Chronic Pelvic Pain

Chronic pelvic pain (CPP) is defined as a general symptom of persistent pain located in the pelvis of at least 6 months’ duration [1]. CPP is considered a confusing entity because the pain is often unrelated to underlying gynecological pathology. Some patients with severe pathology may report little pain while others with mild to moderate tissue deformation may experience severe pain [2,3]. According to several studies of laparoscopy performed for CPP, approximately one-third of patients have endometriosis, one-third have adhesions, and one-third have unclear pathology [4–7]. Moreover, pain experienced by patients can range from the intermittent, such as with dysmenorrhea, to the kind that may be chronic and continuous [8]. Because of the lack of association to organic or physiologic change, CPP is often labeled as a functional somatic syndrome. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

Steege JF. Scope of the problem. In: Steege JF, Metzger DA, Levy BS, editors. Chronic Pelvic Pain: An Integrated Approach. Philadelphia: WB Saunders, 1998;1–4. Guzinski GM. Advances in the diagnosis and treatment of chronic pelvic pain. Adv Psychosom Med 1985;12:124–35. Rapkin AJ. Adhesions and pelvic pain: A retrospective study. Obstet Gynecol 1986;68:13–15. Kresch AJ, Seifer DB, Sachs LB, Barrese I. Laparoscopy in 100 women with chronic pelvic pain. Obstet Gynecol 1984;64:672–4. Lindberg WI, Wall JE, Mathers JE. Laparoscopy in the evaluation of pelvic pain. Obstet Gynecol 1973;42:872–6. Liston WA, Bradford WP, Downie J. Laparoscopy in a general gynecology unit. Am J Obstet Gynecol 1972;113:672–7. Renaer M. Chronic Pelvic Pain in Women. New York: Springer, 1981. Kames LD, Rapkin AJ, Naliboff BD, Afifi A, Ferrer-Brechner T. Effectiveness of an interdisciplinary pain management program for the treatment of chronic pelvic pain. Pain 1990;41:41–6. Kirmayer LJ, Robbins JM. Functional somatic syndromes. In: Kirmayer LJ, Robbins JM, editors, Current Concepts of Somatization. Washington, DC: American Psychiatric Association Press, 1991. Fabrega H Jr. Somatization in cultural and historical perspective. In: Kirmayer L, Robbins JM, editors, Current Concepts of Somatization. Washington, DC: American Psychiatric Association Press, 1991. Toner BB. Cognitive-behavioral treatment of functional somatic syndromes: Integrating gender issues. Cognitive and Behavioral Practice 1994;1:157–78. Lips HM. Sex and Gender: An Introduction. Mountain View, CA: Mayfield, 1997. Toner BB, Segal Z, Emmott S, Myran D. Cognitive-Behavioral Treatment of Irritable Bowel Syndrome: The Brain-Gut Connection. New York: Guilford Publications, 2000. Steege JF, Metzger DA, Levy BS. Chronic Pelvic Pain: An Integrated Approach. Philadelphia: WB Saunders, 1998. Steege JF. Basic philosophy of the integrated approach: Overcoming the mind-body split. In: Steege JF, Metzger DA, Levy BS, editors. Chronic Pelvic Pain: An Integrated Approach. Philadelphia: WB Saunders, 1998;5–12. Toner BB. Challenging myths associated with IBS. 4 part series published in Participate, newsletter of the International Foundation of Functional Gastrointestinal Disorders, 1998–1999;7(4); 8(1); 8(2); 8(3). Mathias SD, Kuppermann M, Liberman RF, Lipschutz RC, Steege JF. Chronic pelvic pain: Prevalence, health-related quality of life, and economic correlates. Obstet Gynecol 1996;87:321–7. Fry RPW, Crisp AH, Beard RW. Sociopsychological factors in chronic pelvic pain: A review. J Psychosom Res 1997;42(1):1–15. Steege JF, Stout AL, Somkuti S. Chronic pelvic pain in women: Toward an integrative model. Obstet Gynecol Surv 1993;48:95–110. Renaer M, Vertommen H, Nijs P, Wagemans L, van Hemelrijck T. Psychological aspects of chronic pelvic pain in women. Am J Obstet Gynecol 1979;134:75–80. Collett BJ, Cordle CJ, Stewart CR, Jagger C. A comparative study of women with chronic pelvic pain, chronic nonpelvic pain and those with no history of pain attending general practitioners. Br J Obstet Gynaecol 1998;105:87–92. Gillibrand PN. The investigation of pelvic pain. In Chronic Pelvic Pain — A Gynaecological Headache. London: RCOG, 1981. Reiter RC, Gambone JC. Demographic and historic variables in women with idiopathic chronic pelvic pain. Obstet Gynecol 1990;75:428–32. Walker EA, Katon WJ, Alfrey H, Bowers M, Stenchever MA. The prevalence of chronic pelvic pain and irritable bowel syndrome in two university clinics. J Psychosom Obstet Gynecol 1991;12:65–75. Jamieson DJ, Steege JF. The association of sexual abuse with pelvic pain complaints in the primary care population. Am J Obstet Gynecol 1997;177(6):1408–12. Hulka JF, Peterson JB, Phillips JM, Surrey MW. Operative laparoscopy: American Association of Gynecologic Laparoscopists 1991 membership survey. J Reprod Med 1993;38:569–71. National Center for Health Statistics, Graves, EJ. National hospital discharge survey: Annual summary, 1990. Vital Health Statistics. Series 13, No. 112. Washington, DC: Government Printing Office, 1992. (DHHS Publication No. (PHS) 92-1773). Steege JF. Office assessment of chronic pelvic pain. Clin Obstet Gynecol 1997;40(3):554–63. Melzack R. Neurophysiologic foundations of pain. In: Sternbach RA, editor. The Psychology of Pain. New York: Raven Press, 1986;1. Savidge CJ, Slade P. Psychological aspects of chronic pelvic pain. J Psychosom Res 1997;42(5):433–44. Magni C, Andreoli C, de Leo D, Martinotti G, Rossi C. Psychological profile of women with chronic pelvic pain. Arch Gynecol 1986;237:165–8. Magni C, Salmi A, de Leo D, Ceola A. Chronic pelvic pain and depression. Psychopathology 1984;17:132–6. Beard RW, Belsey EM, Lieberman BA, Wilkinson JC. Pelvic pain in women. Am J Obstet Gynecol 1977;128:566–570. Pearce S. A psychological investigation of chronic pelvic pain in women. Unpublished Doctoral Thesis, University of London, 1986. Benson RC, Hanson KH, Matarazzo JD. A typical pelvic pain in women: Gynecologic-psychiatric considerations. Am J Obstet Gynecol 1959;77:806–25. Castelnuovo-Tedesco P, Krout BM. Psychosomatic aspects of chronic pelvic pain. Int J Psychiatry Med 1970;1:109–26. Gidro-Frank L, Gordon T, Taylor HC. Pelvic pain and female identity. Am J Obstet Gynecol 1960;79:1184–202. Grandi S, Fava GA, Trombini G, Orlandi C, Bernardi M, Gubbini G, Michelacci L. Depression and anxiety in patients with pelvic pain. Psychiatr Med 1988;6:1–7. Gross RJ, Doerr H, Caldirola D, Guzinski G, Ripley H. Borderline syndrome and incest in chronic pelvic pain patients. Int J Psychiatry Med 1981;10:79–96. Slocumb JC, Kellner R, Rosenfeld RC, Pathak D. Anxiety and depression in patients with the abdominal pelvic pain syndrome. Gen Hosp Psychiatry, 1989;11:48–53. Walker EA, Katon W, Harrop-Griffiths J, Holm L, Russo J, Hickok L. Chronic pelvic pain: The relationship to psychiatric diagnoses and childhood sexual abuse. Am J Psychiatry, 1988;145:75–80. Duncan CH, Taylor HC. A psychosomatic study of pelvic congestion. Am J Obstet Gynecol 1952;64:1–12. Reiter RC, Shakerin LR, Gambone JC, Milburn AR. Correlation between sexual abuse and somatization in women with somatic and nonsomatic chronic pelvic pain. Am J Obstet Gynecol 1991;165:104–9. Rapkin AJ, Kames LD, Darke LL, Stampler FM, Naliboff BD. History of physical and sexual abuse in women with chronic pelvic pain. Obstet Gynecol 1990;76:92–6. Walker EA, Gelfand AN, Gelfand MD, Green C, Katon WJ. Chronic pelvic pain and gynecological symptoms in women with irritable bowel syndrome. J Psychosom Obstet Gynecol 1996;17:39–46. Longstreth GF. Irritable bowel syndrome and chronic pelvic pain. Obstet Gynecol Surv 1994;49(7):505–7. Jensen MP, Karoly P. Control beliefs, coping efforts and adjustment to chronic pain. J Consult Clin Psychol 1991;59:431–8. Nicholas MK. Self-efficacy and chronic pain. Paper presented at the annual conference of the British Psychological Society, 1989. Longstreth GF, Preskill DB, Youkeles L. Irritable bowel syndrome in women having diagnostic laparoscopy or hysterectomy. Dig Dis Sci 1990;35:1285–90. Heitkemper MM, Jarrett M. Pattern of gastrointestinal and somatic symptoms across the menstrual cycle. Gastroenterology 1992;102:504. Whitehead WE, Cheskin LJ, Heller BR et al. Evidence for exacerbation of irritable bowel syndrome during menses. Gastroenterology 1990;98:1485. Longstreth GF, Wolde-Tsadik G. Irritable bowel-type symptoms in HMO examinees. Dig Dis Sci 1993;38:1581. Harrop-Griffiths J, Katon W, Walker E, Holm L, Russo J, Hickok L. The association between chronic pelvic pain, psychiatric diagnoses, and childhood sexual abuse. Obstet Gynecol 1988;71:589–93. Gambone JC, Reiter RC. Nonsurgical management of chronic pelvic pain. A multidisciplinary approach. Clin Obstet Gynecol 1990;33:205–11. Peters AAW, van Dorst E, Jellis B, van Zuuren E, Hermans J, Trimbos JB. A randomized clinical trial to compare two different approaches in women with chronic pelvic pain. Obstet Gynecol 1991;77:740–4. Flor H, Dydrich T, Turk DC. Efficacy of multidisciplinary pain treatment centers: A meta-analytical flow. Pain 1992;49:221–39. Reiter RC. Evidence-based management of chronic pelvic pain. Clin Obstet Gynecol 1998;41(2):422–35. Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2003 Springer-Verlag London Limited About this chapter Cite this chapter Toner, B.B., Tang, T.N. (2003). Chronic Pelvic Pain. In: Drutz, H.P., Herschorn, S., Diamant, N.E. (eds) Female Pelvic Medicine and Reconstructive Pelvic Surgery. Springer, London. https://doi.org/10.1007/1-84628-238-1_22 Download citation DOI: https://doi.org/10.1007/1-84628-238-1_22 Publisher Name: Springer, London Print ISBN: 978-1-84628-237-9 Online ISBN: 978-1-84628-238-6 eBook Packages: Springer Book Archive

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