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Authors:  (Augusto Pereira-Sanchez, Tirso Perez-Medina, Arantxa Martin Arias, David Abejon, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain)
Abstract:
Pain, is a common health problem that impacts in the quality of life of patient more than other symptom. Chronic pain affect an important number of daily activities of patients such work, sleep or sex life and cause a socio-economic problem of big magnitude. People with chronic pain use a high number of health care resources such emergency, diagnostics and outpatient services and generate a high cost of prescriptions for analgesia and anti-inflammatory drugs. The 25% of people with chronic pain lose their jobs, decrease their
work opportunities and is the second reason for claiming incapacity benefits. Between 2007-2008 the National Center for Health Statistics in United States estimated a 7,0 million emergency visits, in which abdominal pain were the primary reason for the visit.
Approximately 15% (nearly 1 million each year) were identified as acute pelvic pain (APP). The prevalence of chronic pelvic pain (CPP) in women are over 25%, the estimated direct medical costs of CPP are $881.5 million per year, but globally direct and indirect costs of
these disease approach to $3 billion per year. 


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Pelvic Pain: Causes, Symptoms, and Treatments pp. 1-44