chronic%20pelvic%20pain
CHRONIC PELVIC PAIN
Chronic pelvic pain (CPP) is a persistent, distressing, & 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.
It is severe enough to cause functional disability or need medical care.
In women, CPP is not restricted to intercourse or menstruation & is not associated w/ pregnancy.
It is a symptom w/ a number of contributory factors & not a diagnosis; pathophysiology is complex & not well understood.
It is assumed that in the development of chronic pain, the nervous system is affected among others by inflammatory & chemical mediators & hormones.
A complex problem that is both multifactorial & multidimensional

Follow Up

  • Due to the multifactorial nature of chronic pelvic pain (CPP), diagnosis & treatment should always be reviewed to check for cases of treatment failure
    • May do re-evaluation & 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 & rehabilitation that are interdisciplinary & multispecialized
    • Provide specialized support & secondary care to patients with complex needs
    • Provide complex interventions eg medical & cognitive behavioral
    • Consider available pain management facilities with appropriate staff
Editor's Recommendations
Most Read Articles
Roshini Claire Anthony, 03 May 2019

Many patients prescribed antibiotics for suspected urinary tract infection (UTI) in the emergency department (ED) may not actually require them, according to a single-centre study from the UK presented at ECCMID 2019.

06 May 2019
Homosexual men are more likely to suffer from erectile dysfunction than their heterosexual counterparts, according to a recent meta-analysis. On the other hand, the opposite is true for premature ejaculation.
4 days ago
Overprescription of opioids after pelvic floor surgery and a provider education intervention have led to a substantial decrease in opioid prescribing without changing patient satisfaction with pain control, a recent study has found.