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

Erin T Carey, Kristin J. Moore, Kristin Moore
Clinical Obstetrics and Gynecology · 2019 · vol. 62(4) , pp. 666–676 · doi:10.1097/grf.0000000000000486 · PMID:31524660 · W2972377948
Review OA: closed CC0 ⤵ 4 in-corpus citations
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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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Condition tags

chronic_pelvic_pain

MeSH descriptors

Chronic Pain Chronic Pain Gynecology Pelvic Pain Pelvic Pain Chronic Pain Combined Modality Therapy Disease Management Female Gynecology Humans Pain Measurement Pelvic Pain Practice Guidelines as Topic Symptom Assessment Symptom Assessment

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References (54)

Cited by (5)

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License: CC0 · commercial use OK