Chronic Pelvic Pain: ACOG Practice Bulletin, Number 218

Obstetrics and gynecology · 2020 · vol. 135(3) , pp. e98–e109 · doi:10.1097/aog.0000000000003716 · PMID:32080051 · W4238953144
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This practice bulletin outlines the diagnosis and management of chronic pelvic pain in women not fully explained by specific organ system pathology, drawing from other chronic pain condition treatments when evidence is limited.

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Abstract

Chronic pelvic pain is a common, burdensome, and costly condition that disproportionately affects women. Diagnosis and initial management of chronic pelvic pain in women are within the scope of practice of specialists in obstetrics and gynecology. The challenging complexity of chronic pelvic pain care can be addressed by increased visit time using appropriate coding modifiers, as well as identification of multidisciplinary team members within the practice or by facilitated referral. This Practice Bulletin addresses the diagnosis and management of chronic pelvic pain that is not completely explained by identifiable pathology of the gynecologic, urologic, or gastrointestinal organ systems. When evidence on chronic pelvic pain treatment is limited, recommendations are extrapolated from treatment of other chronic pain conditions to help guide management. The evaluation and management of potential gynecologic etiologies of pelvic pain (ie, endometriosis, adenomyosis, leiomyomas, adnexal pathology, vulvar disorders) are discussed in other publications of the American College of Obstetricians and Gynecologists ().

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Condition tags

chronic_pelvic_painendometriosisadenomyosis

MeSH descriptors

Chronic Pain Pelvic Pain Chronic Pain Chronic Pain Female Female Humans Humans Pain Management Pain Management Pelvic Pain Pelvic Pain

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (77)

Cited by (50)

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