Chronic pelvic pain

Robert H. Messer
In: Current Opinion in Obstetrics and Gynecology · 1992 · vol. 4(6) , pp. 886???890 · doi:10.1097/00001703-199212000-00018 · PMID:1450354 · W2019098874
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This review article examines chronic pelvic pain as a prevalent gynecologic condition characterized by diverse etiologies that require careful clinical categorization. The author outlines diagnostic strategies involving history, physical examination, and endoscopic evaluation to identify specific causes for targeted management protocols. Therapeutic approaches are described as multifaceted, encompassing medical, surgical, psychological, and supportive interventions, with the note that some patients improve spontaneously or benefit from treatment even when no definitive cause is found. Relevance to endometriosis: listed as one of the primary gynecologic causes of chronic pelvic pain requiring differential diagnosis and potential surgical intervention.

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Abstract

Chronic pelvic pain is a common and important gynecologic problem. The causes are diverse but can usually be categorized by the astute clinician. Gynecologic causes can often, although not always, be pinpointed for specific management protocols. Highlights of helpful areas are described in terms of history, physical examination, and laboratory and endoscopic diagnosis. Therapy may be medical, surgical, psychologic, or supportive. If specific, treatment is likely to be effective in some patients whereby a cause cannot be found, yet the patient may be helped. Some patients improve without treatment.
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Article: PDF Only Chronic pelvic pain - Robert H. Messer Current Opinion in Obstetrics & Gynecology 4(6):p 886-890, December 1992. Chronic pelvic pain is a common and important gynecologic problem. The causes are diverse but can usually be categorized by the astute clinician. Gynecologic causes can often, although not always, be pinpointed for specific management protocols. Highlights of helpful areas are described in terms of history, physical examination, and laboratory and endoscopic diagnosis. Therapy may be medical, surgical, psychologic, or supportive. If specific, treatment is likely to be effective in some patients whereby a cause cannot be found, yet the patient may be helped. Some patients improve without treatment. Copyright © Lippincott-Raven Publishers.

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