Chronic Abdominal Pain Due to Obstetric and Gynecological Factors
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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