Office management of pelvic pain and dyspareunia

In: Office Care of Women · 2016 · pp. 198–210 · doi:10.1017/cbo9781316084380.019 · W2504943070
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This paper reviews the office management of pelvic pain and dyspareunia, providing guidance for diagnosis and treatment.

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This Cambridge University Press chapter discusses office management approaches for women presenting with pelvic pain and dyspareunia, outlining evaluation and noninvasive interventions typically used in outpatient gynecology. It synthesizes prior evidence and highlights diagnostic considerations and pitfalls, including the role and limitations of investigations such as imaging and laparoscopy in conditions with chronic pelvic pain. A major caveat is that the content is broad and based largely on referenced studies rather than presenting new original data, so applicability depends on the specific differential diagnosis and clinical context. Relevance to endometriosis: the chapter includes a dedicated section on office management of endometriosis and cites multiple endometriosis-related guidelines and reviews within the broader pelvic pain/dyspareunia management framework, though its main focus is office management of pelvic pain and dyspareunia.

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Abstract

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- Office Care of Women - Office Care of Women - Copyright page - Dedication - Contents - Contributors - Preface - Section I Health promotion - Section II Office interventions - Section III Pregnancy - Section IV Gynecology - Chapter 14 Office care of the pediatric-adolescent gynecologic patient - Chapter 15 Amenorrhea - Chapter 16 Abnormal uterine bleeding - Chapter 17 Office care of sexually transmitted infections - Chapter 18 Office management of pelvic pain and dyspareunia - Chapter 19 Office management of pelvic masses - Chapter 20 Office management of incontinence - Chapter 21 Office management of pelvic relaxation - Chapter 22 Vulvovaginal disease - Chapter 23 Office care of patients with leiomyomata of the uterus - Chapter 24 Sexual dysfunction - Chapter 25 Office management of endometriosis - Section V Reproductive endocrinology and infertility - Section VI Nongynecologic conditions - Index - References from Section IV - Gynecology Published online by Cambridge University Press: 05 May 2016 By Book contents - Office Care of Women - Office Care of Women - Copyright page - Dedication - Contents - Contributors - Preface - Section I Health promotion - Section II Office interventions - Section III Pregnancy - Section IV Gynecology - Chapter 14 Office care of the pediatric-adolescent gynecologic patient - Chapter 15 Amenorrhea - Chapter 16 Abnormal uterine bleeding - Chapter 17 Office care of sexually transmitted infections - Chapter 18 Office management of pelvic pain and dyspareunia - Chapter 19 Office management of pelvic masses - Chapter 20 Office management of incontinence - Chapter 21 Office management of pelvic relaxation - Chapter 22 Vulvovaginal disease - Chapter 23 Office care of patients with leiomyomata of the uterus - Chapter 24 Sexual dysfunction - Chapter 25 Office management of endometriosis - Section V Reproductive endocrinology and infertility - Section VI Nongynecologic conditions - Index - References A summary is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content. - Type - Chapter - Information - Office Care of Women , pp. 198 - 210Publisher: Cambridge University PressPrint publication year: 2016 Powers, RD, Guertler, AT. Abdominal pain in the ED: stability and change over 20 years. Am J Emerg Med 1995;13:301–3.CrossRefGoogle ScholarPubMed Centre for Maternal and Child Enquiries (CMACE). Saving Mothers’ Lives: reviewing maternal deaths to make motherhood safer: 2006–08. The Eighth Report on Confidential Enquiries into Maternal Deaths in the United Kingdom. BJOG 2011;118(Suppl. 1):17.Google Scholar Harris, RD, Holtzman, SR, Poppe, AM. Clinical outcome in female patients with pelvic pain and normal pelvic US findings. Radiology 2000;216:440–443.CrossRefGoogle ScholarPubMed Reiter, RC, Gambone, JC. Nongynecologic somatic pathology in women with chronic pelvic pain and negative laparoscopy. 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dyspareunia

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