Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-18T06:42:44.747Z Has data issue: false hasContentIssue false

Chapter 10 - Chronic Pelvic Pain

from Section 2 - Menstrual Disorders

Published online by Cambridge University Press:  24 November 2021

By
Tahir Mahmood  and
Mohamed Otify
Edited by
Tahir Mahmood ,
Charles Savona-Ventura ,
Ioannis Messinis  and
Sambit Mukhopadhyay
Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona-Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
Get access

Summary

Chronic pelvic pain, is defined as any pelvic pain lasting over six months. It can result from a variety of urological, gynaecological or gastrointestinal aetiologies. It tends to affect women of reproductive age and can have a signi?cant impact on women’s health, relationships and quality of life. In a majority of cases no aetiological factors are identifiable and there is no consensus in treating and managing such patients. Treatment can be frustrating and can lead to breakdown of the patient–doctor relationship.

Keywords

chronic painpelvic painpain syndromeendometriosisgynaecologicalnon-gynaecologicalinvestigationtreatmentmultidisciplinary
Type
Chapter
Information
The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Gynaecology
 , pp. 81 - 90
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

RCOG. Chronic pelvic pain, initial management. Green-top Guideline No. 41. February 2012.Google Scholar
RCOG. Chronic pelvic pain relief, therapies targeting for the nervous system. Scientific Impact Paper No. 46. January 2015.Google Scholar
Jarrell, JF, Vilos, GA, Allaire, C, et al. Consensus guidelines for the management of chronic pelvic pain: Part I. SOGC clinical practice guidelines. J Obstet Gynaecol Can 2005;27:781–801.Google Scholar
Jarrell, JF, Vilos, GA, Allaire, C, et al. Consensus guidelines for the management of chronic pelvic pain: Part II. SOGC Clinical Practice Guidelines. J Obstet Gynaecol Can 2005;27:869–887.Google Scholar
RCOG. Management of bladder pain syndrome. Green-top Guideline No. 70. December 2016.Google Scholar
Cheong, YC, Smotra, G, Williams, ACDC. Non-surgical interventions for the management of chronic pelvic pain. Cochrane Database Syst Rev 2014;3:CD008797.Google Scholar
Alderson, P. Irritable bowel syndrome in adults: diagnosis and management of irritable bowel syndrome in primary care. NICE Clinical Guidelines No. 61. 2015. Available at: www.nice.org.uk/guidance/cg61/resources/guidance-irritable-bowel-syndrome-in-adults-diagnosis-and-management-of-irritable-bowel-syndrome-in-primary-care-pdf.Google Scholar
RCOG, Ross, J, Stewart, P. Management of acute pelvic inflammatory disease. Green-top Guideline No. 32. 2008.Google Scholar
Mandal, D, Nunns, D, Byrne, M, et al. Guidelines for the management of vulvodynia. Br J Dermatol 2010;162:1180–1185.CrossRefGoogle Scholar
Ignacio, EA, Dua, R, Sarin, S, et al. Pelvic congestion syndrome: diagnosis and treatment. Semin Interv Radiol 2008;25:361–368.Google Scholar
Howard, FM, El-Minawi, AM, Sanchez, RA. Conscious pain mapping by laparoscopy in women with chronic pelvic pain. Obstet Gynecol 2000;96:934–939.Google Scholar
Simpson, LR, Mahmood, T. Medical and surgical management of chronic pelvic pain. Obstet Gynaecol Reprod Med 2016;27:14–21.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×