Frequency of presentation and characteristics of chronic pelvic pain at the gynecologic consultation
Main Article Content
Keywords
Menorrhagia, Pelvic Pain, Uterine Neoplasms, Myoma, Anti-Inflammatory Agents
Abstract
Background: Chronic pelvic pain (CPP) is a condition characterized by recurring pain in the lower part of the abdomen and it lasts at least six months.
Objective: To know the frequency and characteristics of CPP in women from the gynecology consultation.
Methods: Women that consecutively attended the gynecology external consultation were questioned about the presence of CPP. Those with CPP were requested to indicate the place where the pain was more intense, and to qualify its magnitude in an analog visual scale. Situations that modified the pain, as well as the medication used were investigated. The life disturbance was evaluated. Those patients with and without CPP were paired by age and compared with Student’s t test for independent samples.
Results: 711 women were studied, 132 (18.6%) fulfilled criteria for CPP. After comparing patients with and without CPP there were no significant differences between them. The maximum intensity of the pain was 7.7 ± 1.7 and the most frequent localization was in hypogastrium (53.2%). The factor that more frequently alleviated the pain was to stay in bed (59.5%). Non-steroid anti-inflammatories were the most common medication (56.3%). The most frequent reason for consultation was hypermenorrhea (19.9%) and the most frequent diagnosis was uterine leiomyomatosis (15.1%).
Conclusion: The frequency of CPP was similar to that reported by other groups.
References
Zondervan K, Barlow DH. Epidemiology of chronic pelvic pain. Bailliere’s Best Pract Res Clin Obstet Gynaecology. 2000;14:403-14.
Giamberardino MA, Tana C, Constantini R. Pain thresholds in women with chronic pelvic pain. Curr Opin Obstet Gynecol. 2014 Aug;26(4):253-9.
Stanford EJ, Koziol J, Feng A. The prevalence of interstitial cystitis, endometriosis, adhesions, and vulvar pain in women with chronic pelvic pain. J Minim Invasive Gynecol. 2005 Jan-Feb;12(1):43-9.
Cheong Y, William Stones R. Chronic pelvic pain: aetiology and therapy. Best Pract Res Clin Obstet Gynaecol. 2006 Oct;20(5):695-711.
Steege JF, Siedhoff MT. Chronic pelvic pain. Obstet Gynecol. 2014 Sep;124(3):616-29.
Tirlapur SA, Kuhrt K, Chaliha C, Ball E, Meads C, Khan KS. The 'evil twin syndrome' in chronic pelvic pain: a systematic review of prevalence studies of bladder pain syndrome and endometriosis. Int J Surg. 2013;11(3):233-7.
Butrick CW, Sanford D, Hou Q, Mahnken JD. Chronic pelvic pain syndromes: clinical, urodynamic, and urothelial observations. Int Urogynecol J Pelvic Floor Dysfunct. 2009 Sep;20(9):1047-53.
Kuppermann M, Learman LA, Schembri M, Gregorich SE, Jackson RA, Jacoby A, et al. Contributions of hysterectomy and uterus-preserving surgery to health-related quality of life. Obstet Gynecol. 2013 Jul;122(1):15-25.
Steele A. Opioid use and depression in chronic pelvic pain. Obstet Gynecol Clin North Am. 2014 Sep;41(3):491-501.
Miller-Matero L, Saulino C, Clark S, Bugenski M, Eshelman A, Eisentein D. When treating the pain is not enough: a multidisciplinary approach for chronic pelvic pain. Arch Womens Ment Health. 2015 May 5.
Inoue S, Kobayashi F, Nishihara M, Arial Y, Ikemoto T, Kawai T, et al. Chronic Pain in the Japanese community-prevalence, characteristics and impact on quality of life. PLoS One. 2015 Jun 15;10(6):e0129262. doi: 10.1371/journal.pone.0129262. eCollection 2015.
Speer LM, Mushkbar S, Erbele T. Chronic Pelvic Pain in Women. Am Fam Physician. 2016;93(5):380-7.
Montero IR, Manzanares BA. Escalas de valoración del dolor. JANO. 2005;68(1):527-30.