Occult somatic pathology in women with chronic pelvic pain

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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-11 ⓘ

This paper highlights the need to exclude nongynecologic and nonsomatic conditions in women with chronic pelvic pain, arguing against hysterectomy and bilateral salpingo-oophorectomy as definitive treatments.

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Abstract

Recent investigations have documented the importance of ruling out occult nongynecologic diagnoses such as myofascial syndrome, IBS, urethral syndrome, and psychogenic disorders in women with CPP and normal laparoscopy. In light of current data regarding the prevalence of nonsomatic and nongynecologic somatic pathology among patients with pelvalgia, it seems clear that "definitive" surgical therapy consisting of total abdominal hysterectomy and bilateral salpingo-oophorectomy is neither definitive nor indicated in the large majority of these cases.

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Condition tags

chronic_pelvic_pain

MeSH descriptors

Pain Pelvis Adult Chronic Disease Female Humans Pain Pain

Citation neighborhood (2-hop)

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Cited by (9)

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-10-08T21:09:10.644269+00:00
unpaywall
last seen: 2026-10-14T06:23:58.021457+00:00
License: CC0 · commercial use OK