[Chronic Pelvic Pain in Women]

Overview

Journal Schmerz

Date 2014 Jun 7

PMID 24903044

Citations 6

Authors

F Siedentopf

M Sillem

Affiliations

Soon will be listed here.

Abstract

Background: Chronic pelvic pain in women represents a difficult diagnostic and therapeutic problem in the gynecological practice which is always a challenge when dealing with affected women.

Gynecological Causes: Possible gynecological causes are endometriosis, adhesions and/or pelvic inflammatory disease (PID), pelvic varicosis and ovarian retention syndrome/ovarian remnant syndrome. Other somatic causes are irritable bowel syndrome, bladder pain syndrome, interstitial cystitis and fibromyalgia.

Psychosocial Factors: Psychosocial causes contributing to chronic pelvic pain are a high comorbidity with psychological factors, such as anxiety disorders and substance abuse or depression but the influence of social factors is less certain. The association with physical and sexual abuse also remains unclear.

Diagnostics And Therapy: Important diagnostic steps are recording the patient history, a gynecological examination and laparoscopy. Multidisciplinary therapeutic approaches are considered to be very promising. Basic psychosomatic care and psychotherapy should be integrated into the therapeutic concept at an early stage.

Citing Articles

[Somatoform disorders-chronic pelvic pain in women].

Kaftan B Urologie. 2023; 62(6):571-581.

PMID: 37145155 DOI: 10.1007/s00120-023-02087-4.

Postoperative Pain Is Driven by Preoperative Pain, Not by Endometriosis.

Kanellos P, Nirgianakis K, Siegenthaler F, Vetter C, Mueller M, Imboden S J Clin Med. 2021; 10(20).

PMID: 34682850 PMC: 8537544. DOI: 10.3390/jcm10204727.

Comparison of Clinical Symptoms of Assumed vs. Actual Uterine Fibroids - Symptoms Described by Patients and Ultrasound Findings.

Knudsen N, Wernecke K, Kentenich H, David M Geburtshilfe Frauenheilkd. 2020; 80(3):316-323.

PMID: 32139921 PMC: 7056396. DOI: 10.1055/a-0991-0105.

Impact of ultrasound diagnosis for chronic pelvic pain.

Wang X, Xu J, Yang G, Xin T Medicine (Baltimore). 2019; 98(39):e17281.

PMID: 31574844 PMC: 6775335. DOI: 10.1097/MD.0000000000017281.

Psychosomatic Aspects of Urinary Incontinence in Women.

Debus G, Kastner R Geburtshilfe Frauenheilkd. 2015; 75(2):165-169.

PMID: 25797959 PMC: 4361165. DOI: 10.1055/s-0034-1396257.

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