Management of Chronic Pelvic Pain
This review will discuss commonly encountered disorders within the reproductive, gastrointestinal, urologic, musculoskeletal, psychological, and neurological systems for managing chronic pelvic pain.
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This paper is a narrative review of chronic pelvic pain, describing how evaluation and management should consider a network of potentially interacting disorders across reproductive, gastrointestinal, urologic, musculoskeletal, psychological, and neurological systems, rather than seeking a single definitive cause. It summarizes diagnostic and treatment concepts encountered in clinical practice, including discussion of conditions commonly evaluated in chronic pelvic pain and how procedures or tools (for example, pain mapping with laparoscopy) may help. A major limitation is that it is restricted to disorders “we commonly encounter in our practice,” meaning it does not attempt a comprehensive coverage of all possible etiologies. Relevance to endometriosis: the review cites literature on endometriosis—such as comparisons of excision versus ablation, medical and hormonal therapies, and recurrence after hysterectomy—within the broader framework of managing chronic pelvic pain, though its main focus is not solely endometriosis.
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Cited by (24)
- A PSYCHOSOMATIC PERSPECTIVE ON ENDOMETRIOSIS – A MINI REVIEW 2023
- Diagnosis and Management of Endometriosis 2023
- Chronic pelvic pain in women 2022
- Evaluation of the Diagnostic Accuracy of the Interview and Physical Examination in the Diagnosis of Endometriosis as the Cause of Chronic Pelvic Pain 2021
- Douleurs et endométriose 2020
- Surgical Decision Regret in Women Pursuing Surgery for Endometriosis or Chronic Pelvic Pain 2020
- Chronic pelvic pain in women, stages and methods of diagnosis (Literature review) 2020
- Is There Any Benefit to Obtaining a Pelvic Ultrasound After a Negative CT of the Abdomen/Pelvis in a Woman with Chronic Abdominal Pain? 2019
- Primary care management of chronic pelvic pain in women 2018
- Rehabilitation of the Pelvis and Pelvic Floor 2017
- Pain cognition versus pain intensity in patients with endometriosis: toward personalized treatment 2017
- Diagnosis and Management of Endometriosis 2017
- Diagnosis and Management of Endometriosis 2016
- Dolor pélvico crónico: Más allá de la endometriosis 2016
- Comparative, open-label prospective study on the quality of life and sexual function of women affected by endometriosis-associated pelvic pain on 2 mg dienogest/30 µg ethinyl estradiol continuous or 21/7 regimen oral contraceptive 2016
- Evaluating CA125 and VAS Pain Modifications following Gnrh Analog to Exclude Superficial Endometriosis as Cause of Chronic Pelvic Pain 2015
- Chronic pelvic pain, quality of life and sexual health of women treated with palmitoylethanolamide and α-lipoic acid. 2015
- Quality of life and sexual function of women affected by endometriosis-associated pelvic pain when treated with dienogest 2015
- Pain, Pelvic 2014
- Attributes and Barriers to Care of Pelvic Pain in University Women 2013
- Obstetrics-Gynecology Resident Attitudes and Perceptions About Chronic Pelvic Pain: A Targeted Needs Assessment to Aid Curriculum Development 2013
- Chronic Pelvic Pain 2013
- Effects of tramadol on viscero‐visceral hyperalgesia in a rat model of endometriosis plus ureteral calculosis 2013
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