Musculoskeletal causes of chronic pelvic pain: what a gynecologist should know

Anthony Gyang, Melissa Hartman, Georgine Lamvu
Obstetrics and gynecology · 2013 · vol. 121(3) , pp. 645–650 · doi:10.1097/aog.0b013e318283ffea · PMID:23635629 · W1963706020
Review OA: closed CC0 ⤵ 31 in-corpus citations
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This paper describes common musculoskeletal causes of chronic pelvic pain, which affect 22% of patients, and explains how gynecologists can perform a simple musculoskeletal examination to identify these issues.

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Abstract

Ten percent of all gynecologic consultations are for chronic pelvic pain, and 20% of patients require a laparoscopy. Chronic pelvic pain affects 15% of all women annually in the United States, with medical costs and loss of productivity estimated at $2.8 billion and $15 billion per year, respectively. Chronic pelvic pain in women may have multifactorial etiology, but 22% have pain associated with musculoskeletal causes. Unfortunately, pelvic musculoskeletal dysfunction is not routinely evaluated as a cause of pelvic pain by gynecologists. A pelvic musculoskeletal examination is simple to perform, is not time-consuming, and is one of the most important components to investigate in all chronic pelvic pain patients. This article describes common musculoskeletal causes of chronic pelvic pain and explains how to perform a simple musculoskeletal examination that can be easily incorporated into the gynecologist physical examination.

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Condition tags

chronic_pelvic_pain

MeSH descriptors

Gynecological Examination Myofascial Pain Syndromes Pelvic Pain Chronic Disease Female Gynecological Examination Gynecology Gynecology Humans Myofascial Pain Syndromes Myofascial Pain Syndromes Pelvic Floor Pelvic Floor Pelvic Floor Pelvic Pain Pelvic Pain Spasm Spasm Spasm Spasm

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References (32)

Cited by (30)

Source provenance

openalex
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pubmed
last seen: 2026-10-08T21:11:51.557491+00:00
License: CC0 · commercial use OK