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Chronic Pelvic Pain

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by Kellicker PG

(Pelvic Pain, Chronic)

 

Causes

Chronic pelvic pain can be caused by a wide variety of conditions.
  • Psychological conditions, such as depression, or a history of physical or sexual abuse
  • Neuromuscular conditions
    • Pudendal neuralgia
    • Muscle pain
    • Nerve pain
    • Lower back pain
    • Joint and bone pain
    • Muscle strain
 

Treatment

Talk with your doctor about the best treatment plan for you. Options include:

Medications

Chronic pelvic pain is treated based on what caused it:
  • Antibiotics if an infection is present or possible
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) to treat pain and reduce inflammation
  • Prescription pain medication
  • Antidepressants
  • Antiseizure medications
  • Birth control pills

Complementary Therapies

The following have been used to treat pelvic pain:
The following have been used to treat pelvic pain:

Interventional Approaches

In some cases interventional approaches, including nerve blocks, may be used.

Psychological Counseling

Managing stress through counseling is a helpful way to cope with chronic pelvic pain.

Surgery

There are numerous causes of pelvic pain. Many are treated with surgery. The type of surgery depends upon the specific problem.
 

RESOURCES

The American Congress of Obstetricians and Gynecologists
http://www.acog.org

The International Pelvic Pain Society
http://www.pelvicpain.org

 

CANADIAN RESOURCES

Health Canada
http://www.hc-sc.gc.ca

The Society of Obstetricians and Gynaecologists of Canada
http://www.sogc.org

 

References


Chronic pelvic pain. American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/chronic-pelvic-pain.html. Updated April 2014. Accessed June 18, 2014.


Chronic pelvic pain. The American Congress of Obstetricians and Gynecologists website. Available at: http://www.acog.org/~/media/For%20Patients/faq099.pdf?dmc=1&ts=20130611T1540053024. Published August 2011. Accessed June 18, 2014.


Chronic pelvic pain. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated April 23, 2014. Accessed June 18, 2014.


Chronic pelvic pain. The International Pelvic Pain Society website. Available at: http://www.pelvicpain.org/docs/patients/Patient-Education-Brochure.aspx. Accessed June 18, 2014.


Levy BS. The complex nature of chronic pelvic pain. J Fam Pract. 2007 Mar;56(3 Suppl Diagnosis):S16-17.


Reiter RC. Evidence-based management of chronic pelvic pain. Clin Obstet Gynecol. 1998;41(2):422-435.

 

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