Interdisciplinary approach in management of women’s chronic pelvic pain

С.І. Жук, O.A. Gordiychuk
In: HEALTH OF WOMAN · 2018 · pp. 87–91 · doi:10.15574/hw.2018.132.87 · W3173124750
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This review examines the obstetrician-gynecologist and neurologist perspective on chronic pelvic pain syndrome, highlighting the need for an interdisciplinary approach from prevention to long-term care and emphasizing consensus on classification and treatment.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This 2018 review paper examines chronic pelvic pain syndrome in women, focusing on the need for an interdisciplinary approach involving obstetrician-gynecologists and neurologists across the full care pathway from prevention and diagnosis through treatment and long-term medical supervision. It highlights existing contradictions in management, emphasizing the need for a single classification and more individualized treatment approaches to address these discrepancies. A key limitation explicitly implied by the format is that it is a narrative review rather than original data, relying on previously published sources. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

This review represents a look at the problem of chronic pelvic pain syndrome of obstetrician-gynecologist and neurologist. The necessity of an interdisciplinary approach at different stages of medical care for these women is shown in the review (from prevention and diagnosis to treatment and the establishment of a long-term medical supervision of these patients). The existing contradictions in this issue are shown and the necessity of creating a single classification and elaborating individual approaches to treatment is underlined. Key words: chronic pelvic pain, chronic pelvic pain syndrome, interdisciplinary approach.
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- Interdisciplinary approach in management of women’s chronic pelvic pain Interdisciplinary approach in management of women’s chronic pelvic pain HEALTH OF WOMAN. 2018.5(132):87–91; doi 10.15574/HW.2018.132.87 Zhuk S. I. , Gordiychuk O. A. Shupyk National Medical Academy of Postgraduate Education, Kiev Vinnitsa national medical University M. I. Pirogov This review represents a look at the problem of chronic pelvic pain syndrome of obstetrician-gynecologist and neurologist. The necessity of an interdisciplinary approach at different stages of medical care for these women is shown in the review (from prevention and diagnosis to treatment and the establishment of a long-term medical supervision of these patients). The existing contradictions in this issue are shown and the necessity of creating a single classification and elaborating individual approaches to treatment is underlined. Key words: chronic pelvic pain, chronic pelvic pain syndrome, interdisciplinary approach. REFERENCES 1. Barinov AN, Sergienko DA. 2015. Fenomen tazovoy boli glazami nevrologa. Zhurnal «Nervnyie bolezni» 2. 2. Esin RG, Esin OR, Gorobets EA, Lotfullina NZ, Palehov AV, Vvedenskaya ES. 2016. Bol v shee, bol v spine: bazovyie printsipyi diagnostiki i terapii: monografiya /pod obsch. red. RG Esina. Kazan, Izd-vo Kazan. un-ta: 400. 3. Izvozchikov SB, Kamchatnov PR, Selitskiy GV, Kaprin AD. 2011. Sindrom hronicheskoy tazovoy boli – sovremennyiy vzglyad na problemu. Klinitsist 5;2:62–67. 4. Kovaleva YuA, Gorobets EA. 2016. Osobennosti verbalizatsii bolevyih oschuscheniy u patsientov s aleksitimichnyimi chertami. Nauchnoe nasledie V.A. Bogoroditskogo i sovremennyiy vektor issledovaniy Kazanskoy lingvisticheskoy shkolyi. Trudyi i mat-ly mezhdunar. konf. 2:148–155. 5. Yarotskaya EL. 2016. Tazovyie boli v ginekologii: sovremennyie podhodyi k obsledovaniyu, lecheniyu i reabilitatsii bolnyih. Akusherstvo i ginekologiya: novosti, mneniya, obuchenie 2:82–94. 6. Ahangari A. 2014. Prevalence of chronic pelvic pain among women: an updated review. Pain Physician 17(2):141–147. 7. Cheong YC, Smotra G, Williams AC de C. 2014, Mar 5. Non-surgical interventions for the management of chronic pelvic pain. Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd. URL: https://doi.org/10.1002/14651858. cd008797.pub2. Available at Jul 31, 2017. 8. Chronic pelvic pain in women. URL: http://www.mayoclinic.org/symptoms/ pelvic-pain/basics/definition/sym-20050898. Available at Jul 31, 2017. 9. Esin RG, Lotfullna NZ, Esin OR. 2015. Cervikalgiya, dorzalgiya, lyumbalgiya: differencial’naya diagnostika, differencirovannaya terapiya. Monografiya. Kazan’: Izd-vo Kazanskogo un-ta: 280. 10. Gorobets E, Esin R, Kovaleva Yu, Martyanov D, Nikolaeva N. 2016. The problems of pain description in patients with alexithymia. 3rd SGEM Conference on Psychology & Psychiatry, Sociology & Healthcare, Education: Conference Proceedings. Bulgaria, International Multidisciplinary Scientific Conferences on Social Sciences and Arts, 22-31 August. 2016. Bulgaria. 1. 2:1069–1107. 11. Haggerty CL, Peipert JF, Weitzen S, Hendrix SL, Holley RL et al. 2005. Predictors of Chronic Pelvic Pain in an Urban Population of Women With Symptoms and Signs of Pelvic Inflammatory Disease. Sexually Transmitted Diseases 32(5):293–299. https://doi.org/10.1097/01.olq.0000162361.69041.a5; PMid:15849530 12. Jamieson DJ, Steege JF. 1996, Jan. The prevalence of dysmenorrhea, dyspareunia, pelvic pain, and irritable bowel syndrome in primary care practices. Obstet Gynecol. 87 (1):55-8. https://doi.org/10.1016/0029-7844(95)00360-6 13. Meltzer-Brody S, Leserman J, Zolnoun D, Steege J, Green E, Teich A. 2007. Trauma and posttraumatic stress disorder in women with chronic pelvic pain. Obstet Gynecol. 109(4):902–908. https://doi.org/10.1097/01.AOG.0000258296.35538.88; PMid:17400852 14. Sator-Katzenschlager S, Scharbert G, Kress H, Frickey N, Ellend A, Gleiss A et al. 2005. Chronic pelvic pain treated with gabapentin and amitriptyline: A randomized controlled pilot study. Wiener klinische Wochenschrift 117(21–22):761–768. https://doi.org/10.1007/s00508-005-0464-2; PMid:16416358 15. Sifneos PE. 1973. The prevalence of «alexithymic» characteristics in psychosomatic patients. Psychotherapy and Psychosomatics 22:255–262. https://doi.org/10.1159/000286529; PMid:4770536 16. Taylor G. 2000. Recent developments in alexithymia theory and research. Canadian journal of psychiatry 45:134–142. https://doi.org/10.1177/070674370004500203; PMid:10742872 17. Williams R, Hartmann K, Sandler R, Miller W, Steege J. 2004. Prevalence and Characteristics of Irritable Bowel Syndrome Among Women With Chronic Pelvic Pain. Obstetrics & Gynecology 104(3):452–458. https://doi.org/10.1097/01.AOG.0000135275.63494.3d; PMid:15339753

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