Gynecological associated disorders and management

Xibei Jia, Neha Rana, Tess Crouss, Kristene E Whitmore, Kristene Whitmore
International journal of urology : official journal of the Japanese Urological Association · 2019 · vol. 26(S1) , pp. 46–51 · doi:10.1111/iju.13974 · PMID:31144734 · W2947288018
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

This review outlines gynecological evaluation, common diagnoses like endometriosis and vulvodynia, and multimodal management strategies for chronic pelvic pain.

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Abstract

BACKGROUND: Chronic pelvic pain syndrome is complex and involves multiple organ systems. The gynecological aspects of chronic pelvic pain syndrome can be divided into four different areas: intra-abdominal, vaginal, pelvic floor muscles and sexual pain. This article provides an overview of gynecological evaluation in patients with chronic pelvic pain and reviews the most common gynecological diagnoses and their management. METHODS: An extensive review of the literature including guidelines from the International Continence Society, the European Association of Urology, and the International Association for the Study of Pain was performed. RESULTS: Gynecological evaluation of patients with chronic pelvic pain begins with a thorough history and physical examination. Laboratory tests, imaging studies and diagnostic procedures can be used as adjuncts to make a diagnosis. Treatment modalities include physical therapy, medications, trigger points injections, and surgery. CONCLUSION: Common gynecological diagnoses of chronic pelvic pain include endometriosis, adenomyosis, vulvodynia, high tone pelvic floor dysfunction, and genitopelvic pain/penetration disorder. Gynecology is one of the many systems that can be associated with chronic pelvic pain. Managing patients with chronic pelvic pain requires a multimodal and multidisciplinary approach.

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Condition tags

mesh:D017699endometriosisadenomyosischronic_pelvic_pain

MeSH descriptors

Adenomyosis Cystitis, Interstitial Pelvic Floor Disorders Vulvodynia Adenomyosis Adenomyosis Adenomyosis Chronic Disease Comorbidity Cystitis, Interstitial Cystitis, Interstitial Diagnosis, Differential Female Gynecology Humans Pain Measurement Pelvic Floor Disorders Pelvic Floor Disorders Pelvic Floor Disorders Pelvic Pain

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References (94)

Cited by (2)

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License: CC0 · commercial use OK