Abstract
Chronic pelvic pain (CPP) is defined as pain of at least 6 months' duration that occurs in the lower abdomen or below the umbilicus and has resulted in functional or psychological disability or required intervention and treatment. Therapeutic interventions center around the treatment of CPP as a diagnosis in and of itself, and treatment of specific disorders that may be related to CPP. A multidisciplinary approach for diagnosis and treatment seems to be most effective for symptomatic relief. This paper reviews the evidence for such interventions as psychological treatments including the use of complementary and alternative medicine techniques for CPP in women. Unfortunately, finding the best evidence in this setting is difficult as only very few randomized controlled trials are available. A combination of treatments is usually required over time for the treatment of refractory CPP. The multifactorial nature of CPP needs to be discussed with the patient and a good rapport as well as a partnership needs to be developed to plan a management program with regular followup. Promotion of a multidisciplinary approach which includes complementary and alternative medicine techniques in managing CPP in women seems to yield the best results.
Highlights
1 1 De nition and pidemiology An estimated one in three people suffer from chronic pain, a condition frequently associated with decreased health-related quality of life (HRQoL) and high levels of psychological distress [1]
Limitations of drug therapy for chronic pain re ect the complex pathophysiology of the condition as well as the profound contribution of psychosocial factors to the perpetuation of pain and suffering [3, 4]
Even with a likely underestimation of prevalence, Chronic pelvic pain (CPP) accounts for 10% of indications for hysterectomy [10]. is yields 881.5 billion dollars in health care costs in the United States per year [9]
Summary
Chronic pelvic pain (CPP) is de ned as pain of at least 6 months’ duration that occurs in the lower abdomen or below the umbilicus and has resulted in functional or psychological disability or required intervention and treatment. erapeutic interventions center around the treatment of CPP as a diagnosis in and of itself, and treatment of speci c disorders that may be related to CPP. Chronic pelvic pain (CPP) is de ned as pain of at least 6 months’ duration that occurs in the lower abdomen or below the umbilicus and has resulted in functional or psychological disability or required intervention and treatment. Erapeutic interventions center around the treatment of CPP as a diagnosis in and of itself, and treatment of speci c disorders that may be related to CPP. A multidisciplinary approach for diagnosis and treatment seems to be most effective for symptomatic relief. Is paper reviews the evidence for such interventions as psychological treatments including the use of complementary and alternative medicine techniques for CPP in women. A combination of treatments is usually required over time for the treatment of refractory CPP. Promotion of a multidisciplinary approach which includes complementary and alternative medicine techniques in managing CPP in women seems to yield the best results
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