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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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.

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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.
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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.

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