Management of Chronic Pelvic Pain

Chronic pelvic pain is a complex condition that requires evaluation of the reproductive, gastrointestinal, urologic, musculoskeletal, psychological, and neurological systems. Usually, diagnosis and management entail identifying a network of disorders rather than a single cause of pain with a definitive cure. Only disorders that we commonly encounter in our practice will be discussed in this review. Similar content being viewed by others

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Several of the McGill Pain Questionnaire descriptors had high negative predictive values but not high positive predictive values, which suggests that they have diagnostic usefulness in excluding but not predicting pelvic pain–related diagnoses. Overall, the McGill Pain Questionnaire descriptors were not as robust as diagnostic tools in the evaluation of women with chronic pelvic pain. • Chey WD, Nojkov B, Rubenstein JH, Dobhan RR, Greenson JK, Cash BD. The yield of colonoscopy in patients with non-constipated irritable bowel syndrome: results from a prospective, controlled US trial. Am J Gastroenterol. 2010;105(4):859–65. This study demonstrates that it is not necessary to perform routine colonoscopy to exclude serious pathology in all patients with irritable bowel syndrome. The procedure should be reserved for "alarm " signs that require further evaluation. Novick J, Miner P, Krause R, Glebas K, Bliesath H, Ligozio G, et al. 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- Chronic pelvic pain - Management - Irritable bowel syndrome - Gastrointestinal dysfunction - Diet - Interstitial cystitis - Endometriosis - Ovarian remnant syndrome - Uterine retroversion - Adhesive disease - Pelvic congestion syndrome - Myofascial pain syndrome - Pelvic floor tension myalgia - Neurectomy - Hysterectomy - Trigger points - Pelvic floor tension myalgia