Biopsychosocial Factors in Chronic Pelvic Pain

In: Biopsychosocial Factors in Obstetrics and Gynaecology · 2017 · pp. 131–138 · doi:10.1017/9781316341261.017 · W2747227884
OA: closed CC0
Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This paper examines the interplay of biological, psychological, and social factors contributing to chronic pelvic pain in patients.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This chapter/book section examines biopsychosocial factors in chronic pelvic pain in obstetrics and gynaecology, synthesizing evidence and perspectives across biomedical, psychological, and social domains. It draws on prevalence studies, qualitative research on women’s narratives and disengagement with diagnostic processes, and research on how medical attitudes and diagnostic experiences affect patients, alongside discussion of diagnostic/management approaches and potential pitfalls. A key limitation is that the material is largely conceptual and integrative (with a broad references list and mixed study types) rather than providing a single new empirical study with unified methods or outcomes. Relevance to endometriosis: endometriosis is explicitly mentioned in the provided materials via a cited report on improving the wellbeing of couples in endometriosis, though the chapter’s main focus is biopsychosocial factors in chronic pelvic pain more generally.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

A summary is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content.
Full text 14,457 characters · extracted from oa-doi-fallback · click to expand
- Biopsychosocial Factors in Obstetrics and Gynaecology - Biopsychosocial Factors in Obstetrics and Gynaecology - Copyright page - Dedication - Contents - Contributors - Preface - Section 1 Generic Issues - Section 2 Gynaecology - Chapter 10 Diverse Sex Development - Chapter 11 Biopsychosocial Factors in Paediatric and Adolescent Gynaecology - Chapter 12 Biopsychosocial Factors in Premenstrual Syndrome - Chapter 13 Biopsychosocial Factors in Abnormal Uterine Bleeding - Chapter 14 Biopsychosocial Aspects of Infertility - Chapter 15 Psychological and Social Aspects of Reproductive Life Events among Men - Chapter 16 Biopsychosocial Factors in Chronic Pelvic Pain - Chapter 17 Biopsychosocial Factors in Emergency Gynaecology - Chapter 18 Biopsychosocial Factors in Urinary Incontinence - Chapter 19 Biopsychosocial Perspectives on the Menopause - Chapter 20 Biopsychosocial Factors in Gynaecological Cancer - Chapter 21 Assessment and Management of Women with Nausea and Vomiting during Pregnancy - Section 3 Sexual and Reproductive Health - Section 4 Obstetrics and Maternal Health - Appendix: RCOG Checklist of Hints and Tips to Support Clinical Practice in the Management of Gender-Based Violence - Index - References from Section 2 - Gynaecology Published online by Cambridge University Press: 30 August 2017 Book contents - Biopsychosocial Factors in Obstetrics and Gynaecology - Biopsychosocial Factors in Obstetrics and Gynaecology - Copyright page - Dedication - Contents - Contributors - Preface - Section 1 Generic Issues - Section 2 Gynaecology - Chapter 10 Diverse Sex Development - Chapter 11 Biopsychosocial Factors in Paediatric and Adolescent Gynaecology - Chapter 12 Biopsychosocial Factors in Premenstrual Syndrome - Chapter 13 Biopsychosocial Factors in Abnormal Uterine Bleeding - Chapter 14 Biopsychosocial Aspects of Infertility - Chapter 15 Psychological and Social Aspects of Reproductive Life Events among Men - Chapter 16 Biopsychosocial Factors in Chronic Pelvic Pain - Chapter 17 Biopsychosocial Factors in Emergency Gynaecology - Chapter 18 Biopsychosocial Factors in Urinary Incontinence - Chapter 19 Biopsychosocial Perspectives on the Menopause - Chapter 20 Biopsychosocial Factors in Gynaecological Cancer - Chapter 21 Assessment and Management of Women with Nausea and Vomiting during Pregnancy - Section 3 Sexual and Reproductive Health - Section 4 Obstetrics and Maternal Health - Appendix: RCOG Checklist of Hints and Tips to Support Clinical Practice in the Management of Gender-Based Violence - Index - References A summary is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content. - Type - Chapter - Information - Biopsychosocial Factors in Obstetrics and Gynaecology , pp. 131 - 138Publisher: Cambridge University PressPrint publication year: 2017 Latthe, P, Latthe, M, Say, L, Gulmezoglu, M, Khan, KS. WHO systematic review of prevalence of chronic pelvic pain: A neglected reproductive health morbidity. BMC Public Health 2006; 6: doi: 10.1186/1471-2458-6-177.CrossRefGoogle ScholarPubMed Mathias, S, Kuppermann, M, Liberman, R, Lipschutz, R, Steege, J. Chronic pelvic pain: Prevalence, health-related quality of life, and economic correlates. Obstetrics & Gynecology 1996; 87(3): 321–7.CrossRefGoogle ScholarPubMed Zondervan, KT, Yudkin, PL, Vessey, MP, Jenkinson, CP, Dawes, MG, Barlow, DH, et al. The community prevalence of chronic pelvic pain in women and associated illness behaviour. British Journal of General Practice 2001; 51: 541–47.Google ScholarPubMed Zondervan, KT, Yudkin, PL, Vessey, MP, Dawes, MG, Barlow, DH, Kennedy, SH. Prevalence and incidence of chronic pelvic pain in primary care: Evidence from a national general practice database. British Journal of Obstetrics and Gynaecology 1999; 106: 1149–55.Google ScholarPubMed Royal College of Obstetricians and Gynaecologists. Chronic Pelvic Pain, Initial Management (Green-top Guideline No. 41). Updated December 2014. www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg41/. Accessed 22 March 2017.Google Scholar Bruckenthal, P. Chronic pelvic pain: Approaches to diagnosis and treatment. Pain Management Nursing 2011; 12(1): S4–10.CrossRefGoogle Scholar Andrews, J, Yunker, A, Reynolds, WS, Likis, FE, Sathe, NA, Jerome, RN. Noncyclic Chronic Pelvic Pain Therapies for Women: Comparative Effectiveness. Comparative Effectiveness Review No. 41. (Prepared by the Vanderbilt Evidence-Based Practice Center under Contract No. 290–2007-10065-I.) AHRQ Publication No. 11(12)-EHC088-EF. Rockville, MD: Agency for Healthcare Research and Quality. January 2012. http://effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?productid=931&pageaction=displayproduct.Google Scholar Beard, RW, Highman, JH, Pearce, S, Reginald, PW. Diagnosis of pelvic varicosities in women with chronic pelvic pain. Lancet 1984; 2(8409): 946–9.Google ScholarPubMed European Association of Urology. Guidelines on Chronic Pelvic Pain. 2012. www.pelvicpain.org.uk/uploads/EAU-%20CPP%20guideline%202012.pdf. Accessed 22 March 2017.Google Scholar American College of Obstetricians and Gynecologists (ACOG). Chronic pelvic pain. FAQ099. August 2011. Available at www.acog.org/Patients/FAQs/Chronic-Pelvic-Pain. Accessed 22 March 2017.Google Scholar Souza, PP, Romao, APMS, Nakano, AMS, Rosa-e-Silva, JC, Candido-dos-Reis, Nogueira AA, Poli-Neto, OB. Biomedical perspectives about women with chronic pelvic pain: A qualitative analysis. International Journal of Clinical Medicine 2012; 3: 411–18.CrossRefGoogle Scholar McGowan, L, Luker, K, Creed, F, Chew-Graham, C. ‘How do you explain a pain that can’t be seen?’ The narratives of women with chronic pelvic pain and their disengagement with the diagnostic cycle. British Journal of Health Psychology 2007; 12(2): 261–74.CrossRefGoogle Scholar Culley, L, Hudson, N, Mitchell, H, Law, C, Denny, E, Raine-Fenning, N. Endometriosis: improving the wellbeing of couples. Summary report and recommendations. October 2013. www.dmu.ac.uk/documents/research-documents/health-and-life-sciences/reproduction-research/endopart/endopart-study-summary-report-and-recommendations.pdf. Accessed 22 March 2017.Google Scholar Stones, RW, Selfe, SA, Fransman, S, Horn, SA. Psychosocial and economic impact of chronic pelvic pain. Baillieres Clinical Obstetrics and Gynaecology 2000; 14(3): 415–31.Google ScholarPubMed Howard, FM. The role of laparoscopy in chronic pelvic pain: Promise and pitfalls. Obstetrical & Gynecological Survey 1993; 48: 357–87.CrossRefGoogle ScholarPubMed Souza, PP, Romao, APMS, Nakano, AMS, Rosa-e-Silva, JC, Candido-dos-Reis, Nogueira AA, Poli-Neto, OB. Qualitative research as the basis for a biopsychosocial approach to women with chronic pelvic pain. Journal of Psychosomatic Obstetrics and Gynecology 2011; 32(4): 165–72.CrossRefGoogle ScholarPubMed Lamvu, G. Role of hysterectomy in the treatment of chronic pelvic pain. Obstetrics and Gynecology 2011; 117(5): 1175–8.CrossRefGoogle ScholarPubMed Ghaly, AFF, Chien, PFW. Chronic pelvic pain: Clinical dilemma or clinician’s nightmare. Sex Transm Inf 2000; 76: 419–25.CrossRefGoogle ScholarPubMed Selfe, SA, Van Vugt, M, Stones, RW. Chronic gynaecological pain: An exploration of medical attitudes. Pain 1998; 77(2): 215–25.CrossRefGoogle ScholarPubMed McGowan, L, Pitts, MK, Clark-Carter, D. Chronic pelvic pain: The general practitioners’ perspective. Psychology, Health & Medicine 1999; 4(3): 303–17.CrossRefGoogle Scholar McGowan, L, Escott, D, Luker, K, Creed, F, Chew-Graham, C. Is chronic pelvic pain a comfortable diagnosis for primary care practitioners: A qualitative study. BMC Family Practice 2010: 11(7): doi: 10.1186/1471-2296-11-7.CrossRefGoogle ScholarPubMed Savidge, CJ, Slade, P, Stewart, P, Li, TC. Women’s perspectives on their experiences of chronic pelvic pain and medical care. J Health Psychol 1998; 42: 103–16.Google Scholar Venbrux, AC, Sharma, GK, Jackson, ET, Harper, AP, and Hover, L. In Ignacio, EA and Venbrux, AC (eds.), Women’s Health in Interventional Radiology, doi: 10.1007/978-1-4419-5876-1_2, New York: Springer, 2012.Google Scholar Ghaly, AFF. The psychological and physical benefits of pelvic ultrasonography in patients with chronic pelvic pain and negative laparoscopy. A random allocation trial. Journal of Obstetrics and Gynaecology 1994; 14: 269–71.CrossRefGoogle Scholar Onwude, JL, Thornton, JG, Morley, S, et al. A randomised trial of photographic reinforcement during postoperative counselling after diagnostic laparoscopy for pelvic pain. Eur J Obstet Gynecol Reprod Biol. 2004 January 15; 112(1): 89–94.CrossRefGoogle ScholarPubMed Peters, AAW, van Dorst, E, Jellis, B, van Zuuren, E, Hermans, J, Trimbos, JB. A randomized clinical trial to compare two different approaches in women with chronic pelvic pain. Obstetrics and Gynecology 1991; 77(5): 740–4.Google ScholarPubMed Cheung, YC, Smotra, G, de C Williams, A. Non-surgical interventions for the management of chronic pelvic pain. Cochrane Review. Updated February 2014. doi: 10.1002/14651858.CD008797.pub2.CrossRefGoogle Scholar Norman, SA, Lumley, MA, Dooley, JA, Diamond, MP. For whom does it work? Moderators of the effects of written emotional disclosure in a randomised trial among women with chronic pelvic pain. Psychosomatic Medicine 2004; 66: 174–83.CrossRefGoogle Scholar Pennebaker, JW, Beall, SK. Confronting a traumatic event. Toward an understanding of inhibition and disease. Journal of Abnormal Psychology 1986; 95: 274–81.CrossRefGoogle ScholarPubMed Dworkin, RH, Turk, DC, Farrar, JT, Haythornthwaite, JA, Jensen, MP, Katz, NP, et al. Core outcome measures for chronic pain clinical trials: IMMPACT guidelines. Pain 2005; 113: 9–19.CrossRefGoogle Scholar Dworkin, RH, Turk, DC, Peirce-Sandner, S, Baron, R, Bellamy, N, Burke, LB, et al. Research design considerations for confirmatory chronic pain clinical trials: IMMPACT recommendations. Pain 2010; 149: 177–93.CrossRefGoogle ScholarPubMed Newton, BJ, Southall, JL, Raphael, JH, Asford, RL, LeMarchand, K. Narrative review of the impact of disbelief in chronic pain. Pain Management Nursing 2013; 14(3): 161–71.CrossRefGoogle ScholarPubMed Grace, VM. Pitfalls of the medical paradigm in chronic pelvic. Baillière’s Clinical Obstetrics and Gynecology 2000; 14(3): 525–39.Google ScholarPubMed Grace, VM, MacBride-Stewart, S. Women get this: Gendered meanings of chronic pelvic pain. Health 2007; 11(1): 47–67.CrossRefGoogle ScholarPubMed Toye, F, Seers, K, Barker, K. A meta-ethnography of patients’ experiences of chronic pelvic pain: Struggling to construct chronic pelvic pain as ‘rea’. Journal of Advanced Nursing 2012; 70(12): 2713–27.Google Scholar NHS England. Everyone counts: Planning for patients for 2014/15 to 2018/19. www.england.nhs.uk/wp-content/uploads/2013/12/5yr-strat-plann-guid-wa.pdf. Accessed 22 March 2017.Google Scholar Robinson, A, Lee, V, Kennedy, A, Middleton, L, Rogers, A, Thompson, DG, Reeves, D. A randomised controlled trial of self-help interventions in patients with a primary care diagnosis of irritable bowel syndrome. Gut 2006; 55: 643–48.CrossRefGoogle ScholarPubMed Seear, K. The third shift: Health, work and expertise among women with endometriosis. Health Psychology Review 2009b; 2: 194–206.Google Scholar Nagelkerk, J, Reick, K, Meengs, L. Perceived barriers and effective strategies to diabetes self-management. Journal of Advanced Nursing 2006; 54(2): 151–58.CrossRefGoogle ScholarPubMed Pitt, V, Lowe, D, Hill, S, Prictor, M, Hetrick, SE, Ryan, R, Berends, L. Involving adults who use mental health services as providers of mental health services to others. 28 March 2013. Cochrane Review. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004807.pub2/abstract;jsessionid=032E702FC10D4F808F4B2F300F085939.f03t03. Accessed 22 March 2017Google Scholar International Pelvic Pain Society. http://pelvicpain.org/home.aspx. Accessed 22 March 2017.Google Scholar Edozien, LC. Beyond biology: The biopsychosocial model and its application in obstetrics and gynaecology. BJOG An International Journal of Obstetrics & Gynaecology 2015; 122(7): 900–3.CrossRefGoogle ScholarPubMed Miller-Matero, LR, Saulino, C, Clark, S, Bugenski, M, Eshelman, A, Eisenstein, D. When treating the pain is not enough: A multidisciplinary approach for chronic pelvic pain. Archives of Women’s Mental Health epub ahead of print 5 May 2015.CrossRefGoogle Scholar Weijenborg, PT, Greeven, A, Dekker, FW, Peters, AAW, ter Kuile, MM. Clinical course of chronic pelvic pain in women. Pain 2007; 132(1): S117–23.CrossRefGoogle ScholarPubMed Accessibility compliance for the HTML of this chapter is currently unknown and may be updated in the future. To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle. Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply. Find out more about the Kindle Personal Document Service. - Biopsychosocial Factors in Chronic Pelvic Pain - - Book: Biopsychosocial Factors in Obstetrics and Gynaecology - Online publication: 30 August 2017 To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox. - Biopsychosocial Factors in Chronic Pelvic Pain - - Book: Biopsychosocial Factors in Obstetrics and Gynaecology - Online publication: 30 August 2017 To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive. - Biopsychosocial Factors in Chronic Pelvic Pain - - Book: Biopsychosocial Factors in Obstetrics and Gynaecology - Online publication: 30 August 2017

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

chronic_pelvic_pain

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK