Revolutionizing gynecologic pain management: Exploring modern trends and innovations

Vinaya Vijayan, Madhumita Jeyalalitha Rajendran, Rajkumar Krishnan Vasanthi, Challaraj Emmanuel E S, Muthu Prasanna, John Abraham, Sovan Bagchi
In: Indian Journal of Obstetrics and Gynecology Research · 2025 · vol. 12(3) , pp. 377–384 · doi:10.18231/j.ijogr.v.12.i.3.4 · W4413127513
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This review explores contemporary trends and innovations in managing gynecologic pain, highlighting advancements in the field.

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This review discusses modern trends and innovations in gynecologic pain management, focusing on chronic pelvic pain (CPP) that affects an estimated 7–24% of the population and can be challenging when no clear biological cause is found. It outlines an interdisciplinary “neuropelveology” perspective on neuropathic pelvic pain, emphasizing that diverse presentations and overlap with other abdominal/pelvic pain conditions complicate diagnosis, and stating that clinical examination is crucial and should not rely primarily on imaging. Management is described as often multidisciplinary and may include centrally acting neuromodulator medications, alongside broader discussions of gynecologic conditions and interventions such as fertility treatments, STI screening, menstrual disorders, and gynecologic surgery. The paper is centrally about endometriosis and adenomyosis in the context of gynecologic conditions contributing to pelvic pain, explicitly listing both among the conditions reviewed for pain management.

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Abstract

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- Visibility 1.3k Views - Downloads 1.5k Downloads - Permissions - CrossMark - Citation Revolutionizing gynecologic pain management: Exploring modern trends and innovations Gynecologic pain management remains a neglected aspect of women's healthcare despite significant advancements in obstetrics. Chronic pelvic pain (CPP), affecting 7 to 24% of the population, leads to diminished quality of life and substantial healthcare costs. Identifiable biological conditions account for some cases of CPP, but when the cause is elusive, it poses challenges for patients and clinicians. Neuropelveology, an interdisciplinary approach to identifying pelvic nerve pathologies, offers insights into CPP beyond gynecology. Neuropathic pelvic pain, characterized by sensory nerve dysfunction, presents diagnostic challenges due to its diverse manifestations and overlaps with other abdominal/pelvic pain conditions. Clinical examination remains crucial for accurate diagnosis, surpassing reliance on imaging techniques. Management often involves multidisciplinary strategies, including centrally-acting neuromodulator medications. This review encompasses various gynecologic conditions contributing to pelvic pain, including endometriosis, adenomyosis, dysmenorrhea, fibroid pain, ovarian cysts, vulvodynia, interstitial cystitis, and pelvic organ prolapse. It emphasizes the importance of gynecological examinations in promptly identifying and managing these conditions, aiming to improve women's reproductive health risks and quality of life. It discusses fertility treatments, STI screening, menstrual disorders, and gynecological surgeries, providing comprehensive insights into women's healthcare needs. How to Cite This Article Vancouver Vijayan V, Rajendran MJ, Vasanthi RK, S CEE, Prasanna M, Abraham J, Bagchi S. Revolutionizing gynecologic pain management: Exploring modern trends and innovations [Internet]. Indian J Obstet Gynecol Res. 2025 [cited 2026 Jun 14];12(3):377-384. Available from: https://doi.org/10.18231/j.ijogr.v.12.i.3.4 APA Vijayan, V., Rajendran, M. J., Vasanthi, R. K., S, C. E. E., Prasanna, M., Abraham, J., Bagchi, S. (2025). Revolutionizing gynecologic pain management: Exploring modern trends and innovations. Indian Journal of Obstetrics and Gynecology Research, 12(3), 377-384. https://doi.org/10.18231/j.ijogr.v.12.i.3.4 MLA Vijayan, Vinaya, Rajendran, Madhumita Jeyalalitha, Vasanthi, Rajkumar Krishnan, S, Challaraj Emmanuel E, Prasanna, Muthu, Abraham, John, Bagchi, Sovan. "Revolutionizing gynecologic pain management: Exploring modern trends and innovations." Indian J Obstet Gynecol Res, vol. 12, no. 3, 2025, pp. 377-384. https://doi.org/10.18231/j.ijogr.v.12.i.3.4 Chicago Vijayan, V., Rajendran, M. J., Vasanthi, R. K., S, C. E. E., Prasanna, M., Abraham, J., Bagchi, S.. "Revolutionizing gynecologic pain management: Exploring modern trends and innovations." Indian J Obstet Gynecol Res 12, no. 3 (2025): 377-384. https://doi.org/10.18231/j.ijogr.v.12.i.3.4

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