Chronic pelvic pain in women: the path to outpatient discharge

Luciana Marinho de Jesus, Mariana Barreira Duarte de Sousa, Nayara Pereira de Oliveira, Leidiene Ferreira Santos, Délio Marques Conde, Leonora Rezende Pacheco, José Miguel de Deus
In: Acta Paulista de Enfermagem · 2024 · vol. 37 · doi:10.37689/acta-ape/2024ao00028822 · W4392458455
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study explored the experiences of women with chronic pelvic pain, finding it linked to socioeconomic and emotional suffering, with discharge influenced by improved emotional states and conflict resolution.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This qualitative study explored how diagnosed women with chronic pelvic pain in a university hospital outpatient setting in Goiânia, Brazil understand their pain and what factors influenced outpatient discharge. Fourteen participants (7 actively in follow-up and 7 discharged) completed semi-structured interviews, analyzed via thematic content analysis, yielding three categories: “Before the pain,” “Living with the pain,” and “Treating the pain.” Women described suffering shaped by socioeconomic and emotional hardships and linked pain onset to events such as menarche, childbirth, surgeries, and family conflicts, while pain living was associated with fear, relationship harm, and impaired work. The paper’s key limitation is its small, single-center sample and reliance on participants’ narratives, and it does not explicitly address endometriosis or adenomyosis beyond general chronic pelvic pain experiences. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Objective: To understand the meaning of chronic pelvic pain from the perspective of diagnosed women and analyze the determining factors for outpatient discharge. Methods: This is qualitative research, using strategic social research as its theoretical methodological framework. 14 women participated in the study, seven of whom were undergoing outpatient follow-up and seven who were discharged from the gynecology outpatient clinic of a university hospital in the city of Goiânia, Goiás, Brazil. Semi-structured interviews were carried out with guiding questions. The analysis of results was based on the thematic modality of content analysis, according to Bardin. Results: Data analysis culminated in three thematic categories: “Before the pain”, “Living with the pain” and “Treating the pain”. Parental emotional abandonment, grief, disagreement with parents and childhood difficulties were prominent before the onset of pain. The onset of pain was related to the birth of children, menarche, surgeries and family conflicts. Living with pain promoted great suffering, fear, harm to relationships and work activity. The improvement in emotional state and financial conditions, the resolution of marital conflicts, the opportunity to express oneself and talk to other patients, the use of medication and some surgical procedures were decisive for pain control and outpatient discharge. Conclusion: Chronic pelvic pain was related to socioeconomic, emotional and physical suffering. The resolution of these aspects contributed to outpatient discharge.
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Abstract

Objective To understand the meaning of chronic pelvic pain from the perspective of diagnosed women and analyze the determining factors for outpatient discharge.

Methods

This is qualitative research, using strategic social research as its theoretical methodological framework. 14 women participated in the study, seven of whom were undergoing outpatient follow-up and seven who were discharged from the gynecology outpatient clinic of a university hospital in the city of Goiânia, Goiás, Brazil. Semi-structured interviews were carried out with guiding questions. The analysis of results was based on the thematic modality of content analysis, according to Bardin.

Results

Data analysis culminated in three thematic categories: “Before the pain”, “Living with the pain” and “Treating the pain”. Parental emotional abandonment, grief, disagreement with parents and childhood difficulties were prominent before the onset of pain. The onset of pain was related to the birth of children, menarche, surgeries and family conflicts. Living with pain promoted great suffering, fear, harm to relationships and work activity. The improvement in emotional state and financial conditions, the resolution of marital conflicts, the opportunity to express oneself and talk to other patients, the use of medication and some surgical procedures were decisive for pain control and outpatient discharge.

Conclusion

Chronic pelvic pain was related to socioeconomic, emotional and physical suffering. The resolution of these aspects contributed to outpatient discharge.

Keywords

Outpatient clinics, hospital; Patient discharge; Women 541

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Condition tags

chronic_pelvic_pain

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (25)

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