Abstract
There are numerous etiologies of pelvic pain in women. These include pain of gynecologic, urologic, gastrointestinal, musculoskeletal and vascular origins. The etiologies range from infections, pregnancy, neoplasms, torsion, structures, scarring, inflammation, fibroids, endometriosis, kidney stones, irritable bowel syndrome, prolapse, painful vessels, or menstrual cramps. Pelvic pain is divided into acute, chronic, or recurrent pain. While there can be significant overlap, the initial approach in establishing the etiology and management differs among these groups. A careful history and physical exam followed up with appropriate laboratory and diagnostic studies continually narrow the list of potential diagnoses. Quickly ruling out critical or life-threating conditions is particularly important in women presenting with acute pelvic pain.
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References
American College of Obstetricians and Gynecologists. FAQ099, August 2011.
Brown HE, Collins JJ, Farquhar C, Fedorkow DM, Vandekerchova P. Ovulation suppression for endometriosis. Cochrane Database Sys Rev. 2007; (3):CD000155 (ISSN:1469-493X)
Donnez J, Tomazewski J, Vasquez F, Bouchard P, Lemieszczuk B, Baro F, et al. Ulipristal acetate versus leuprolide acetate for uterine fibroids. N Engl J Med. 2012;366:42–432.
Fauconnier A, Dallongeville E, Huchon C, et al. Measurement of acute pelvic pain intensity in gynecology: a comparison of five methods. Obstet Gynecol 2009: 113:260
FitzGerald MP, Kotarinos R. Rehabilitation of the short pelvic floor I: background and patient evaluation. Int Urogynecol J Pelvic Dysfunct. 2003;14(4):261.
Howard F. Introduction. In: Howard F, Perry C, Carter J, El-Minawi A, editors. Pelvic pain diagnosis and management. Philadelphia: Lippincott Williams & Wilkins; 2000.
Moawad NS, Mahajan ST, Moniz MH, Taylor SE, Hujrd WW. Current diagnosis and treatment of interstitial pregnancy. 2009. www.AJOG.org. Last assessed 17 Aug 2016.
Pendergast SA, Weiss JM. Screening for musculoskeletal causes of pelvic pain. Clin Obstet Gynecol. 2003;46(4):773.
Rapkin AJ, Karnes ID. New hope for patients with chronic pelvic pain. Female Patient. 1988;31:100–17.
Rapkin AJ, Mayer EA. Gastroenterologic causes of chronic pelvic pain. Obstet Gynecol Clin NA. 1993;20:663–83.
Spitznagle TM, Robinson CM. Myofascial pelvic pain. Obstet Gynecol Clin N Am. 2014;41(3):409–32.
The Practice Committee of the American Society for Reproductive Medicine. Treatment of pelvic pain associated with endometriosis: a committee opinion. Fertil Steril. 2014;101(4):927.
Wytrazek M, Huber J, Lipiec J, Kulczyk A. Evaluation of palpation, pressure algometry, and electromyography for monitoring trigger points in young participants. J Manip Physiol Ther. 2015;38(3):232–43.
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Shoupe, D. (2017). Management of Pelvic Pain. In: Shoupe, D. (eds) Handbook of Gynecology. Springer, Cham. https://doi.org/10.1007/978-3-319-17798-4_86
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DOI: https://doi.org/10.1007/978-3-319-17798-4_86
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