Chronic Pelvic Pain
Chronic pelvic pain evaluation requires understanding interactions between pelvic organs, psychosocial factors, and musculoskeletal structures, with treatment ideally involving a multidisciplinary approach and surgery for structural issues.
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This Springer chapter reviews the evaluation and management of chronic pelvic pain, emphasizing interactions among reproductive, genitourinary, gastrointestinal, psychosocial, and musculoskeletal contributors, and describing a multidisciplinary approach that may include behavioral and physical therapy as well as medical therapy. It also notes that surgical approaches can be indicated for structural causes, specifically listing endometriosis, uterine leiomyoma, and adenomyosis. A key caveat is that the chapter frames care as individualized and multidisciplinary, without providing a single pooled estimate of effectiveness for any one intervention. Relevance to endometriosis: the chapter explicitly names endometriosis as a structural growth for which surgical approaches may be indicated, though its main focus is broad evaluation and multidisciplinary management of chronic pelvic pain.
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References (47)
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