Chronic Pelvic Pain

In: The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology · 2021 · pp. 81–90 · doi:10.1017/9781108582322.012 · W3216064552
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AI-generated summary by claude@2026-06, 2026-06-08

Chronic pelvic pain, a condition lasting over six months with often unidentifiable causes, significantly impacts women's health, relationships, and quality of life and presents treatment challenges.

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AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text

This chapter from the EBCOG Postgraduate Textbook of Obstetrics & Gynaecology reviews chronic pelvic pain, defined as pelvic pain lasting more than six months, and notes that it may arise from urological, gynaecological, or gastrointestinal causes in women of reproductive age. It emphasizes that in most cases no specific aetiology can be identified and that there is no consensus on treatment and management, making care potentially frustrating and harming the patient–doctor relationship. A key limitation is that the content is descriptive and guideline/background-oriented rather than presenting new empirical study results. Relevance to endometriosis: the chapter is part of a textbook that includes “Early-Onset Endometriosis” and has a dedicated chapter on chronic pelvic pain, a condition in which endometriosis is commonly considered in clinical differential diagnoses, though the excerpt provided does not specify endometriosis-related mechanisms or outcomes.

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Abstract

Chronic pelvic pain, is defined as any pelvic pain lasting over six months. It can result from a variety of urological, gynaecological or gastrointestinal aetiologies. It tends to affect women of reproductive age and can have a signi?cant impact on women’s health, relationships and quality of life. In a majority of cases no aetiological factors are identifiable and there is no consensus in treating and managing such patients. Treatment can be frustrating and can lead to breakdown of the patient–doctor relationship.
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- The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - Copyright page - Dedication - Contents - Videos - Contributors - Preface - Section 1 Basic Sciences in Gynaecology - Section 2 Menstrual Disorders - Chapter 6 Paediatric and Adolescent Gynaecology - Chapter 7 Heavy Menstrual Bleeding - Chapter 8 Management of Uterine Fibroids - Chapter 9 Early-Onset Endometriosis - Chapter 10 Chronic Pelvic Pain - Section 3 Reproductive Endocrinology and Infertility - Section 4 Contraception and STIs - Section 5 Post-Reproductive Care - Section 6 Vulva and Vagina - Section 7 Cervix - Section 8 Uterus - Section 9 Ovary and Fallopian Tubes - Section 10 Operative Gynaecology - Section 11 Public Health Issues in Gynaecology - Section 12 Miscellaneous - Index - Plate Section (PDF Only) - References from Section 2 - Menstrual Disorders Published online by Cambridge University Press: 24 November 2021 Book contents - The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - Copyright page - Dedication - Contents - Videos - Contributors - Preface - Section 1 Basic Sciences in Gynaecology - Section 2 Menstrual Disorders - Chapter 6 Paediatric and Adolescent Gynaecology - Chapter 7 Heavy Menstrual Bleeding - Chapter 8 Management of Uterine Fibroids - Chapter 9 Early-Onset Endometriosis - Chapter 10 Chronic Pelvic Pain - Section 3 Reproductive Endocrinology and Infertility - Section 4 Contraception and STIs - Section 5 Post-Reproductive Care - Section 6 Vulva and Vagina - Section 7 Cervix - Section 8 Uterus - Section 9 Ovary and Fallopian Tubes - Section 10 Operative Gynaecology - Section 11 Public Health Issues in Gynaecology - Section 12 Miscellaneous - Index - Plate Section (PDF Only) - References Chronic pelvic pain, is defined as any pelvic pain lasting over six months. It can result from a variety of urological, gynaecological or gastrointestinal aetiologies. It tends to affect women of reproductive age and can have a signi?cant impact on women’s health, relationships and quality of life. In a majority of cases no aetiological factors are identifiable and there is no consensus in treating and managing such patients. Treatment can be frustrating and can lead to breakdown of the patient–doctor relationship. - Type - Chapter - Information - The EBCOG Postgraduate Textbook of Obstetrics & GynaecologyGynaecology, pp. 81 - 90Publisher: Cambridge University PressPrint publication year: 2021 RCOG. Chronic pelvic pain, initial management. Green-top Guideline No. 41. February 2012.Google Scholar RCOG. Chronic pelvic pain relief, therapies targeting for the nervous system. Scientific Impact Paper No. 46. January 2015.Google Scholar Jarrell, JF, Vilos, GA, Allaire, C, et al. Consensus guidelines for the management of chronic pelvic pain: Part I. SOGC clinical practice guidelines. J Obstet Gynaecol Can 2005;27:781–801.Google Scholar Jarrell, JF, Vilos, GA, Allaire, C, et al. Consensus guidelines for the management of chronic pelvic pain: Part II. SOGC Clinical Practice Guidelines. J Obstet Gynaecol Can 2005;27:869–887.Google Scholar Cheong, YC, Smotra, G, Williams, ACDC. Non-surgical interventions for the management of chronic pelvic pain. Cochrane Database Syst Rev 2014;3:CD008797.Google Scholar Alderson, P. Irritable bowel syndrome in adults: diagnosis and management of irritable bowel syndrome in primary care. NICE Clinical Guidelines No. 61. 2015. Available at: www.nice.org.uk/guidance/cg61/resources/guidance-irritable-bowel-syndrome-in-adults-diagnosis-and-management-of-irritable-bowel-syndrome-in-primary-care-pdf.Google Scholar RCOG, Ross, J, Stewart, P. Management of acute pelvic inflammatory disease. Green-top Guideline No. 32. 2008.Google Scholar Mandal, D, Nunns, D, Byrne, M, et al. Guidelines for the management of vulvodynia. Br J Dermatol 2010;162:1180–1185.CrossRefGoogle Scholar Ignacio, EA, Dua, R, Sarin, S, et al. Pelvic congestion syndrome: diagnosis and treatment. Semin Interv Radiol 2008;25:361–368.Google Scholar Howard, FM, El-Minawi, AM, Sanchez, RA. Conscious pain mapping by laparoscopy in women with chronic pelvic pain. Obstet Gynecol 2000;96:934–939.Google Scholar Simpson, LR, Mahmood, T. Medical and surgical management of chronic pelvic pain. Obstet Gynaecol Reprod Med 2016;27:14–21.Google Scholar Accessibility compliance for the HTML of this chapter is currently unknown and may be updated in the future. To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle. Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply. Find out more about the Kindle Personal Document Service. - Chronic Pelvic Pain - - Book: The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - Online publication: 24 November 2021 To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox. - Chronic Pelvic Pain - - Book: The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - Online publication: 24 November 2021 To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive. - Chronic Pelvic Pain - - Book: The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - Online publication: 24 November 2021

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