Chronic Abdominal Pain of Gynecologic Causes: Diagnosis and Treatment

Miya Yamamoto, Jorge F. Carillo, Fred M. Howard
In: Chronic Abdominal Pain · 2014 · pp. 103–113 · doi:10.1007/978-1-4939-1992-5_10 · W129258045
book-chapter OA: closed CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Chronic pelvic pain affects 4% of women, often stemming from both gynecologic and non-gynecologic causes, making diagnosis challenging and requiring an empathetic physician-patient relationship.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper is a clinical overview chapter on chronic abdomino-pelvic pain/chronic pelvic pain, discussing its estimated prevalence, the high likelihood of multiple overlapping etiologies, and approaches to diagnosis and treatment. It synthesizes evidence that non-gynecologic causes (e.g., IBS, IC/PBS, myofascial pain, neuralgias) are often more prevalent than gynecologic disorders, while gynecologic contributors listed include endometriosis, prior pelvic inflammatory disease, leiomyomata, and adenomyosis, and it emphasizes that depression, fibromyalgia, migraines, low back pain, and histories of physical/sexual abuse should also be evaluated. The chapter’s limitation is that, as a narrative review/clinical chapter, it does not present new original data and instead draws from referenced studies and practice bulletins. Relevance to endometriosis: this paper explicitly lists endometriosis (along with adenomyosis) as a gynecologic cause of chronic pelvic pain within its diagnostic framework.

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