Management of Pelvic Pain: What is the Evidence? pp. 173-186
Authors: (Renato Seracchioli, Giulia Montanari, Elisa Geraci, Stefania Alvisi, Minimally Invasive Gynecological Unit of the SantíOrsola University Hospital of Bologna, Italy)
Abstract: Chronic pelvic pain (CPP) is a very common and complex condition. Most commonly (but not accepted from all authors) CPP is defined as a non-cyclic pain of at least 6 monthsí duration localized to the anatomic pelvis, anterior abdominal wall at or below the umbilicus,
the lumbosacral area or the buttocks, which results in functional or psychological disability or lead to medical care. A lack of physical finding and a normal examination donít exclude the significance of a patientís pain. In fact, pain is always subjective and its definition
avoids tying pain to the stimulus. The criterion of 6 months is somewhat arbitrary; the rational is that after several months of pelvic pain, the pain itself becomes an illness rather than a manifestation of some other disease. Possible temporal characteristics include pain to be recurring or constant. Fauconnier et al. defined CPP as a complaint including dysmenorrhea (cyclic pain), deep dyspareunia (intermittent pain) and non-cyclic chronic pelvic pain, as a matter of fact women with CPP often have these symptoms as part of their symptoms complex.