Biomedical Perspectives About Women with Chronic Pelvic Pain: A Qualitative Analysis

Paula Patricia Souza, Adriana Peterson Mariano Salata Romão, Ana Márcia Spanó Nakano, Júlio César Rosa e Silva, Francisco José Cândido dos Reis, Antônio Alberto Nogueira, Omero Benedicto Poli‐Neto
In: International Journal of Clinical Medicine · 2012 · vol. 03(05) , pp. 411–418 · doi:10.4236/ijcm.2012.35077 · W2058138634
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This qualitative study interviewed physicians about their medical training and practice regarding chronic pelvic pain, revealing a reductionist, fragmented approach that overlooks holistic aspects of care.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This qualitative study investigated how seven physicians at a specialized Chronic Pelvic Pain Outpatient Clinic perceive and provide medical care to women with chronic pelvic pain, using semi-structured interviews and content analysis. The central theme was how medical training and practice shaped care, with findings emphasizing a reductionist, fragmented biomedical approach that, they argue, can reflect an educational model that overlooks social, cultural, psychological, and emotional aspects. The authors explicitly frame a limitation of the perspective as being confined to physician viewpoints from one specialized clinic, and call for a shift toward a more humanistic model of health care. Relevance to endometriosis: the paper references endometriosis in the included literature context for consensus management of chronic pelvic pain and endometriosis, though its main focus is physicians’ biomedical perceptions in chronic pelvic pain care rather than endometriosis itself.

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Abstract

Because the aetiology of chronic pelvic pain is complex, studies of the condition involve extensive investigation but provide few conclusions. Numerous studies have addressed the experiences of women with chronic pelvic pain, as well as the interaction between those women and their health care providers. Our objective was to investigate how physicians at a specialised clinic perceive the medical care provided to such women. This was a qualitative study employing semi-structured interviews and content analysis. We interviewed seven physicians at the Chronic Pelvic Pain Outpatient Clinic of the University Hospital, Faculty of Medicine of Ribeir?o Preto, University of S?o Paulo, Brazil. Medical training and practice constituted the central theme of the study, which was subdivided into categories addressing the influence that the current medical training has on the type of medical care provided to women with chronic pelvic pain. Medical practice has been characterised by a reductionist approach to health and illness, as well as by the fragmentation of health care. These characteristics are, to a certain extent, the result of the biomedical model of education, which has been predominant, ignoring social, cultural, psychological and emotional aspects. There is a need to shift the medical paradigms toward a humanistic model of health care. We hope that we have provided a critical view of current medical training and practice, as well as of their effects in various health care settings, particularly in the provision of care to women with chronic pelvic pain.

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chronic_pelvic_pain

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