1Chronic pelvic pain has a multifactorial aetiologyChronic pelvic pain is simply long-term pain in the structures of anatomic pelvis. This is where the simplicity stops. Since the female pelvis contains organs and structures belonging to gynaecological, gastrointestinal, urological and musculoskeletal organ systems anyone or several of these organ systems may be involved in pelvic pain. Pain can be related to a specific diagnosis like endometriosis, infection or tumour, but in other cases no specific pathology can be demonstrated. In some cases pain can be independent of the obvious pathology.The IASP (International Association for the Study of Pain) definition of chronic pelvic pain is more limited stating that the pain has apparently gynaecological origin but for which no definitive lesion or cause can be found . However, gynaecological disorders are not the sole aetiologies behind chronic pelvic pain. Urinary and gastrointestinal aetiologies are common causes for chronic pelvic pain. In addition, patients with chronic pelvic pain often report concurrent symptoms like irritable bowel syndrome or interstitial cystitis [2,3]. Large portions of patients with chronic pelvic pain report pain in several areas, as well as chronic pain in other body parts [3,4,5]. Chronic pelvic pain can be considered as a chronic
Scandinavian Journal of Pain – de Gruyter
Published: Apr 1, 2014
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