As opposed to the satisfying solutions found in the management of acute pain, chronic pelvic pain can be a vexing problem for the patient and physician. Seldom is a single source or cause found, and nearly always the condition is influenced by the broader social and psychological context of the patient. In this article, we discuss the evaluation of chronic pelvic pain, often considering pain as the disease itself, and identify peripheral generators, which gynecologists can address to help reduce their contributions to symptoms.
Successful treatment of chronic pelvic pain begins with thoughtful assessment of all contributing factors.Supplemental Digital Content is Available in the Text.
Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Corresponding author: John F. Steege, MD, Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC; e-mail: firstname.lastname@example.org.
Continuing medical education for this article is available at http://links.lww.com/AOG/A541.
Financial Disclosure The authors did not report any potential conflicts of interest.