Chronic Pelvic Pain in Women

Derek West
In: Pain Management in Interventional Radiology · 2009 · pp. 232–238 · doi:10.1017/cbo9780511547331.016 · W2499609634
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Chronic pelvic pain, lasting at least three months and causing functional disability, significantly impacts women's quality of life and requires treatment to improve it.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This chapter studies chronic pelvic pain (CPP) in women by defining the condition (nonmenstrual pelvic pain lasting ≥3 months and menstrual pain/dysmenorrhea lasting ≥6 months that causes functional disability) and describing its impact, epidemiology, and health-economic burden. Using reported prevalence estimates and healthcare utilization figures, it states that CPP is common (about 38 per 1,000 women), accounts for a substantial proportion of gynecologic clinic visits, and contributes to medication use, surgeries, and hysterectomy, with high annual outpatient costs in the United States. A key limitation is that the chapter largely synthesizes existing data rather than presenting new primary clinical outcomes or intervention results. Relevance to endometriosis: the chapter focuses on CPP as a broad diagnostic/management concept without specific findings about endometriosis or adenomyosis, though CPP commonly overlaps clinically with endometriosis in pelvic-pain literature and is the basis for including it in the endometriosis/adenomyosis corpus.

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Abstract

Chronic pelvic pain (CPP) can be defined as nonmenstrual pain of three or more months' duration that localizes to the anatomic pelvis and is severe enough to cause functional disability and require medical or surgical treatment (1). Chronic dysmenorrhea or menstrual pain of six or more months' duration that causes functional disability and requires medical or surgical treatment is also appropriately included in the definition. This condition can have a strong influence on the patient's quality of life, being associated with years of disability and suffering, loss of employment, and marital discord. In treating CPP, the primary aim is to improve the quality of life (Table 1) (2,3).

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Condition tags

chronic_pelvic_paindysmenorrhea

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last seen: 2026-06-10T17:14:06.276822+00:00
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