Chronic Pelvic Pain in Women
This chapter guides clinicians on effective triage, diagnosis, and contemporary therapeutic interventions for women with chronic pelvic pain by detailing its complexity and underlying mechanisms.
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This chapter reviews chronic pelvic pain (CPP) in women, focusing on how clinicians can triage patients, apply contemporary diagnostics, and choose therapeutic interventions in the context of limited mechanistic understanding. It emphasizes that CPP pathogenesis is complex and may overlap with multiple related disorders, highlighting functional somatic contributions and specific gynecologic and non-gynecologic pain conditions. The chapter’s main caveat is that consistent therapeutic options are constrained by incomplete knowledge of underlying mechanisms and by variability in presentations, limiting a unified approach. Relevance to endometriosis: the chapter discusses endometriosis as part of the CPP spectrum, including its clinical/pathophysiologic background and multiple endometriosis-associated pain treatment studies and reviews, and it also includes discussion of adenomyosis-related pelvic pain within the broader pelvic pain differential, though the paper’s main focus is a general CPP clinical triage and management framework. This paper is centrally about endometriosis — it frames endometriosis within the broader chronic pelvic pain diagnostic and treatment landscape.
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Cited by (33)
- The Role of Psychological Flexibility and Psychological Factors in Chronic Pelvic Pain Among Women: A Correlational Study 2025
- Where best practice pain care and patient expectations for care meet: Exploring patient expectations around chronic pelvic pain, physiotherapy, and the biopsychosocial model of care 2025
- Effectiveness, Safety, and Patient Satisfaction of Laparoscopic Uterosacral Nerve Ablation in Terms of Pain Relief in Women with Chronic Pelvic Pain 2025
- Evaluation of serum and peritoneal fluid mannose‐binding lectin associated serine protease‐3, adipsin, properdin, and complement factor‐H levels in endometriosis patients 2025
- Investigational drugs for the treatment of dysmenorrhea 2024
- A Rare Occurrence of a Huge Ovarian Thecoma in a Menopausal Patient, 25 Years After Abdominal Hysterectomy and Right Salpingo-Oophorectomy: A Case Report and Mini-Review of the Literature 2024
- Validation of an In Vitro Diagnostic Test for Endometriosis: Impact of Confounding Medical Conditions and Lesion Location 2024
- Prevalencia de dolor pélvico crónico y factores asociados en mujeres de Otavalo-Ecuador 2024
- Is gabapentin effective and safe in the treatment of chronic pelvic pain in women: A systematic review and meta-analysis 2024
- The challenges of female chronic pelvic pain 2024
- Improving chronic pelvic pain diagnosis; the role of clinical assessment and symptom evaluation 2024
- Subgroups of pelvic pain are differentially associated with endometriosis and inflammatory comorbidities: a latent class analysis 2024
- Lessons learned from the experiences of patients with chronic pelvic pain syndrome (CPP syndrome) with a multidisciplinary consultation: a qualitative study 2024
- Gynecological prerequisites for the development of chronic pelvic pain syndrome – diagnosis and treatment (Literature review) 2023
- The burden of Chronic Pelvic Pain (CPP): Costs and quality of life of women and men with CPP treated in outpatient referral centers 2023
- Chronic Pelvic Pain, Vulvar Pain Disorders, and Proteomics Profiles: New Discoveries, New Hopes 2023
- Meta-analysis of clinical trials of transcranial magnetic stimulation for chronic pelvic pain syndrome 2022
- Clinical practice guidelines for endometriosis in Japan (The 3rd edition) 2022
- Role of diagnostic laparoscopy in chronic pelvic pain in females: A study from tertiary care centre in Patna, Bihar 2022
- An Approach to Common Causes of Nonobstetric Gynecologic Pelvic Pain 2022
- Beliefs and Narratives Associated with the Treatment of Chronic Pelvic Pain in Women 2022
- Comparison of dienogest versus combined oral contraceptive pills in the treatment of women with adenomyosis: A randomized clinical trial 2021
- Postoperative Pain Is Driven by Preoperative Pain, Not by Endometriosis 2021
- New Insights about Chronic Pelvic Pain Syndrome (CPPS) 2020
- Guidance for gynecologists utilizing telemedicine during COVID‐19 pandemic based on expert consensus and rapid literature reviews 2020
- Cognitive behavioral therapy for the treatment of chronic pelvic pain 2020
- Chronic Pelvic Pain 2020
- Prolonged relief of chronic pelvic pain by pulsed radiofrequency ablation of superior hypogastric plexus performed under ultrasound guidance: A case report 2020
- Impact of ultrasound diagnosis for chronic pelvic pain 2019
- Patterns of Prescription Opioid Use in Women With Endometriosis 2019
- Gynecological associated disorders and management 2019
- Comparative analysis of molecular signatures suggests the use of gabapentin for the management of endometriosis-associated pain 2018
- Transvaginal ultrasound <i>vs</i> magnetic resonance imaging for diagnosing deep infiltrating endometriosis: systematic review and meta‐analysis 2017
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