Prevalence and conditions associated with chronic pelvic pain in women from São Luís, Brazil

Abstract

The objective of the present study was to estimate the prevalence of chronic pelvic pain in the community of São Luís, capital of the State of Maranhão, Northeastern Brazil, and to identify independent conditions associated with it. A cross-sectional study was conducted, including a sample of 1470 women older than 14 years predominantly served by the public health system. The interviews were held in the subject's home by trained interviewers not affiliated with the public health services of the municipality. The homes were visited at random according to the city map and the prevalence of the condition was estimated. To identify the associated conditions, the significant variables (P=0.10) were selected and entered in a multivariate analysis model. Data are reported as odds ratio and 95% confidence interval, with the level of significance set at 0.05. The prevalence of chronic pelvic pain was 19.0%. The independent conditions associated with this diagnosis were: dyspareunia (OR=3.94), premenopausal status (OR=2.95), depressive symptoms (OR=2.33), dysmenorrhea (OR=1.77), smoking (OR=1.72), irregular menstrual flow (OR=1.62), and irritative bladder symptoms (OR=1.90). The prevalence of chronic pelvic pain in Sao Luís is high and is associated with the conditions cited above. Guidelines based on prevention and/or early identification of risk factors may reduce the prevalence of chronic pelvic pain in São Luís, Brazil.

Chronic pelvic pain portraits: perceptions and beliefs of 80 women

“…It is an important cause of morbidity, functional disability and reduction of women's quality of life (QoL) [3][4][5][6] , involving 5.7 to 26.6% of women worldwide 7 . In Brazil, Silva et al 8 reported a CPP prevalence of 15.1% in women in childbearing age, while Coelho et al 9 reported a prevalence of 19% in women aged 14-60 years. In addition, it accounts for about 10% of outpatient gynecological consultations, as well as 40 to 50% of gynecological laparoscopies and 12% of hysterectomies 10,11 .…”

Occupational Performance of Women with Chronic Pelvic Pain and the Potential of Coping as an Unassisted Intervention

“…Among the conditions involving persistent pain among women, chronic pelvic pain (CPP) is one of the most frequent conditions [2]. The estimated worldwide prevalence of this condition is approximately 4% [3], although it appears to be higher in Brazil and in all other developing countries [4] [5]. Since this condition primarily affects women of reproductive age and since most women are active during this phase of life, it is plausible to hypothesize that CPP, in addition to interfering in a negative manner with the personal, marital and social life of women [6] [7], may involve a significant impairment of their occupational performance, i.e., their ability to perform routines, roles and tasks in response to their external and internal environment.…”

Primary dysmenorrhea in adolescent girls as a predictor of the development of undifferentiated connective tissue dysplasia

“…Наличие факторов риска приводит к тяжелому течению дисменореи. Ими являются раннее менархе [10], курение [11] и употребление алкоголя [12] и т.д. Немаловажную роль играет наследственность -у 30% больных матери страдали дисменореей.…”