The Management of Chronic Pelvic Pain

Sung-Tack Oh
In: Journal of the Korean Medical Association · 2008 · vol. 51(1) , pp. 53 · doi:10.5124/jkma.2008.51.1.53 · W2051272677
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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This paper reviews chronic pelvic pain (CPP), defined as lower abdominal pain lasting at least 6 months, discussing its cyclic versus continuous forms and differentiating primary from secondary dysmenorrhea. It states that the most common origin of secondary dysmenorrhea and CPP is endometriosis, and outlines a stepwise approach to managing endometriosis-associated pain that includes medical and surgical treatment, postoperative medical therapy, trigger point injections, NSAIDs, and immune therapy, while noting other etiologies such as adenomyosis, pelvic congestion syndrome, psychological and gastrointestinal conditions, urinary diseases, and musculoskeletal disorders. It also lists supportive interventions for CPP (e.g., laparoscopic adhesiolysis, uterine suspension, LUNA, presacral neurectomy, and hysterectomy) and emphasizes that treatment is difficult and that exact diagnosis of the pain origin is necessary with combination treatment. This paper is centrally about endometriosis — it presents endometriosis as the most common cause of secondary dysmenorrhea and CPP and focuses on step-by-step management of endometriosis-related pain within a broader CPP review.

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Abstract

C hronic pelvic pain (CPP) is defined as lower abdominal pain lasting for at least 6 months.

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Condition tags

chronic_pelvic_pain

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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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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last seen: 2026-06-10T17:14:06.276822+00:00
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