The challenges of female chronic pelvic pain
Female chronic pelvic pain, affecting 26% of women, is a multifactorial condition often involving reproductive, digestive, urinary, and musculoskeletal systems, alongside psychosocial factors and associated disorders.
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This paper is an editorial overview of female chronic pelvic pain, discussing its high prevalence, multifactorial etiologies, and the need for careful clinical characterization of pain type, triggers, and differential diagnoses using symptom references and the Visual Analog Scale for intensity quantification. It highlights that comorbid conditions are common and provides a framework distinguishing nociceptive, nociplastic, and neuropathic pain, noting that central neuroplasticity can amplify symptoms over time; it also describes relevant non-gynecologic causes such as interstitial cystitis, myofascial pain, irritable bowel syndrome, and pelvic venous compression syndromes. The paper explicitly notes key diagnostic and treatment limitations, including that interstitial cystitis diagnosis is exclusionary and that deep endometriosis surgery is technically complex, with risk from anatomical distortion and potential persistence of symptoms if associated deep endometriosis is not fully removed. This paper is centrally about endometriosis and adenomyosis within the broader context of chronic female pelvic pain — it specifically reviews how menstrual-associated pain patterns, diagnostic imaging, and treatment decisions relate to endometriosis (including deep disease and surgical complexity) and adenomyosis.
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References (17)
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00