Chapter

Chronic Pelvic Pain

Martha J. Smith

in Pain Medicine Board Review

Published on behalf of Oxford University Press

Published in print March 2017 | ISBN: 9780190217518
Published online March 2017 | e-ISBN: 9780190217549 | DOI: http://dx.doi.org/10.1093/med/9780190217518.003.0020

Series: Medical Specialty Board Review

Chronic Pelvic Pain

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Nonmalignant chronic pelvic pain is defined as nonmenstrual pain below the level of the umbilicus that has continued for at least 6 months and is severe enough to seek medical or surgical treatment. In chronic pelvic pain, the pain and disability may often appear out of proportion to physical abnormalities, and this pain is often refractory to medical and surgical therapies. Significant psychiatric comorbidities and many medical comorbidities often accompany pelvic pain. Although most pelvic pain patients are female, several conditions can cause chronic pelvic pain in males. When evaluating and diagnosing various pelvic pain conditions, it is imperative to rule out malignancy and other organic causes. Pelvic floor dysfunction, sacroiliac joint instability, and other mechanical issues are often partially involved in the process of chronic pelvic pain. As a clinician, all of these variables must be taken into consideration when evaluating and treating chronic pelvic pain patient.

Chapter.  359 words. 

Subjects: Pain Medicine ; Anaesthetics

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