Chronic pelvic pain resident survival guide: Difference between revisions

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==Overview==
==Overview==
[[Chronic pelvic pain]] is a symptom, not a diagnosis, and is defined as persistent or recurrent [[pelvic]] [[pain]] of either men or women for longer than three to six months. It can be classified into two subgroups:''' specific disease-associated pelvic pain''' that there is a pathology to explain the pain such as [[pelvic inflammatory disease]], [[infections]], [[adnexal]] pathologies, [[endometriosis]], etc., and '''chronic pelvic pain syndrome''' (CPPS), which its diagnosis often based on the history and physical examinations and imaging and laboratory findings are often inconclusive in diagnosing it, and usually, no specific [[etiology]] can be found.*Pathophysiology could be related to the [[somatic]] structure or [[viscera]] pathologies, [[Neuropathy|central sensitization]] of pain, or both. Treatment of [[chronic pelvic pain]] is often complicated and is usually focused on the suspected [[etiology]] of the chronic pelvic pain, such as treating a [[comorbid]] [[mood disorder]], [[neuropathy]], or [[uterine]] dysfunction, which can exacerbate chronic pain.
[[Chronic pelvic pain]] is a symptom, not a diagnosis, and is defined as persistent or recurrent [[pelvic]] [[pain]] of either men or women for longer than three to six months. It can be classified into two subgroups:''' specific disease-associated pelvic pain''' that there is a pathology to explain the pain such as [[pelvic inflammatory disease]], [[infections]], [[adnexal]] pathologies, [[endometriosis]], etc., and '''chronic pelvic pain syndrome''' (CPPS), which its diagnosis often based on the history and physical examinations and imaging and laboratory findings are often inconclusive in diagnosing it, and usually, no specific [[etiology]] can be found. Pathophysiology could be related to the [[somatic]] structure or [[viscera]] pathologies, [[Neuropathy|central sensitization]] of pain, or both. Treatment of [[chronic pelvic pain]] is often complicated and is usually focused on the suspected [[etiology]] of the chronic pelvic pain, such as treating a [[comorbid]] [[mood disorder]], [[neuropathy]], or [[uterine]] dysfunction, which can exacerbate chronic pain.


==Causes==
==Causes==

Revision as of 20:29, 17 December 2020


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Synonyms and keywords:

Overview

Chronic pelvic pain is a symptom, not a diagnosis, and is defined as persistent or recurrent pelvic pain of either men or women for longer than three to six months. It can be classified into two subgroups: specific disease-associated pelvic pain that there is a pathology to explain the pain such as pelvic inflammatory disease, infections, adnexal pathologies, endometriosis, etc., and chronic pelvic pain syndrome (CPPS), which its diagnosis often based on the history and physical examinations and imaging and laboratory findings are often inconclusive in diagnosing it, and usually, no specific etiology can be found. Pathophysiology could be related to the somatic structure or viscera pathologies, central sensitization of pain, or both. Treatment of chronic pelvic pain is often complicated and is usually focused on the suspected etiology of the chronic pelvic pain, such as treating a comorbid mood disorder, neuropathy, or uterine dysfunction, which can exacerbate chronic pain.

Causes

Life Threatening Causes

Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Diagnosis

Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Do's

  • The content in this section is in bullet points.

Don'ts

  • The content in this section is in bullet points.

References


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