Psychogenic causes of Chronic Pelvic Pain and impact of CPP on psychological status
نویسنده
چکیده
The paper updates the word ”psychogenic”; suggests a pathophysiologic reading of the psychogenic contribute to CPP, via the stress-induced corticotropin-releasing factor (CRF) signaling pathways, and differentiates predisposing, precipitating and maintaining factors; summarizes the pertinent evidence; focuses on the differential diagnosis between prominent “psychogenic” vs somatic etiology of CPP; highlights the common diagnostic mistakes with a focus on iatrogenic factors and nocebo effect; discusses the psychological and sexual consequences of CPP.
منابع مشابه
Quality of life associated to chronic pelvic pain is independent of endometriosis diagnosis-a cross-sectional survey
BACKGROUND Pain is strongly related to poor quality of life. We performed a cross-sectional study in a university hospital to investigate quality of life in women suffering from chronic pelvic pain (CPP) due to endometriosis and others conditions. METHODS Fifty-seven patients aged between 25 and 48 years-old submitted to laparoscopy because of CPP were evaluated for quality of life and depres...
متن کاملدرد مزمن لگنی در زنان مراجعه کننده به درمانگاه پلویک فلور بیمارستان امام خمینی تهران (1391-1390 )
Objective: Chronic Pelvic Pain (CPP), a common health problem in women, characterized by any lower abdominal pain that lasted at least six months or more, with no relation to pregnancy, menstruation and intercourse. The pain can affects on activities of daily living negatively and lead to medical or even surgical treatment. According to our knowledge, there are limited studies related to CPP in...
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Chronic Pelvic Pain (CPP) and Chronic Pelvic Pain Syndrome (CPPS) have a significant impact on men and women of reproductive and nonreproductive age, with a considerable burden on overall quality of life (QoL) and on psychological, functional, and behavioural status. Moreover, diagnostic and therapeutic difficulties are remarkable features in many patients. Therefore evaluation, assessment and ...
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Endometriosis is one of the most common gynecological diseases and affects ~10% of women in reproductive age. The most common clinical signs of endometriosis are menstrual irregularities, chronic pelvic pain (CPP), dysmenorrhea, dyspareunia and infertility. Symptoms of endometriosis often affect psychological and social functioning of patients. For this reason, endometriosis is considered as a ...
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Chronic pelvic pain (CPP) is defined as pain of at least 6 months' duration that occurs in the lower abdomen or below the umbilicus and has resulted in functional or psychological disability or required intervention and treatment. Therapeutic interventions center around the treatment of CPP as a diagnosis in and of itself, and treatment of specific disorders that may be related to CPP. A multid...
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