Chronic Pelvic Pain: An Integrated Approach to Diagnosis and Treatment

@article{Gunter2003ChronicPP,
  title={Chronic Pelvic Pain: An Integrated Approach to Diagnosis and Treatment},
  author={Jennifer Holman Gunter},
  journal={Obstetrical \& Gynecological Survey},
  year={2003},
  volume={58},
  pages={615-623}
}
  • J. Gunter
  • Published 1 September 2003
  • Medicine, Psychology
  • Obstetrical & Gynecological Survey
Chronic pelvic pain affects upward of 15% of women and is a frustrating condition for both patients and physicians. Chronic pelvic pain is not a disease, but a syndrome that results from a complex interaction between neurologic, musculoskeletal, and endocrine systems that is further influenced by behavioral and psychologic factors. Traditional approaches to this disorder have been surgical, although long-term success rates have been disappointing. Placebo response to surgery is common, and many… 
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Below the belt: approach to chronic pelvic pain.

Although caring for patients with CPP can be challenging and frustrating, family physicians are in an ideal position to manage and coordinate their care.

Chronic pelvic pain in women: still a challenge

Treating chronic pelvic pain is to treat it as the complex disease it is, and effective management presupposes an integrated knowledge of all pelvic organs and other systems, including musculoskeletal, neurological and psychiatric systems.

Chronic pelvic pain in women Evaluation and management in primary care

The effective management of CPP may involve comprehensive evaluations by specialists, psychologists, and multiple office visits, and laboratory tests, transvaginal ultrasound, and laparoscopy may identify serious disease or provide significant reassurance to patient.

Consensus guidelines for the management of chronic pelvic pain.

  • J. JarrellG. Vilos B. Abu-Rafea
  • Medicine
    Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
  • 2005

Consensus guidelines for the management of chronic pelvic pain.

  • J. JarrellG. Vilos B. Abu-Rafea
  • Medicine
    Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
  • 2005

Chronic Pelvic Pain

The challenging complexity of chronic pelvic pain care can be addressed by increased visit time using appropriate coding modifiers, as well as identification of multidisciplinary team members within the practice or by facilitated referral.

No. 164-Consensus Guidelines for the Management of Chronic Pelvic Pain.

  • J. JarrellG. Vilos P. Taenzer
  • Medicine
    Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
  • 2018

Chronic Female Pelvic Pain—Part 2: Differential Diagnosis and Management

A systematic approach to examination of the pelvic girdle and related organ systems contained within the pelvis will aid the clinician in identifying the painful structure(s) as well as the associated impairments limiting functional recovery.

Medical Treatment of Chronic Pelvic Pain

This chapter will advise on a pragmatic pathway of care including the medicines prescribed to women for CPP, believing contemporary variation in care is attributed to a poor understanding of this model and the aetiology and mechanisms of CPP.

Evaluation and Management of Chronic Pelvic Pain in Women

The diagnostic process is further complicated because etiologies can stem from gynecologic, urologic, gastrointestinal, musculoskeletal, or psychoneurologic abnormalities and there is debate about the importance of making a conclusive diagnosis before beginning treatment.
...

References

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