Problems women patients experience in the medical encounter for chronic pelvic pain: A New Zealand study
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New Zealand women with chronic pelvic pain report difficulties with diagnosis, communication, information, and treatment, experiencing negation of their pain, a focus on technology over patient narrative, and assumptions of psychological issues.
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Abstract
Women who have used the New Zealand health services for chronic pelvic pain have reported problems with diagnosis, communication with the doctor, lack of information, and inappropriate treatment. Six focus groups were conducted in which women talked about their experiences of using the health services for chronic pelvic pain. A discourse analysis of this material provided a conceptual basis for understanding the key dimensions structuring women's experience. Themes of particular concern were that (a) doctors negated the woman's own experience of the pain and its meaning to her and this negation affected her ability to take responsibility for her condition; (b) the medical "extraction" of symptoms through technology overshadows the woman's discursive interpretation of, and voicing of, her symptoms; and (c) the concept of "pelvic pain without organic pathology" implies an absence that becomes filled with the specter of neurosis or psychological problems.
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- Experiences of Physical Therapists Working With Women With Chronic Pelvic Pain: A Phenomenological Qualitative Study 2019
- GaPP2, a multicentre randomised controlled trial of the efficacy of gabapentin for the management of chronic pelvic pain in women: study protocol 2018
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