Psychological and Somatic Factors in Women with Pain Due to Pelvic Congestion

Beard, R. W.; Reginald, P. W.; Pearce, Shirley

doi:10.1007/978-1-4899-2064-5_32

Cited by 19 publications

(11 citation statements)

References 23 publications

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“…Cystic ovaries have also been described [28] in women with venous congestion resulting in pelvic pain ( Figure 6). This condition is thought to arise from abnormal relaxation of the pelvic veins and may respond to progesterone therapy.…”

Section: Pelvic Pain and Pcomentioning

confidence: 95%

Polycystic ovaries

Lakhani¹,

Seifalian²,

Atiomo³

et al. 2002

BJR

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Transvaginal ultrasound is currently the gold standard for diagnosing polycystic ovaries. The results of studies using ultrasound suggest a prevalence in young women of at least 20%. Between 5% and 10% of these women with polycystic ovaries shown on ultrasound will have the classical symptoms of polycystic ovary syndrome such as infertility, amenorrhoea or signs of hirsutism and obesity, as originally described by Stein and Leventhal in 1935. However, the significance of polycystic ovaries in asymptomatic women is still under investigation, as is the role of Doppler (pulsed and colour) and three-dimensional ultrasound. Ultrasound has also contributed to our understanding of the local and systemic haemodynamic changes associated with polycystic ovaries, although the relationship of these changes to morbidity and mortality is unknown.

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Section: Pelvic Pain and Pcomentioning

confidence: 95%

Polycystic ovaries

Lakhani¹,

Seifalian²,

Atiomo³

et al. 2002

BJR

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“…Despite being thought to affect 15-20% of women, remarkably we know very little about it and it is rarely diagnosed in the United Kingdom [6,7]. Taylor in 1949 first described how incompetent and distended pelvic veins might cause symptoms of pain, dyspareunia and menstrual dysfunction [8][9][10]. Since then, despite being frequently reported to be a cause for CPP in published literature, there have been no adequate studies on the frequency of PVI in women with CPP.…”

Section: Introductionmentioning

confidence: 97%

Trans-venous occlusion of incompetent pelvic veins for chronic pelvic pain in women: a systematic review

Hansrani¹,

Abbas²,

Bhandari³

et al. 2015

European Journal of Obstetrics & Gynecology and Reproductiv

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“…Numerous treatments have been suggested and reported in uncontrolled studies [170], In a controlled study, suppres sion of ovarian activity with medroxyproges terone acetate relieved pain [171]. Cognitive behavior therapy combined with relaxation training was found superior in outcome to that in a control group in which patients received explanation only [172], In another study, there was an interaction effect of five sessions of psychotherapy and medroxypro gesterone acetate, but no evidence on follow up of efficacy of brief psychotherapy alone [171].…”

Section: Pelvic Painmentioning

confidence: 99%

Psychosomatic Syndromes, Somatization and Somatoform Disorders

Kellner¹

1994

Psychother Psychosom

111

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A psychosomatic syndrome is defined as a syndrome in which psychological processes play a substantial role in the etiology of the illness in some of the patients. The main conclusions on the extent of the biological and psychosocial contributions to several psychosomatic syndromes are presented and the relationship of these syndromes to somatization and somatoform disorders is discussed. The syndromes summarized include fibromyalgia, chronic fatigue, motility disorders of the esophagus, nonulcer dyspepsia, irritable bowel syndrome, urethral syndrome, behaviors causing disturbances of physiology, and some defined pain syndromes. The findings suggest that the extent of the biological and psychosocial contributions vary among these syndromes as well as among individuals with the same syndrome. In some syndromes the extent and nature of the biological contribution has not been established with certainty. There is evidence to suggest that many of the phenomena of the somatoform disorders are caused by clustering of psychosomatic syndromes or their incomplete or atypical manifestations and a low sensation threshold. The results of the controlled studies of various methods of psychotherapy and drug treatments of the psychosomatic syndromes are listed; these studies have practical implications because the adoption of these methods is likely to enhance the efficacy of the treatment of somatoform disorders.

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Psychological and Somatic Factors in Women with Pain Due to Pelvic Congestion

Cited by 19 publications

References 23 publications

Polycystic ovaries

Polycystic ovaries

Trans-venous occlusion of incompetent pelvic veins for chronic pelvic pain in women: a systematic review

Psychosomatic Syndromes, Somatization and Somatoform Disorders

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