The Differential Diagnosis of Chronic Pelvic Pain

In: Chronic Pelvic Pain · 2011 · pp. 7–28 · doi:10.1002/9781444391855.ch2 · W1525535387
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AI-generated summary by claude@2026-06, 2026-06-07

Chronic pelvic pain, a common but complex condition, requires a differential diagnosis to identify contributing disorders and pain generators, including neurologic conditions like neuropathic pain.

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Abstract

Chronic pelvic pain (CPP) has a prevalence in the general population of 15%, and in about 4% of all women is of sufficient severity to cause them to seek medical care. In spite of being a common condition, the evaluation of CPP remains a complex and perplexing diagnostic problem. The differential diagnosis in CPP should be directed toward identifying not only potential etiologic diseases, but also any disorders that may contribute to CPP ("pain generators"). It is important during the diagnostic evaluation to recognize that pain itself may be a diagnosis due to neurologic disorders such as neuropathic pain and centralization.

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