Interventions for treating chronic pelvic pain in women

R W Stones, J Mountfield

Research output: Contribution to journalArticlepeer-review

137 Citations (Scopus)

Abstract

Chronic pelvic pain is common in women in the reproductive age group and it causes disability and distress and results in significant costs to health services. The pathogenesis of chronic pelvic pain is poorly understood. Often, investigation by laparoscopy reveals no obvious cause for pain. There are several possible explanations for chronic pelvic pain including undetected irritable bowel syndrome, the vascular hypothesis where pain is thought to arise from dilated pelvic veins in which blood flow is markedly reduced and altered spinal cord and brain processing of stimuli in women with chronic pelvic pain. As the pathophysiology of chronic pelvic pain is not well understood, its treatment is often unsatisfactory and limited to symptom relief. Currently, the main approaches to treatment include counseling or psychotherapy, attempting to provide reassurance using laparoscopy to exclude serious pathology, progestogen therapy such as medroxyprogesterone acetate, and surgery to interrupt nerve pathways.
Original languageEnglish
Pages (from-to)CD000387
JournalCochrane Database of Systematic Reviews
Issue number4
DOIs
Publication statusPublished - 2000

Keywords

  • Adult
  • Chronic Disease
  • Female
  • Humans
  • Pelvic Pain
  • Randomized Controlled Trials as Topic

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