Chronic pelvic pain: multifactorial influences

Journal of Evaluation in Clinical Practice
A P M S RomãoA A Nogueira

Abstract

Chronic pelvic pain (CPP) is a common and complex disease whose cause is often clinically inexplicable, with diagnosis and treatment being more difficult. From a clinical viewpoint, CPP is defined as non-cyclic, non-menstrual pain lasting at least 6 months and sufficiently severe to interfere with habitual activities and requiring clinical or surgical treatment. Thus, CPP is a syndrome resulting from a complex interaction of the nervous, musculoskeletal and endocrine systems and also influenced by psychological and sociocultural factors. CPP is influenced by emotional aspects with an impact on quality of life, and involving high costs for health services. Its aetiology is not always clear and a cure or significant improvement of symptoms is not always obtained with the treatments employed, with constant frustration of the professionals involved. It can be seen that its treatment is often unsatisfactory, simply providing temporary relief of symptoms. In the present study, we reviewed the bibliography regarding pelvic pain, with emphasis on emotional aspects and on the importance of a multidimensional approach to the care for these patients. New investigations are needed to clarify these relations and interventions in a more effe...Continue Reading

References

Nov 9, 1974·Lancet·E C Huskisson
Apr 1, 1995·Fertility and Sterility·K G Waller, R W Shaw
Mar 1, 1996·Obstetrics and Gynecology·S D MathiasJ F Steege
Nov 1, 1996·The Journal of the American Association of Gynecologic Laparoscopists·F M Howard
Aug 30, 2000·Baillière's Best Practice & Research. Clinical Obstetrics & Gynaecology·J Moore, S Kennedy
Sep 28, 2002·Revista da Associação Médica Brasileira·Carolina LorencattoCarlos Alberto Petta
Mar 15, 2003·Obstetrics and Gynecology·Fred M Howard
Aug 2, 2003·Arquivos de neuro-psiquiatria·Geana Paula Kurita, Cibele Andrucioli de Mattos Pimenta
Nov 12, 2003·Archives of Internal Medicine·Matthew J BairKurt Kroenke
Jun 13, 2006·Best Practice & Research. Clinical Obstetrics & Gynaecology·Ying Cheong, R William Stones
Apr 28, 2009·International Journal of Clinical Practice·A P M S RomãoA A Nogueira

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Citations

Jan 12, 2017·Pain Management·Hannah TwiddyNatalie Lane
Mar 27, 2020·Journal of Pain Research·Tiffany BrooksAdrian Esterman

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