Chronic Pelvic Pain

Steege, John F.; Siedhoff, Matthew T.

doi:10.1097/aog.0000000000000417

Cited by 64 publications

(36 citation statements)

References 66 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Gynecologic conditions account for approximately 20% of cases of CPP [3,7], and irritable bowel syndrome (IBS) and interstitial cystitis (IC) are the other most diagnosed pathology [8]. Considering the different specific gynecological pathologies, several studies describe endometriosis and adhesions as the most frequent causes of CPP (80 and 52%, respectively) [1,2,9].…”

Section: Discussionmentioning

confidence: 99%

“…CPP may be related to different causes, from gynecological diseases to gastro-intestinal and urological pathologies. Although less common in such patients, neurological, musculoskeletal, and psychological diseases should be considered [3]. In 25 to 50% of the cases, more than one anomaly can be found in a single patient, increasing the difficulties in diagnosing and alleviating the symptoms [4].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Chronic pelvic pain and the role of exploratory laparoscopy as diagnostic and therapeutic tool: a retrospective observational study

et al. 2018

View full text Add to dashboard Cite

Background: Forty percent of exploratory laparoscopies are performed for chronic pelvic pain (CPP). However, a final diagnosis is still unreported in 35% of the patients. We decided to evaluate the identification of pathological lesions and the improvement of painful symptoms in patients with CPP and normal physical examination and imaging and who are scheduled for exploratory laparoscopy. The prospective study was designed in a tertiary referral center for endometriosis. Forty-eight patients complaining of CPP and scheduled for exploratory laparoscopy were included. Pelvic pain intensity was assessed using the visual analogue pain scale (VAS), and at inclusion, negative clinical and imaging assessments were required. During exploratory laparoscopy, the recognized lesions were reported and different surgical treatment options were performed depending on the location of the lesion. Results: In 98% of the cases, exploratory laparoscopy demonstrated the presence of pelvic anomalies that had not been diagnosed at the time of clinical and imaging examination. After surgery, a significant improvement of CPP has been demonstrated in 24 (59%) patients with VAS < 5 postoperatively. Conclusions: Exploratory laparoscopy is reasonable in patients complaining of CPP, allowing a final diagnosis in a high percentage of patients and a significant improvement in pain symptom in 59% of the cases. This study was retrospectively registered by our local Ethics Committee on February 7, 2018 (B412201835729).

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Chronic pelvic pain and the role of exploratory laparoscopy as diagnostic and therapeutic tool: a retrospective observational study

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Although a clear association on the basis of pathophysiological/pathological mechanisms has not been elucidated yet, women with DE seem to experience some gynecologic conditions (e.g., uterine fibroids or infertility) as well as other conditions (e.g., fibromyalgia, interstitial cystitis, irritable bowel syndrome) compared to women without DE [35][36][37][38] . In some cases, these medical conditions may be a source of chronic pelvic pain, thus confusing and complicating diagnosis of endometriosis [39] . The clinical presentation of endometriosis can range from debilitating pelvic pain and infertility to no symptoms; thus, it is not uncommon for women to seek medical treatment for infertility, dysmenorrhea, or chronic lower back pain and then later receive a diagnosis of endometriosis [40] .…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Symptomatic Burden of Diagnosed Endometriosis in the United States: National Estimates from a Cross-Sectional Survey of 59,411 Women

Fuldeore

Soliman²

2016

Gynecol Obstet Invest

206

170

View full text Add to dashboard Cite

Background/Aims: To estimate the prevalence of diagnosed endometriosis (DE) in women in the United States and assess the associated symptomatic burden. Methods: An online, cross-sectional survey of women aged 18-49 years was conducted from August 6, 2012, through November 14, 2012. Survey data (weighted by age, race, education, income, geographical distribution, and propensity score) were used to estimate the prevalence and symptomatic burden of DE in women in the United States. Weighted logistic regressions were used to assess differences in symptom burden between women with and without endometriosis. Results: The prevalence of DE was estimated at 6.1% (2,922 of 48,020 women surveyed); 52.7% of women were 18-29 years of age when they were diagnosed with endometriosis. Most (86.2%) women experienced symptoms before diagnosis. More women with (vs. without) DE had menstrual pelvic pain/cramping (52.7 vs. 45.2%), non-menstrual pelvic pain/cramping (36.7 vs. 14.3%), infertility (11.6 vs. 3.4%), and dyspareunia (29.5 vs. 13.4%). Women with endometriosis were also more likely to report severe symptoms (OR (95% CI) 2.7 (2.3-3.1) for menstrual pelvic pain/cramping, 2.2 (1.7-2.9) for non-menstrual pelvic pain/cramping, and 2.4 (1.8-3.2) for dyspareunia). Conclusion: The prevalence of DE among US women is notable, and affected women experience a substantial symptom burden.

show abstract

“…Abdomen: Light and deep palpation is performed for masses and tenderness. A cotton swab can be used to assess for allodynia (16). Myofascial pain is assessed by asking the patient to contract their abdominal wall muscles while palpating an area of tenderness (Carnett's test).…”

Section: Physical Examinationmentioning

confidence: 99%

Dysmenorrhea, Endometriosis and Chronic Pelvic Pain in Adolescents

Sachedina¹,

Todd²

2020

Jcrpe

View full text Add to dashboard Cite

Most adolescents will experience discomfort during menstruation. Due to normalization of dysmenorrhea, there is delay to diagnosis and treatment. Non-steroidal anti-inflammatories are a first line treatment. Adolescents can safely be offered menstrual suppression with combined hormonal contraception, and progestin-only options. When the above are ineffective, gonadotropin releasing hormone agonists with add back treatment can be considered. Transabdominal ultrasound is indicated when first line treatments do not improve symptoms. Endometriosis should be considered in adolescents who experience ongoing pain despite medical treatment. If laparoscopy is performed and endometriosis visualized, it should be treated with either excision or ablation. Women with endometriosis should be counselled on menstrual suppression until fertility is desired. Management of chronic pain requires the involvement of a multidisciplinary team.

show abstract

Chronic Pelvic Pain

Cited by 64 publications

References 66 publications

Chronic pelvic pain and the role of exploratory laparoscopy as diagnostic and therapeutic tool: a retrospective observational study

Chronic pelvic pain and the role of exploratory laparoscopy as diagnostic and therapeutic tool: a retrospective observational study

Prevalence and Symptomatic Burden of Diagnosed Endometriosis in the United States: National Estimates from a Cross-Sectional Survey of 59,411 Women

Dysmenorrhea, Endometriosis and Chronic Pelvic Pain in Adolescents

Contact Info

Product

Resources

About