Chronic pelvic pain in women of childbearing age

Lovrincevic, Mirjana

doi:10.1097/00001503-200306000-00006

Cited by 4 publications

(5 citation statements)

References 42 publications

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“…A multidisciplinary approach is useful for patients with chronic lower abdominal pain 29 , 30 . The quality of life of affected patients and their ability to cope with chronic pain on a day-to-day basis can be significantly improved by the integration of psychosomatic care into their care plan, and this can ultimately also have a positive impact on treatment results 22 , 31 .…”

Section: Methodsmentioning

confidence: 99%

“…Multidisziplinäre Konzepte sind für Patientinnen mit chronischen Unterbauchschmerzen sinnvoll 29 , 30 . Durch die Integration einer psychosomatischen Betreuung lässt sich die Lebensqualität der Betroffenen sowie der Umgang mit chronischen Schmerzen im Alltag deutlich verbessern, wodurch sich letztendlich auch die Therapieergebnisse positiv beeinflussen lassen 22 , 31 .…”

Section: Standard Für Den Ablauf Einer Spezialambulanz Für Endometriounclassified

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Standards Used by a Clinical and Scientific Endometriosis Center for the Diagnosis and Therapy of Patients with Endometriosis

Burghaus

Hildebrandt

Fahlbusch

et al. 2019

Geburtshilfe Frauenheilkd

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Endometriosis is one of the most common benign gynecological diseases. The extremely heterogeneous complex of symptoms complicates the diagnosis and treatment of this disease. In most patients, there is a latency period of several years between the first occurrence of symptoms and the definitive diagnosis. This paper aims (1) to evaluate standards for the diagnosis and treatment of patients with (symptoms suspicious for) endometriosis in terms of feasibility, and (2) to assess the potential use of data collected by a certified clinical and scientific endometriosis center to answer scientific questions. Standards for outpatient consultations were developed for a special endometriosis outpatient clinic. Between January 2014 and December 2017, a total of 1715 outpatients with a suspicion of endometriosis presented to this special endometriosis outpatient clinic; the diagnosis and treatment of patients was carried out in accordance with the developed standards. Data of this patient cohort obtained from patient records created during outpatient consultations and from a questionnaire recorded in an Oracle-based database was analyzed. The patient cohort was also compared with another patient cohort who had attended different outpatient clinics and had been diagnosed intraoperatively with endometriosis. 41.8% of patients examined during special outpatient consultations had surgery for suspicion or recurrence of endometriosis. Endometriosis was confirmed in 81.5% of cases. Pain symptoms were the main indication for surgery in 70.1% of cases compared to 45.1% of cases in the comparison group. The structured approach used in the special endometriosis outpatient clinic is a key aspect of the care provided by the certified clinical and scientific endometriosis center. It ensures that patients are diagnosed and treated in accordance with guideline recommendations, that diagnosis and treatment comply with certification requirements, and that the collected data can be used to answer scientific questions.

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Section: Methodsmentioning

confidence: 99%

Section: Standard Für Den Ablauf Einer Spezialambulanz Für Endometriounclassified

Standards Used by a Clinical and Scientific Endometriosis Center for the Diagnosis and Therapy of Patients with Endometriosis

Burghaus

Hildebrandt

Fahlbusch

et al. 2019

Geburtshilfe Frauenheilkd

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“…Con relación a los factores sociales, se reconoce que entre el 20 y el 30% de las mujeres con DPC han experimentado trauma o abuso sexual en la infancia (16). Un estudio en el que se comparan mujeres sanas con mujeres que sufren DPC y dolor lumbar, se encontraron antecedentes de abuso sexual, abuso físico, violencia física, violencia sexual o negligencia emocional en la niñez en el grupo de mujeres con dolor.…”

Section: Etiologíaunclassified

“…Un estudio en el que se comparan mujeres sanas con mujeres que sufren DPC y dolor lumbar, se encontraron antecedentes de abuso sexual, abuso físico, violencia física, violencia sexual o negligencia emocional en la niñez en el grupo de mujeres con dolor. Cabe recalcar que el desorden de estrés postraumático lleva a una | Dolor pélvico crónico en la mujer: más que una consulta ginecológica Pelvic chronic pain in women: beyond a gynecological diagnosis Dor pélvica crônica em uma mulher: mais que uma consulta ginecológica disfunción del eje hipotálamo-hipófisis-adrenal (disminución de niveles de cortisol), lo cual se ha relacionado con dolor (16).…”

Section: Etiologíaunclassified

Dolor pélvico crónico en la mujer: más que una consulta ginecológica

Ospina¹

2018

Rev. Colomb. Enferm.

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El dolor pélvico crónico (DPC) es un problema de salud que impacta al individuo en la esfera biológica, social, psicológica y laboral (1, 2). Se puede definir como el dolor localizado en la pelvis anatómica, con una duración mayor o igual a seis meses, que se presenta de forma cíclica o acíclica. Puede requerir tratamiento médico o quirúrgico, y su severidad puede causar alteración en la funcionalidad (3). Es significativamente más común en mujeres. A pesar de ser un motivo de consulta frecuente, el DPC es un fenómeno que no está totalmente entendido (2), pero es claro su componente multifactorial y su diferencia con el dolor agudo. Su etiología es heterogénea; por tanto, al ser multifactorial, el DPC requiere un abordaje integral dentro de un modelo biopsicosocial con aproximación multidisciplinaria.

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“…The integration of sex counseling into psychological support is also important. Many authors are now calling for multidisciplinary approaches to treatment when it comes to dealing with chronic pelvic pain [35,116,178,203]. Causes other than endometriosis should also always be considered in the differential diagnosis of chronic pelvic pain [173,174].…”

Section: Psychosomatic Aspectsmentioning

confidence: 99%

National German Guideline (S2k): Guideline for the Diagnosis and Treatment of Endometriosis

Ulrich

Buchweitz

Greb

et al. 2014

Geburtshilfe Frauenheilkd

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" Gynecological Endoscopy Study Group (Arbeitsgemeinschaft für Gynäkologische Endoskopie, AGE) " Gynecological Oncology Study Group (Arbeitsgemeinschaft für Gynäkologische Onkologie e. V., AGO) " German Society for Gynecological Endocrinology and Reproductive Medicine (Deutsche Gesellschaft für Gynäkologische Endokrinologie und Fortpflanzungsmedizin e. V.) " German Society for Psychosomatic Obstetrics and Gynecology (Deutsche Gesellschaft für Psychosomatische Frauenheilkunde und Geburtshilfe, DGPFG) " German Society for General and Visceral Surgery (Deutsche Gesellschaft für Allgemeinund Viszeralchirurgie e. V., DGAV) " German Society for Urology (Deutsche Gesellschaft für Urologie e. V.

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Chronic pelvic pain in women of childbearing age

Cited by 4 publications

References 42 publications

Standards Used by a Clinical and Scientific Endometriosis Center for the Diagnosis and Therapy of Patients with Endometriosis

Standards Used by a Clinical and Scientific Endometriosis Center for the Diagnosis and Therapy of Patients with Endometriosis

Dolor pélvico crónico en la mujer: más que una consulta ginecológica

National German Guideline (S2k): Guideline for the Diagnosis and Treatment of Endometriosis

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