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Management of Pelvic Pain

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Handbook of Gynecology

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Abstract

Pelvic pain in women is a diverse condition, with a wide variety of etiologies both related and unrelated to the female reproductive organs. In addition to pain of gynecologic origin, there may be urologic, gastrointestinal, musculoskeletal, neurologic, and vascular origins to pelvic pain. Etiologies range from infection, inflammation, menstruation, pregnancy, neoplasm, adnexal torsion, alterations of anatomy, adhesive disease, uterine fibroids, endometriosis, kidney stones, irritable bowel syndrome, painful bladder syndrome, pelvic organ prolapse, pelvic congestion, to vascular abnormalities. Pelvic pain is divided into acute and chronic pain, and while there can be significant overlap in etiologies, it is important to quickly rule out or identify critical or life-threating causes of acute pelvic pain. As management of pelvic pain varies significantly by etiology, a careful history and physical exam followed by appropriate laboratory and diagnostic studies is crucial to narrow the differential diagnosis and improve likelihood of effective symptom management.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

    Kaily Cox, Donna Shoupe & Anna Reinert

Authors
  1. Kaily Cox
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  2. Donna Shoupe
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  3. Anna Reinert
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Corresponding author

Correspondence to Anna Reinert .

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Editors and Affiliations

  1. Department of Obstetrics and Gynecology and Family Medicine, University of Southern California Keck School of Medicine, Los Angeles, CA, USA

    Donna Shoupe

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Cox, K., Shoupe, D., Reinert, A. (2022). Management of Pelvic Pain. In: Shoupe, D. (eds) Handbook of Gynecology. Springer, Cham. https://doi.org/10.1007/978-3-319-17002-2_86-2

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  • DOI: https://doi.org/10.1007/978-3-319-17002-2_86-2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-17002-2

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