Chronic Pelvic Pain

Obstetrics and gynecology · 2020 · vol. 135(3) , pp. e98–e109 · doi:10.1097/aog.0000000000003716 · PMID:32080051 · W4238953144
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This practice bulletin outlines the diagnosis and management of chronic pelvic pain in women not fully explained by specific organ system pathology, drawing from other chronic pain condition treatments when evidence is limited.

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Abstract

Chronic pelvic pain is a common, burdensome, and costly condition that disproportionately affects women. Diagnosis and initial management of chronic pelvic pain in women are within the scope of practice of specialists in obstetrics and gynecology. The challenging complexity of chronic pelvic pain care can be addressed by increased visit time using appropriate coding modifiers, as well as identification of multidisciplinary team members within the practice or by facilitated referral. This Practice Bulletin addresses the diagnosis and management of chronic pelvic pain that is not completely explained by identifiable pathology of the gynecologic, urologic, or gastrointestinal organ systems. When evidence on chronic pelvic pain treatment is limited, recommendations are extrapolated from treatment of other chronic pain conditions to help guide management. The evaluation and management of potential gynecologic etiologies of pelvic pain (ie, endometriosis, adenomyosis, leiomyomas, adnexal pathology, vulvar disorders) are discussed in other publications of the American College of Obstetricians and Gynecologists ().

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Condition tags

mesh:D017699endometriosisadenomyosischronic_pelvic_pain

MeSH descriptors

Chronic Pain Pelvic Pain Chronic Pain Female Humans Pain Management Pelvic Pain

Citation neighborhood

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References (77)

Cited by (50)

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