Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates

S D Mathias, Mathias SD, Susan D. Mathias, M Kuppermann, Kuppermann M, R F Liberman, Liberman RF, R C Lipschutz, Lipschutz RC, J F Steege, Steege JF
Obstetrics and gynecology · 1996 · vol. 87(3) , pp. 321–327 · doi:10.1016/0029-7844(95)00458-0 · PMID:8598948 · W1985935279
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This study found that chronic pelvic pain affects 14.7% of U.S. women aged 18-50, significantly reducing their quality of life and work productivity, with unknown etiology frequently cited.

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Abstract

OBJECTIVE: To determine the prevalence of chronic pelvic pain in U.S. women aged 18-50 years, and to examine its association with health-related quality of life, work productivity, and health care utilization. METHODS: In April and May 1994, the Gallup Organization telephoned 17,927 U.S. households to identify women aged 18-50 years who experienced chronic pelvic pain, ie, of at least 6 months' duration. Those who reported chronic pelvic pain were surveyed on severity, frequency, and diagnosis; quality of life; work loss and productivity; and health care utilization. RESULTS: Among 5263 eligible women who agreed to participate, 773 (14.7%) reported chronic pelvic pain within the past 3 months. Those who reported chronic pelvic pain had significantly lower mean scores for general health than those who did not (70.5 versus 78.8,P<.05), and 61% of those with chronic pelvic pain reported that the etiology was unknown. Women diagnosed with endometriosis reported the most health distress, pain during or after intercourse, and interference with activities because of pain. Estimated direct medical costs for outpatient visits for chronic pelvic pain for the U.S population of women aged 18-50 years are $881.5 million per year. Among 548 employed respondents, 15% reported time lost from paid work and 45% reported reduced work productivity. CONCLUSION: Frequently, the cause of chronic pain is undiagnosed, although it affects approximately one in seven U.S. women. Increased awareness of its cost and impact on quality of life should promote increased medical attention to this problem.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Cost of Illness Cost of Illness Pelvic Pain Quality of Life Quality of Life Adolescent Adolescent Adult Adult Chronic Disease Chronic Disease Endometriosis Endometriosis Endometriosis Female Female Health Services Needs and Demand Health Services Needs and Demand Humans Humans

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