Pelvic pain

Pelvic and perineal pain
Micrograph showing endometriosis (H&E stain), a common cause of chronic pelvic pain in women.
Frequency43% worldwide[1]

Pelvic pain is pain in the area of the pelvis. Acute pain is more common than chronic pain.[2] If the pain lasts for more than six months, it is deemed to be chronic pelvic pain.[3][4] It can affect both the male and female pelvis.

Common causes in include: endometriosis in women, bowel adhesions, irritable bowel syndrome, and interstitial cystitis.[5][6] The cause may also be a number of poorly understood conditions that may represent abnormal psychoneuromuscular function.

The role of the nervous system in the genesis and moderation of pain is explored.[7] The importance of psychological factors is discussed, both as a primary cause of pain and as a factor which affects the pain experience. As with other chronic syndromes, the biopsychosocial model offers a way of integrating physical causes of pain with psychological and social factors.[8]

  1. ^ Brown, CL; Rizer, M; Alexander, R; Sharpe EE, 3rd; Rochon, PJ (March 2018). "Pelvic Congestion Syndrome: Systematic Review of Treatment Success". Seminars in Interventional Radiology. 35 (1): 35–40. doi:10.1055/s-0038-1636519. PMC 5886772. PMID 29628614.{{cite journal}}: CS1 maint: numeric names: authors list (link)
  2. ^ "Acute Pain vs. Chronic Pain: Differences & Causes". Cleveland Clinic. Retrieved 2022-04-23.
  3. ^ Dydyk, Alexander M.; Gupta, Nishant (2022), "Chronic Pelvic Pain", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID 32119472, retrieved 2022-04-23
  4. ^ "Chronic pelvic pain" (PDF). ACOG. Retrieved 11 June 2014.
  5. ^ Moore, Jane; Kennedy, Stephen (2000-06-01). "Causes of chronic pelvic pain". Best Practice & Research Clinical Obstetrics & Gynaecology. 14 (3): 389–402. doi:10.1053/beog.1999.0082. ISSN 1521-6934. PMID 10962633.
  6. ^ Ortiz, DD (Jun 1, 2008). "Chronic pelvic pain in women". American Family Physician. 77 (11): 1535–42. PMID 18581833.
  7. ^ Moore, J.; Kennedy, S. (June 2000). "Causes of chronic pelvic pain". Baillière's Best Practice & Research. Clinical Obstetrics & Gynaecology. 14 (3): 389–402. doi:10.1053/beog.1999.0082. PMID 10962633.
  8. ^ Meints, S.M.; Edwards, R.R. (2018-12-20). "Evaluating Psychosocial Contributions to Chronic Pain Outcomes". Progress in Neuro-psychopharmacology & Biological Psychiatry. 87 (Pt B): 168–182. doi:10.1016/j.pnpbp.2018.01.017. ISSN 0278-5846. PMC 6067990. PMID 29408484.