic pelvic pain in a patient with adenomyosis where persistent pain after hysterectomy was attributed to depression and PTSD.

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Abstract

Chronic pelvic pain, defi ned as a non-cyclic pain of at least 6 months duration, is severe enough to require medical care or to cause disability. For such reason, only physical approaches and managements of chronic pelvic pain sometimes fail. Depression and posttraumatic stress disorder (PTSD) can cause chronic pelvic pain and affects the course of pain management. This case is about chronic pelvic pain of 39-years-old unmarried woman with adenomyosis. She wanted to control her pelvic pain with medical treatments of adenomyosis, but finally decided to scarify uterus due to uncontrolled pain. Pshychosomatic symptoms were considered to cause the pain because her pain did not disappear even after hysterectomy. She was diagnosed with PTSD and depression. This case suggests that chronic pelvic pain patients always need psychological evaluation even if they have defi nit e causes of pelvic pain in gynecological area.
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| Chronic pelvic pain after hysterectomy in a patient with depressive disorder: A case report. | | Jae Eun Ha, Hyun Joo Son, Bo Young Kim, Yun Ji Jung, Gun Young Chun, Jang Heub Kim, Mee Ran Kim, Hyun Hee Cho | | Department of Obstetrics and Gynecology, The Catholic University of Korea School of Medicine, Seoul, Korea. [email protected] | | | | Abstract | | Chronic pelvic pain, defined as a non-cyclic pain of at least 6 months duration, is severe enough to require medical care or to cause disability. For such reason, only physical approaches and managements of chronic pelvic pain sometimes fail. Depression and posttraumatic stress disorder (PTSD) can cause chronic pelvic pain and affects the course of pain management. This case is about chronic pelvic pain of 39-years-old unmarried woman with adenomyosis. She wanted to control her pelvic pain with medical treatments of adenomyosis, but finally decided to scarify uterus due to uncontrolled pain. Pshychosomatic symptoms were considered to cause the pain because her pain did not disappear even after hysterectomy. She was diagnosed with PTSD and depression. This case suggests that chronic pelvic pain patients always need psychological evaluation even if they have definite causes of pelvic pain in gynecological area. | | Keywords: Pelvic pain; Depression; Stress disorders, post-traumatic; Psychosomatic symptom | |

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adenomyosischronic_pelvic_pain

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