Selected Disorders of the Female Reproductive System
This paper focuses on acute pelvic pain in women, discussing its prevalence, causes, and an evidence-based approach using clinical history and physical examination.
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This paper is an overview chapter on selected disorders of the female reproductive system, focusing on the evaluation of acute and chronic pelvic pain in primary care using clinical history and physical examination. It synthesizes existing epidemiology and diagnostic guidance, noting that chronic pelvic pain is defined as present for at least 6 months and that pelvic pain has reproductive, genitourinary, gastrointestinal, and musculoskeletal etiologies; it also discusses evidence gaps and the breadth of differential diagnoses. A major limitation explicitly acknowledged is that studies are lacking for some estimates of pelvic pain prevalence. Relevance to endometriosis: the chapter is included because it contains multiple endometriosis-focused citations (e.g., reviews of endometriosis pathogenesis and treatments, including endometriosis-associated pelvic pain), though its main focus is a general approach to female pelvic pain assessment.
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