chronic%20pelvic%20pain%20in%20women
CHRONIC PELVIC PAIN IN WOMEN
Treatment Guideline Chart
Chronic pelvic pain (CPP) is a persistent, distressing, and severe pain of >6-month duration.
It occurs intermittently, cyclically, or situationally.
Localized to the pelvis, anterior abdominal wall at or below the umbilicus, the lumbosacral back, or the buttocks.
In women, CPP is not restricted to intercourse or menstruation and is not associated with pregnancy.
A complex problem that is both multifactorial & multidimensional.

Chronic%20pelvic%20pain%20in%20women Management

Follow Up

  • Due to the multifactorial nature of chronic pelvic pain (CPP), diagnosis and treatment should always be reviewed to check for cases of treatment failure
    • May do re-evaluation and revision of treatment
    • Consider referral to a specialist if pain is still inadequately controlled
  • Follow-up may be long term in patients with complex conditions
    • Pain specialists to give pain assessment, management and rehabilitation that are interdisciplinary and multispecialized
    • Provide specialized support and secondary care to patients with complex needs
    • Provide complex interventions eg medical and cognitive behavioral
    • Consider available pain management facilities with appropriate staff
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