Evaluation and Treatment of Chronic Pelvic Pain

Zusammenfassung

Obstet Gynecol. 2025 Nov 20;147(1):21–43. doi: 10.1097/AOG.0000000000006123 Evaluation and Treatment of Chronic Pelvic Pain Sawsan As-Sanie Sawsan As-Sanie, MD, MPH 1Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan; and the Department of Obstetrics and Gynecology, Washington University in St. Louis, St. Louis, Missouri. Find articles by Sawsan As-Sanie 1,✉, Whitney T Ross Whitney T Ross, MD, MSCI 1Department of Obstetrics and Gynecology, University of Michigan

Kerninformationen

Chronic pelvic pain is not a single disease but rather a symptom with many potential causes, with most patients having multiple contributing conditions. This article provides an overview of the evaluation and management of CPP for obstetrician–gynecologists. We recommend an organ system–based approa...

Pain can also be localized to a single site or involve multiple pelvic regions. Furthermore, there is no consensus among professional societies regarding the minimum duration of pain required for diagnosis, with some defining CPP as pain lasting 3 months or longer and others using a threshold of 6 m...

The terms nociplastic pain, centralized pain, and central sensitization are overlapping concepts that have been used to describe this phenomenon.11–13 Nociplastic pain mechanisms are thought to be a common feature of chronic overlapping pain conditions, including CPP. Chronic pelvic pain can result ...

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