Diagnosis and Treatment of Chronic Pelvic Pain in Female Patients by Multidisciplinary Approach

I. Blendinger, M. Stauber
In: Advances in Psychosomatic Obstetrics and Gynecology · 1982 · pp. 184–187 · doi:10.1007/978-3-642-81876-9_54 · W40867173
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A multidisciplinary team of gynecologists, anesthesiologists, psychotherapists, and physiotherapists was formed to address the diagnostic and therapeutic challenges of chronic pelvic pain in female patients.

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This chapter describes a multidisciplinary approach for diagnosing and treating chronic pelvic pain in female patients, formed by a team of gynecologists, anesthesiologists, psychotherapists, and physiotherapists. It frames the problem as a common breakdown in communication and trust when somatic findings do not explain symptoms, leading to defensive reactions and a sense of helplessness for both patient and clinician, and proposes coordinated assessment and therapy to address this cycle. The main limitation is that the provided text does not include specific diagnostic criteria, treatment protocols, or outcome data to substantiate effectiveness. This paper is not specifically about endometriosis or adenomyosis; it addresses chronic pelvic pain broadly in women, which is a related condition in the endometriosis/adenomyosis corpus.

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Abstract

The diagnosis and treatment of chronic pelvic pain are often frustrating for doctor and patient. The usual sequence of interaction starts when the gynecologist tells the patient, that her complaints cannot be explained by somatic findings. If he then mentions psychic problems as a possible cause for the patient’s suffering, he will precipitate a strong defence reaction. The patient has the feeling, that she is misunderstood, that her complaints are not taken seriously. And the doctor feels helpless, because he cannot persuade the patient to accept his diagnosis and therapy. In order to overcome this frustrating sequence of events we formed a team of gynecologists, anesthesiologists, psychotherapists, and physiotherapists. This team is trying a multidisciplinary approach in the diagnosis and therapy of women with chronic pelvic pain. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

Beckmann D, Richter HE (1972) Gießen-Test. Huber, Bern Blendinger I, Stauber M (1979) Diagnostik und Therapie chronischer Unterbauchschmerzen der Frau. Muench Med Wochenschr 121: 1419–20 Bonica JJ (1953) The management of pain. Lea & Febinger, Philadelphia Castelnuovo-Tedesco P, Krout BM (1970) Psychosomatic aspects of chronic pelvic pain. Psychiatry Med 1: 109–26 Duncan CH, Taylor HC (1952) Psychosomatic study of pelvic congestion. Am J Obstet Gynecol 64: 1–12 Gidro-Frank L, Gordon T, Taylor HC (1960) Pelvic pain and female identity. Am J Obstet Gynecol 79: 1184–1202 Pilowsky I, Chapman CR, Bonica JJ (1977) Pain, depression, and illness behaviour in a pain clinic population. Pain 4: 183–92 Renaer M, Guzinski GM (1978) Pain in gynecologic practice. Pain 5: 305–331 Editor information Editors and Affiliations Rights and permissions Copyright information © 1982 Springer-Verlag Berlin · Heidelberg About this paper Cite this paper Blendinger, I., Stauber, M. (1982). Diagnosis and Treatment of Chronic Pelvic Pain in Female Patients by Multidisciplinary Approach. In: Prill, HJ., Stauber, M., Pechatschek, PG. (eds) Advances in Psychosomatic Obstetrics and Gynecology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-81876-9_54 Download citation DOI: https://doi.org/10.1007/978-3-642-81876-9_54 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-540-11710-0 Online ISBN: 978-3-642-81876-9 eBook Packages: Springer Book Archive

Keywords

- Chronic Pelvic Pain - Sexual Disorder - Multidisciplinary Treatment Program - Symptom Check List - Caudal Analgesia These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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chronic_pelvic_pain

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References (6)

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