Chronic Abdominal Pain Due to Obstetric and Gynecological Factors

In: Visceral Pain · 2024 · pp. 255–269 · doi:10.1007/978-981-99-9167-9_12 · W4399030683
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This chapter provides a multidisciplinary overview of chronic pelvic pain, focusing on its evaluation, etiology, epidemiology, diagnosis, and treatment of common syndromes.

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This paper/chapter reviews chronic pelvic pain (CPP), describing epidemiology and potential etiologies across gastrointestinal, urological, gynecological, oncological, musculoskeletal, and psychosocial factors, and outlines approaches to evaluation and treatment while noting that many patients lack clear pathological findings on standard diagnostics. It summarizes CPP characteristics such as cyclical or noncyclical pain lasting over 6 months and high prevalence estimates (up to 24% of women worldwide), and emphasizes the need for multidisciplinary knowledge because patients may undergo repeated tests and procedures without symptom improvement. A stated limitation is that CPP may be a chronic symptom without identifiable pathology and that the chapter provides an overview rather than new empirical results, reflecting gaps in clear causal mechanisms. This paper is centrally about endometriosis/adenomyosis only tangentially, but it includes broader discussions relevant to pelvic pain conditions and explicitly references endometriosis treatments and adenomyosis/pathology as part of the gynecologic etiologies considered.

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Abstract

Chronic pelvic pain (CPP) is a common disorder in clinical practice. Patients who suffer from it often have their daily life being disturbed by the pain for a long time before they visit doctors as CPP is defined as cyclical or noncyclical pain lasting for over 6 months. Patients with CPP may present with dysmenorrhea, dyspareunia, dyspareunia, and dyspareunia. Up to 24% of women worldwide suffer from CPP [1]. Clinically, many patients often fail to detect clear pathological changes through various diagnostic tests, and painful symptoms are the primary presentation at the clinic. Causes of CPP include gastrointestinal, urological, gynecological, oncological, musculoskeletal, and psychosocial factors [2]. When evaluating and treating patients, subspecialists are often inadequate in multidisciplinary training and knowledge of the various causes required. As a result, patients may have seen multiple physicians, undergone multiple tests and examinations, and may have undergone surgical procedures before seeking treatments, yet without significant improvement in associated symptoms. With further research on CPP suggesting that CPP may be just a chronic symptom without any pathological changes and that pain is closely related to sexual function, defecation, and urination due to its location and is often accompanied by emotional and psychological changes in the patient, more medical practitioners have now become interested in the diagnosis and treatment of patients with CPP. This chapter attempts to provide a multidisciplinary overview of CPP with an evaluation focus, including its etiology, epidemiology, diagnosis, and treatment of common CPP syndromes. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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Chronic Abdominal Pain Due to Obstetric and Gynecological Factors. In: Xia, M., Fan, B., Jiang, H. (eds) Visceral Pain. Springer, Singapore. https://doi.org/10.1007/978-981-99-9167-9_12 Download citation DOI: https://doi.org/10.1007/978-981-99-9167-9_12 Published: Publisher Name: Springer, Singapore Print ISBN: 978-981-99-9166-2 Online ISBN: 978-981-99-9167-9 eBook Packages: MedicineMedicine (R0)

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