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 2003
  • Medicine
  • 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… Expand
Below the belt: approach to chronic pelvic pain.
TLDR
Although caring for patients with CPP can be challenging and frustrating, family physicians are in an ideal position to manage and coordinate their care. Expand
Chronic pelvic pain in women: still a challenge
TLDR
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. Expand
Chronic pelvic pain in women Evaluation and management in primary care
TLDR
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. Expand
Consensus guidelines for the management of chronic pelvic pain.
  • J. Jarrell, G. Vilos, +10 authors B. Abu-Rafea
  • Medicine
  • Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
  • 2005
TLDR
The committee recommends that provincial ministries of health pursue the creation of multidisciplinary teams to manage the condition and improves understanding of the needs of women with CPP. Expand
Consensus guidelines for the management of chronic pelvic pain.
  • J. Jarrell, G. Vilos, +10 authors B. Abu-Rafea
  • Medicine
  • Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
  • 2005
TLDR
The committee recommends that provincial ministries of health pursue the creation of multidisciplinary teams to manage the condition and recommends that health care providers should become more aware of myofascial dysfunction as a cause of chronic pelvic pain and the available treatment options. Expand
Chronic Pelvic Pain
Chronic pelvic pain is a common, burdensome, and costly condition that disproportionately affects women. Diagnosis and initial management of chronic pelvic pain in women are within the scope ofExpand
No. 164-Consensus Guidelines for the Management of Chronic Pelvic Pain.
  • J. Jarrell, G. Vilos, +9 authors P. Taenzer
  • Medicine
  • Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
  • 2018
TLDR
The committee recommends that provincial ministries of health pursue the creation of multidisciplinary teams to manage the condition and encourages increased attention to CPP in the training of health care professionals. Expand
Chronic Female Pelvic Pain—Part 2: Differential Diagnosis and Management
TLDR
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. Expand
Medical Treatment of Chronic Pelvic Pain
TLDR
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. Expand
Evaluation and Management of Chronic Pelvic Pain in Women
Chronic pelvic pain is a challenging, often perplexing medical condition, affecting approximately 15% of women of reproductive age in the United States [1]. Chronic pelvic pain contributesExpand
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TLDR
A MEDLINE and Cochrane systematic review search from 1980 to 2000 was performed to collect information and evidence on diagnosis and treatment of women suffering from chronic pelvic pain. Expand
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TLDR
A MEDLINE and Cochrane systematic review search from 1980 to 2000 was performed to collect information and evidence on diagnosis and treatment of women suffering from chronic pelvic pain. Expand
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Care of the patient with chronic pelvic pain must be continuous and longitudinal if recurrent adverse sequelae, including disability, inappropriate healthcare utilization, and recurrent depression, are to be prevented. Expand
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TLDR
Evaluation of the pain 1 year after the institution of treatment revealed that the integrated approach improved pelvic pain significantly more often than the standard approach for three out of four pain parameters (P<.01). Expand
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TLDR
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TLDR
Characteristics of musculoskeletal pain are reviewed as are specific dysfunctions commonly found to produce lower abdominal and pelvic floor pain. Expand
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TLDR
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TLDR
Women with pelvic pain were significantly more likely than women without pain to express other pain and aversive symptoms such as bowel problems, menstrual and sexual dysfunction, and to have higher psychological distress scores on the General Health Questionnaire. Expand
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