Diagnosis and Treatment of Chronic Pelvic Pain in Female Patients by Multidisciplinary Approach

  • I. Blendinger
  • M. Stauber
Conference paper

Abstract

The diagnosis and treatment of chronic pelvic pain are often frustrating for doctor and patient. The usual sequence of interaction starts when the gynecologist tells the patient, that her complaints cannot be explained by somatic findings. If he then mentions psychic problems as a possible cause for the patient’s suffering, he will precipitate a strong defence reaction. The patient has the feeling, that she is misunderstood, that her complaints are not taken seriously. And the doctor feels helpless, because he cannot persuade the patient to accept his diagnosis and therapy. In order to overcome this frustrating sequence of events we formed a team of gynecologists, anesthesiologists, psychotherapists, and physiotherapists. This team is trying a multidisciplinary approach in the diagnosis and therapy of women with chronic pelvic pain.

Keywords

Burning Depression Barbiturate Phenacetin Pyrazolone 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Beckmann D, Richter HE (1972) Gießen-Test. Huber, BernGoogle Scholar
  2. Blendinger I, Stauber M (1979) Diagnostik und Therapie chronischer Unterbauchschmerzen der Frau. Muench Med Wochenschr 121: 1419–20Google Scholar
  3. Bonica JJ (1953) The management of pain. Lea & Febinger, PhiladelphiaGoogle Scholar
  4. Castelnuovo-Tedesco P, Krout BM (1970) Psychosomatic aspects of chronic pelvic pain. Psychiatry Med 1: 109–26PubMedCrossRefGoogle Scholar
  5. Duncan CH, Taylor HC (1952) Psychosomatic study of pelvic congestion. Am J Obstet Gynecol 64: 1–12PubMedGoogle Scholar
  6. Gidro-Frank L, Gordon T, Taylor HC (1960) Pelvic pain and female identity. Am J Obstet Gynecol 79: 1184–1202PubMedGoogle Scholar
  7. Pilowsky I, Chapman CR, Bonica JJ (1977) Pain, depression, and illness behaviour in a pain clinic population. Pain 4: 183–92PubMedCrossRefGoogle Scholar
  8. Renaer M, Guzinski GM (1978) Pain in gynecologic practice. Pain 5: 305–331PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin · Heidelberg 1982

Authors and Affiliations

  • I. Blendinger
  • M. Stauber

There are no affiliations available

Personalised recommendations