Approach to Diagnosis and Management of Chronic Pelvic Pain in Women Incorporating Chronic Overlapping Pain Conditions in Assessment and Management

被引：22

作者：

Till, Sara R. ^{[1
]}

Nakamura, Reina ^{[2
]}

Schrepf, Andrew ^{[3
]}

As-Sanie, Sawsan ^{[1
]}

机构：

[1] Univ Michigan, Dept Obstet & Gynecol, 1500 East Med Ctr Dr, Ann Arbor, MI 48109 USA

[2] Univ Michigan, Dept Phys Med & Rehabil, 325 East Eisenhower Pkwy, Ann Arbor, MI 48108 USA

[3] Univ Michigan, Dept Anesthesiol, 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105 USA

来源：

OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA | 2022年 / 49卷 / 02期

关键词：

Endometriosis; Vulvodynia; Pelvic myofascial pain; Central sensitization; IRRITABLE-BOWEL-SYNDROME; COGNITIVE-BEHAVIORAL THERAPY; CHRONIC-FATIGUE-SYNDROME; QUALITY-OF-LIFE; MULTIDISCIPLINARY APPROACH; FIBROMYALGIA SYNDROME; CLINICAL MANAGEMENT; DOUBLE-BLIND; YOUNG-WOMEN; RISK-FACTOR;

D O I：

10.1016/j.ogc.2022.02.006

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Recognition of co-occurring COPCs can help clinicians provide better counseling and more tailored treatment recommendations for patients with chronic pelvic pain. Peripheral pain contributions should certainly be addressed using evidence-based management strategies, but clinicians must acknowledge the increased probability that pain may not improve sufficiently with peripheral treatments alone. Patients with cooccurring COPCs may benefit from the addition of treatments aimed at central sensitization, including pharmacologic and nonpharmacologic strategies.

引用

页码：219 / 239

页数：21

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