Chronic pelvic pain — current search for truth

Chronic pelvic pain — current search for truth DOI: https://doi.org/10.31636/pmjua.v7i3.4Keywords: chronic pelvic pain, pelvic diseases, vulvar painAbstract Chronic pelvic pain (HTB) remains a relevant multidisciplinary problem. Its symptoms are the result of interaction between psychological factors and dysfunction of the immune, neurological and endocrine systems. HTB is a serious problem for women. Approximately 14% of women experienced HTB at least once in their lives. HTB is grueling and related to significant costs and incidence, and its etiology is multifactorial, which often complicates medical treatment and treatment of associated symptoms. Best practice guidelines recommend an interdisciplinary and biopsychosocial approach to treatment. However, the problem of HTB requires further comprehensive study and expanding possible methods of effective pain control and improving the quality of life of the female population. The article systematizes literary sources on the genesis of pain, the principles of classification, diagnostics and management. Downloads References Chronic Pelvic Pain: ACOG Practice Bulletin, Number 218. Obstetrics and gynecology [Internet]. 2020;135(3), e98–e109. Available from: https://doi.org/10.1097/AOG.000000 0000003716 Cottrell AM, Schneider MP, Goonewardene S, Yuan Y, Baranowski AP, Engeler DS, et al. Benefits and Harms of Electrical Neuromodulation for Chronic Pelvic Pain: A Systematic Review. European Urology Focus [Internet]. 2020 May;6(3):559–71. Available from: https://doi.org/10.1016/j. euf.2019.09.011 Bornstein J, Goldstein AT, Stockdale CK, Bergeron S, Pukall C, Zolnoun D, et al. 2015 ISSVD, ISSWSH, and IPPS Consensus Terminology and Classification of Persistent Vulvar Pain and Vulvodynia. Journal of Lower Genital Tract Disease [Internet]. 2016 Apr;20(2):126–30. Available from: https://doi.org/10.1097/lgt.0000000000000190 Dydyk AM, Gupta N. Chronic Pelvic Pain. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022. Available from: https://pubmed.ncbi.nlm.nih.gov/32119472 Takada T, Ikusaka M, Ohira Y, Noda K, Tsukamoto T. Diagnostic Usefulness of Carnett’s Test in Psychogenic Abdominal Pain. Internal Medicine [Internet]. 2011;50(3):213–7. Available from: https://doi.org/10.2169/internalmedicine.50.4179 Abbott J, Hawe J, Hunter D, Holmes M, Finn P, Garry R. Laparoscopic excision of endometriosis: A randomized, placebo-controlled trial. Fertility and Sterility [Internet]. 2004 Oct;82(4):878–84. Available from: https://doi.org/10.1016/j. fertnstert.2004.03.046 Bornstein J, Preti M, Simon JA, As-Sanie S, Stockdale CK, Stein A, et al. Descriptors of Vulvodynia: A Multisocietal Definition Consensus (International Society for the Study of Vulvovaginal Disease, the International Society for the Study of Women Sexual Health, and the International Pelvic Pain Society). Journal of Lower Genital Tract Disease [Internet]. 2019 Apr;23(2):161–3. Available from: https://doi.org/10.1097/lgt.0000000000000461 Bornstein J, Goldstein AT, Stockdale CK, Bergeron S, Pukall C, Zolnoun D, Coady D. 2015 ISSVD, ISSWSH, and IPPS Consensus Terminology and Classification of Persistent Vulvar Pain and Vulvodynia. Journal of Lower Genital Tract Disease [Internet]. 2016;20(2):126–30. Available from: https://www.nva.org/wp-content/uploads/2015/01/2015_ISSVD_ ISSWSH_and_IPPS_Consensus_Terminology.2.pdf Yosef A, Ahmed AG, Al-Hussaini T, Abdellah MS, Cua G, Bedaiwy MA. Chronic pelvic pain: Pathogenesis and validated assessment. Middle East Fertility Society Journal [Internet]. 2016 Dec;21(4):205–21. Available from: https://doi.org/10.1016/j.mefs.2016.08.001 Grinberg K, Sela Y, Nissanholtz-Gannot R. New Insights about Chronic Pelvic Pain Syndrome (CPPS). International journal of environmental research and public health [Internet]. 2020;17(9):3005. Available from: https://doi.org/10.3390/ijerph17093005 Jantos M. Pain mapping: A mechanisms-oriented protocol for the assessment of chronic pelvic pain and urogenital pain syndromes. Pelviperineology [Internet]. 2021 Aug 20;39(1):3–12. Available from: https://doi.org/10.34057/ppj.2020.39.01.002 Martínez S, Garrido N, Coperias JL, Pardo F, Desco J, García-Velasco JA, et al. Serum interleukin-6 levels are elevated in women with minimal–mild endometriosis. Human Reproduction [Internet]. 2006 Oct 24;22(3):836–42. Available from: https://doi.org/10.1093/humrep/del419 Sator-Katzenschlager SM, Scharbert G, Kress HG, Frickey N, Ellend A, Gleiss A, et al. Chronic pelvic pain treated with gabapentin and amitriptyline: A randomized controlled pilot study. Wiener klinische Wochenschrift [Internet]. 2005 Nov;117(21–22):761–8. Available from: http://dx.doi.org/10.1007/s00508-005-0464-2 Persistent vulvar pain. Committee Opinion No. 673. American College of Obstetricians and Gynecologists. Obstet Gynecol [Internet]. 2016;128:e78–84. Available from: https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2016/09/persistent-vulvar-pain Chronic Pelvic Pain. Guidelines European Association of Urology Guidelines [Internet]. 2022. Available from: https://uroweb. org/guidelines/chronic-pelvic-pain The Initial Management of Chronic Pelvic Pain (Green-top Guideline No. 41). Guidelines Royal College of Obstetricians and Gynaecologists [Internet]. 2012. Available from: https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/the-initial-management-of-chronic-pelvic-pain-green-top-guideline-no-41/ Lamvu G. Abstracts from the International Pelvic Pain Society (IPPS) Annual Scientific Meeting on Pelvic Pain 2019. PAIN Reports [Internet]. 2020 Mar;5(2):e815. Available from: https://doi.org/10.1097/pr9.0000000000000815 Downloads Published How to Cite Issue Section License Copyright (c) 2022 N Dzis, A Dnistrianska, A Prevar, O Bulavenko, O Furman This work is licensed under a Creative Commons Attribution 4.0 International License. This work is licensed under a Creative Commons Attribution 4.0 International License