Chronic pelvic pain: Cause, diagnosis and therapy from a gynaecologist's and an endoscopist's point of view
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This paper reviews chronic pelvic pain from gynecological and endoscopic perspectives, highlighting endometriosis and adhesions as common causes treatable by laparoscopy, with psychosomatic referral advised when laparoscopy is inconclusive.
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Abstract
Chronic pelvic pain is a significant problem in gynaecology, as the causes often cannot be found by a general gynaecologic examination. Subsequently, the women often consult various physicians without a right and precise diagnosis being made. Thus, it is necessary to find a possibility for how to help these women quickly and effectively. As in nearly 1/3 of the cases the reason for the pain is an endometriosis and in another third, adhesions are responsible for the pain, the biggest part can be diagnosed and treated by laparoscopy. If laparoscopically no reason can be found, it is advisable to send the patient to a psychosomatic physician, who then can start a correspondingly differentiated diagnosis and therapy.
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Cited by (25)
- Chronic Pelvic Pain: a Neuropsychiatric View of the Gynecological Problem 2023
- Chronic pelvic pain in women, stages and methods of diagnosis (Literature review) 2020
- Systematic radiological approach to utero-ovarian pathologies 2019
- An odyssey through chronic pelvic pain in women 2018
- Biology of Pain and Pathophysiology of Pelvic Pain Syndrome 2017
- Sonographic and laparoscopic findings in women presenting with chronic pelvic pain 2017
- Nerve fibers and endometriotic lesions: partners in crime in inflicting pains in women with endometriosis 2016
- Chronic pelvic pain 2016
- Structural and Functional Basis of Chronic Pelvic Pain Syndrome during Combined Chronic Cystitis and Adenomyosis 2015
- Chronic pelvic pain: An imaging approach 2015
- Douleurs pelviennes chroniques 2015
- Patient with chronic pelvic pain from endometrial fibrosis 2014
- Surgical Evaluation and Treatment of the Patient with Chronic Pelvic Pain 2014
- Obstacles And Pitfalls Of Endometriosis-Related Chronic Pelvic Pain Management: Trying To Alleviate The Burden 2013
- Chronic Pelvic Pain in Endometriosis: An Overview 2013
- Douleurs pelviennes 2012
- The role of gynecological, urological, and psychiatric factors in chronic pelvic pain 2012
- Gastro-Intestinal Symptoms and Dietary Intolerance in Women with Endometriosis 2011
- Chronic pelvic pain 2011
- Dolor pélvico crónico en mujeres: una revisión sistemática de estudios de la prevalencia poblacional 2004-2009 2010
- Frequência de endometriose pélvica em pacientes submetidas à videolaparoscopia por dor pélvica crônica 2010
- Dietary therapy: a new strategy for management of chronic pelvic pain 2010
- DOLOR PÉLVICO CRÓNICO EN MUjERES: UNA REVISIÓN SISTEMÁTICA DE ESTUDIOS DE LA PREVALENCIA POBLACIONAL 2004-2009 A systematic review of population prevalence studies regarding chronic pelvic pain in females, 2004-2009 2010
- Diagnostic laparoscopy in chronic pelvic pain 2010
- 10.1016/j.ccol.2014.10.023 2000
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