PMID: 9050630Feb 1, 1996

Evaluation and management of chronic pelvic pain

The Journal of the American Association of Gynecologic Laparoscopists
A J DulebaD L Olive

Abstract

Evaluating patients with chronic pelvic pain is complex. A detailed medical history should be ideally supplemented by psychologic evaluation and assessment of the woman's social background. At the time of physical examination, the location and intensity of the pain should be mapped. Assessment of pain relief with the administration of a local anesthetic to trigger points or selected nerves may be useful in predicting the potential efficacy of surgical interventions such as uterosacral nerve ablation. Appropriate tests include pelvic ultrasound and magnetic resonance imaging. Ultimately, laparoscopy may provide the final diagnosis. Management should address the underlying cause(s) of pain; when this cannot be done, it should focus on treating the pain itself. When appropriate, empiric administration of antidepressants may be considered. In selected women, therapeutic goals may be achieved by electrical stimulation of nerves.

References

Jan 15, 2010·Archives of Gynecology and Obstetrics·Damyanti SharmaRuchi Bansal
Sep 12, 2008·The New England Journal of Medicine·D L Olive
May 2, 2006·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Ellen HighfieldPeter M Wayne
Aug 8, 2008·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Lisa A ConboyPeter M Wayne
Nov 27, 2007·Best Practice & Research. Clinical Obstetrics & Gynaecology·P VercelliniPier Giorgio Crosignani
Jul 22, 2014·Journal of Evaluation in Clinical Practice·Maria Beatriz Ferreira GurianJúlio César Rosa-E-Silva
Mar 27, 2015·Journal of Evaluation in Clinical Practice·Maria Beatriz Ferreira GurianFrancisco José Candido dos Reis
Aug 30, 2000·Baillière's Best Practice & Research. Clinical Obstetrics & Gynaecology·V M Grace
Dec 28, 2017·Medical Acupuncture·Andréia Moreira de Souza MitidieriJúlio César Rosa-E-Silva
Mar 7, 2014·The Cochrane Database of Systematic Reviews·Ying C CheongAmanda C de C Williams
May 2, 2009·Drugs·P VercelliniPier Giorgio Crosignani

Citations

Aug 1, 1979·AJR. American Journal of Roentgenology·R E Beck
Dec 1, 1977·Endocrinology·R L BarbieriK J Ryan
Aug 1, 1979·Archives of Gynecology·B SandahlK E Andersson
Mar 1, 1978·Clinical Obstetrics and Gynecology·D S Fordney
Dec 1, 1978·Pain·M Renaer, G M Guzinski
Mar 1, 1976·Obstetrics and Gynecology·K Moghissi, C R Boyce
Sep 1, 1992·Obstetrics and Gynecology·C Nezhat, F Nezhat
Sep 1, 1992·Obstetrics and Gynecology·W J Harris
Jul 1, 1992·American Journal of Obstetrics and Gynecology·G B CandianiG Di Nola
Feb 1, 1992·American Journal of Obstetrics and Gynecology·R L Barbieri
Apr 1, 1992·British Journal of Urology·J F Ryan, C M Booth
Mar 1, 1992·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·D T Earl, J M Mercola
Jan 1, 1991·American Journal of Obstetrics and Gynecology·A L StoutC L Hughes
Jan 1, 1991·Lasers in Surgery and Medicine·G J ShirkR J Gimpelson
Jun 1, 1991·Clinical Obstetrics and Gynecology·D C Martin
Aug 1, 1991·American Journal of Obstetrics and Gynecology·J F Steege, A L Stout
Feb 1, 1990·American Journal of Obstetrics and Gynecology·M R Henzl, L Kwei
Feb 1, 1990·American Journal of Obstetrics and Gynecology·R W Shaw
Feb 1, 1990·American Journal of Obstetrics and Gynecology·R Rolland, P F van der Heijden
Jun 1, 1990·Fertility and Sterility·F J CornillieP R Koninckx
Sep 1, 1990·Contraception·M NabrinkT Solum
Feb 1, 1990·American Journal of Obstetrics and Gynecology·B Patsner, J W Orr
Mar 1, 1990·Clinical Obstetrics and Gynecology·R C Reiter
Mar 1, 1990·Clinical Obstetrics and Gynecology·R C Reiter
Apr 1, 1990·Drugs·R L Barbieri
Jul 1, 1990·Obstetrics and Gynecology·B TjadenJ A Rock
Sep 15, 1990·Minerva chirurgica·C MasiP Seghi
Feb 1, 1990·American Journal of Obstetrics and Gynecology·D B SeiferR A Baker
Jul 1, 1990·Obstetrics and Gynecology·A RapkinB D Naliboff
Jan 1, 1989·Acta Obstetricia Et Gynecologica Scandinavica·L RönnbergJ Saastamoinen
Oct 1, 1989·British Journal of Obstetrics and Gynaecology·P W ReginaldR W Beard
Oct 1, 1989·British Journal of Obstetrics and Gynaecology·C M FarquharR W Beard
Oct 1, 1989·Prostaglandins·A Rapkin, P Bhattacherjee
Jun 1, 1989·Radiology·M ZawinF Comite
Dec 1, 1986·American Journal of Obstetrics and Gynecology·R P Jansen, P Russell

Related Concepts

Nervousness
Interferential Current Electrotherapy
Chronic Pelvic Pain of Female
Visual Analog Pain Scale
Magnetic Resonance Imaging
Analgesics, Anti-Inflammatory
Endometrioma
Local Anesthetic [EPC]
Physical Examinations and Diagnoses
Pelvis

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