Consensus statement for the management of chronic pelvic pain and endometriosis: proceedings of an expert-panel consensus process

Fertility and Sterility
Joseph C GamboneChronic Pelvic Pain/Endometriosis Working Group

Abstract

To develop recommendations for the medical and surgical care of women who present with chronic pelvic pain (CPP) and are likely to have endometriosis as the underlying cause. An expert panel comprised of practicing gynecologists from throughout the United States and experts in consensus guideline development was convened. After completion of a structured literature search and creation of draft algorithms by an executive committee, the expert panel of >50 practicing gynecologists met for a 2-day consensus conference during which the clinical recommendations and algorithms were reviewed, refined, and then ratified by unanimous or near-unanimous votes. Women presenting with CPP who are likely to have endometriosis as the underlying cause. None. Chronic pelvic pain frequently occurs secondary to nongynecologic conditions that must be considered in the evaluation of affected women. For women in whom endometriosis is the suspected cause of the pain, laparoscopic confirmation of the diagnosis is unnecessary, and a trial of medical therapy, including second-line therapies such as danazol, GnRH agonists, and progestins, is justified provided that there are no other indications for surgery such as the presence of a suspicious adnexal mas...Continue Reading

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Related Concepts

Morbidity Aspects
Chronic Pelvic Pain of Female
Immunologic Adjuvants
Uterus
Adjuvant
Chronic Disease
Endometrioma
Pelvic Inflammatory Disease
Midline Cell Component
Adnexal Mass

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