Updates in the Approach to Chronic Pelvic Pain: What the Treating Gynecologist Should Know

Erin T. Carey, Kristin J. Moore
In: Clinical Obstetrics & Gynecology · 2019 · vol. 62(4) , pp. 666–676 · doi:10.1097/grf.0000000000000486 · PMID:31524660 · W2972377948
article OA: closed CC0 ⤵ 4 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This review addresses the challenges in chronic pelvic pain management, emphasizing a multimodal approach combining pharmacologic and behavioral therapies guided by neurobiology and neuropsychology.

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Abstract

Chronic pelvic is a multifaceted condition that often has both peripheral and central generators of pain. Despite its high prevalence, the evaluation and management of a pelvic pain patient often present many challenges to the practicing gynecologist. As with many other chronic pain conditions, pain severity does not always correlate with pelvic pathology and standard medical and surgical therapies are not always effective. An understanding of neurobiology and neuropsychology of chronic pelvic pain along with clinical pearls in the history and physical examination should guide management. Successful treatment of pelvic pain is typically multimodal, a combination of pharmacologic treatment strategies directed at the affected pathology and surrounding structures along with behavioral therapy. Evidence for these and other emerging therapies are presented in this article.

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chronic_pelvic_pain

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