Chronic Pelvic Pain—Part 1: Prevalence, Evaluation, Etiology, and Comorbidities

نویسنده

  • Lee A. Learman
چکیده

lthough criteria vary, the most common definition of chronic pelvic pain (CPP) is continuous or episodic (noncyclic) pain located below the umbilicus, lasting at least 6 months in duration, and of sufficient severity to cause interference with activities of daily living and/or to require medical or surgical intervention. However, this simple definition falls short of expressing the immense physical and psychologic impact the condition can have on the patient, or the complexity of the diagnostic challenge it presents to the clinician. Indeed, because multifactorial etiologies may be present (eg, gynecologic, urologic, gastrointestinal, musculoskeletal, and neuropsychiatric), a multidisciplinary approach is essential from the onset of the pursuit of the diagnosis to the design of an integrative management plan— which must take into consideration the physical as well as psychologic impact of CPP on the individual’s quality of life. Chronic Pelvic Pain—Part 1: Prevalence, Evaluation, Etiology, and Comorbidities

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Chronic Pelvic Pain— Part 2: An Integrated Management Approach

hronic pelvic pain (CPP) in women is a condition that substantially affects quality of life and has an economic impact approaching US $2 billion annually. CPP is believed to affect at least 4% and in some studies as many as 40% of women who seek primary care. CPP is responsible for 10% of all referrals to gynecologists, 12% of all hysterectomies, and more than 40% of all laparoscopies. Part 1 o...

متن کامل

Laparoscopy as a Diagnostic Tool in the Evaluation of Chronic Pelvic Pain in Women

Chronic pelvic pain is a common and significant disorder of women. Often the etiology of chronic pelvic pain is not clear. Chronic pelvic pain is a common problem and presents a major challenge to health care providers because of its unclear etiology, complex natural history, and poor response to therapy. Diagnostic laparoscopy is an important tool in the evaluation of women with chronic pelvic...

متن کامل

Recent Trends in Chronic Pelvic Pain Diagnosis

Chronic pelvic pain is a common and significant disorder of women. It is estimated to have a prevalence of 3.8% in women. The etiology of chronic pelvic pain in women is poorly understood. Although a specific diagnosis is not found in the majority of cases, some common diagnoses include endometriosis, adhesions, irritable bowel syndrome, and interstitial cystitis. The initial history and physic...

متن کامل

The Causes of Chronic Pelvic Pain in Women

Chronic pelvic pain probably is a symptom most frequently complained of by women to a gynecologist.  Too frequently this leads to a laparatomy from whkh either no benefit is derived, or the pain is actually made worse.  The purpose of thls paper is to reevaluate the cause and etiology of chronic pelivc pain, not only to save unnecessary and expensive surgery, but most effectively to rid the p...

متن کامل

Acute and Chronic Pelvic Pain in Women

Hospital Physician July 2007 41 P ain located in the pelvis or lower abdomen is a common presenting symptom in both outpatient and acute care settings. Pelvic pain is associated with a wide range of conditions involving the reproductive, gastrointestinal, genitourinary, and musculoskeletal systems. Given the diverse etiology of pelvic pain, an accurate and efficient diagnosis of the underlying ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2005