Pharmacological Management of Chronic Pelvic Pain in Women

@article{Carey2016PharmacologicalMO,
  title={Pharmacological Management of Chronic Pelvic Pain in Women},
  author={E. Carey and S. R. Till and S. As-Sanie},
  journal={Drugs},
  year={2016},
  volume={77},
  pages={285-301}
}
Chronic pelvic pain (CPP) is a multifaceted condition that often has both peripheral and central generators of pain. An understanding of neurobiology and neuropsychology of CPP should guide management. Successful treatment of CPP is typically multimodal, and pharmacologic treatment strategies include analgesics, hormonal suppression, anesthetics, antidepressants, membrane stabilizers, and anxiolytics. Evidence for these and other emerging pharmacologic therapies is presented in this article. 
When treating chronic pelvic pain in women, consider peripheral and central contributors
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References

SHOWING 1-10 OF 192 REFERENCES
Chronic pelvic pain
TLDR
Chronic Pelvic Pain is a symptom, not a disease, and can result from many different entities, and it is important to triage, diagnose and manage these patients efficiently and accurately. 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
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
High levels of anxiety and depression have a negative effect on quality of life of women with chronic pelvic pain
TLDR
This poster focuses on the treatment of patients with high levels of anxiety and depression with chronic pelvic pain, with a consequent impairment of their quality of life. Expand
Advances in neuropathic pain: diagnosis, mechanisms, and treatment recommendations.
TLDR
Randomized controlled clinical trials of gabapentin, the 5% lidocaine patch, opioid analgesics, tramadol hydrochloride, and tricyclic antidepressants provide an evidence-based approach to the treatment of neuropathic pain. Expand
Pharmacological management of chronic neuropathic pain: Revised consensus statement from the Canadian Pain Society
TLDR
This update to these guidelines for the treatment of neuropathic pain in the Canadian context incorporates new evidence published since the first guidelines were released in 2007. Expand
Stress and chronic pelvic pain.
TLDR
The individual chronic pelvic pain syndromes are described and how stress influences the likelihood of diagnosis and the severity of symptoms experienced by patients are described. Expand
Psychological Factors in Chronic Pelvic Pain in Women: Relevance and Application of the Fear-Avoidance Model of Pain
TLDR
Evidence is provided for the relevance of the fear-avoidance model of pain to chronic pelvic pain in women and the role of psychological variables in conditions such as vulvodynia and painful bladder syndrome. Expand
An update on the drug treatment of neuropathic pain. Part 1: antidepressants
  • Medicine
  • Drug and Therapeutics Bulletin
  • 2012
TLDR
This month and next month the drug treatment of neuropathic pain is reviewed and the use of antidepressants is discussed. Expand
Central changes associated with chronic pelvic pain and endometriosis.
TLDR
The evidence demonstrates that CPP is associated with significant central changes when compared with healthy pain-free women, and the presence of these changes has the potential to both exacerbate symptoms and to predispose these women to the development of additional chronic conditions. Expand
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