Abstract
Chronic pelvic pain is defined as pain situated below the umbilicus, for at least 6 months, that causes functional disability or requires treatment. Although chronic pelvic pain is a common presentation to gynecology clinics, only 20% of these cases are attributed to gynecologic causes including endometriosis. In this chapter, we will discuss gynecologic and non-gynecologic causes of chronic pelvic pain and how to differentiate through history, examination, and work-up.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Further Reading
Ayorinde AA, Bhattacharya S, Druce KL, et al. Chronic pelvic pain in women of reproductive and post-reproductive age: a population-based study. Eur J Pain. 2017;21:445.
Bazot M, Bharwani N, Huchon C, et al. European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis. Eur Radiol. 2017;27:2765.
Burney RO, Giudice LC. Pathogenesis and pathophysiology of endometriosis. Fertil Steril. 2012;98:511.
Cheong YC, Smotra G, Williams AC. Non-surgical interventions for the management of chronic pelvic pain. Cochrane Database Syst Rev. 2014;3:CD008797.
Dunselman GA, Vermeulen N, Becker C, et al. ESHRE guideline: management of women with endometriosis. Hum Reprod. 2014;29:400.
Gambone JC, Mittman BS, Munro MG, et al. Consensus statement for the management of chronic pelvic pain and endometriosis: proceedings of an expert-panel consensus process. Fertil Steril. 2002;78:961.
Howard FM. Chronic pelvic pain. Obstet Gynecol. 2003;101:594.
Lippman SA, Warner M, Samuels S, et al. Uterine fibroids and gynecologic pain symptoms in a population-based study. Fertil Steril. 2003;80:1488.
Nisenblat V, Bossuyt PM, Farquhar C, et al. Imaging modalities for the non-invasive diagnosis of endometriosis. Cochrane Database Syst Rev. 2016;2:CD009591.
Practice bulletin no. 114: management of endometriosis. Obstet Gynecol. 2010;116:223.
Practice Committee of the American Society for Reproductive Medicine. Treatment of pelvic pain associated with endometriosis: a committee opinion. Fertil Steril. 2014;101:927.
Speer LM, Mushkbar S, Erbele T. Chronic pelvic pain in women. Am Fam Physician. 2016;93:380.
Zondervan KT, Yudkin PL, Vessey MP, et al. Prevalence and incidence of chronic pelvic pain in primary care: evidence from a national general practice database. Br J Obstet Gynaecol. 1999;106:1149.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Shazly, S., Laughlin-Tommaso, S.K. (2020). Chronic Pelvic Pain. In: Gynecology. Springer, Cham. https://doi.org/10.1007/978-3-030-41128-2_6
Download citation
DOI: https://doi.org/10.1007/978-3-030-41128-2_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-41127-5
Online ISBN: 978-3-030-41128-2
eBook Packages: MedicineMedicine (R0)