Chronic pelvic pain is a common problem for women, being the single most common reason for referral to a gynecologist, with an estimated prevalence of 38 per 1,000 women. Over $881 million is spent annually in the USA managing chronic pelvic pain on an outpatient basis. It is a common disabling condition whose causes and treatments are poorly understood. Many women as well as health care providers get frustrated with the all-too-often lack of relief after many interventions and attempts at pharmacological treatments. It can have a devastating effect on a woman’s sexuality and her relationship with her partner.
It is commonly recognized that psychological issues play an important role in the origin and treatment of this condition. A recent extensive systematic review of the literature regarding factors predisposing women to chronic pelvic pain concluded that both gynecological and psychosocial factors are strongly associated with chronic pelvic pain. This would appear to mandate a comprehensive collaborative medical and psychological approach to the evaluation and treatment of women suffering with pelvic pain. The objective of this paper is to demonstrate the utility and mechanisms of this approach.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Howard FM. The role of laparoscopy in chronic pelvic pain: promise and pitfalls. Obstet Gynecol Surv. 1993;48:357–387.
Zondervan KT, Yudkin PL, Vessey MP, Dawes MG, Barlow DH, Kennedy SH. Prevalence and incidence of chronic pelvic pain in primary care: evidence from a national general practice database. Br J Obstet Gynaecol. 1999;106:1149–1155.
Mathias SD, Kuppermann M, Liberman RF, Lipschutz RC, Steege JF. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol. 1996; 87:321–327.
Latthe P, Mignini L, Gray R, Hills R, Khan K. Factors predisposing women to chronic pelvic pain: systematic review Br Med J. 2006;332(7544):749–755.
Walker E, Katon W, Harrop-Griffiths J, Holm L, Russo J, Hickok LR. Relationship of chronic pelvic pain to psychiatric diagnoses and childhood sexual abuse. Am J Psychiatry. 1988;145:75–80.
McGowan-Linda PA, Clark-Carter DD, Pitts MK. Chronic pelvic pain: a meta-analytic review. Psychol Health. 1998;13:937–951.
NIH Technology Assessment Panel on Integration of Behavioral and Relaxation Approaches Into the Treatment of Chronic Pain and Insomnia. Integration of behavioral and relaxation approaches into the treatment of chronic pain and insomnia. JAMA. 1996;276:313–318.
Bradley LA, McKendree-Smith NL, Cianfrini LR. Cognitive-behavioral therapy interventions for pain associated with chronic illness: evidence for their effectiveness. Semin Pain Med. 2003:1:44–54.
Okifuji A. Interdisciplinary pain management with pain patients: evidence for its effectiveness. Semin Pain Med. 2003;1:110–119.
Lebovits AH. Chronic pain: the multidisciplinary approach Int Anesthesiol Clin. 1991;29:1–7.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2008 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Lebovits, A.H., Levey, K.A. (2008). Chronic Pelvic Pain: A Case for an Interdisciplinary Evaluation and Treatment Approach. In: Kessler, R., Stafford, D. (eds) Collaborative Medicine Case Studies. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76894-6_15
Download citation
DOI: https://doi.org/10.1007/978-0-387-76894-6_15
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-76893-9
Online ISBN: 978-0-387-76894-6
eBook Packages: Behavioral ScienceBehavioral Science and Psychology (R0)