Chronic pelvic pain of obscure origin: A clinical study

Abstract

S.Kav-Venaki and L. Zakham 4 RICHARDS DH: Depression after hysterectomy. Lancet 5 RICHARDS DH: A post hysterectomy syndrome. Lancet 6 MILLS WG: Depression after hysterectomy. Lancet ~R O E~K E NCA: Hysterectomy and the quality of a woman's life. Arch Intern Med 139 (2):146, 19% GRAY M: The normal women. New York, Charles Scribner's Sons, 1967 g MOORE JT, TOLLEY DH: Depression following hysterectomy. Psychosomatics 17 (2):86, 1976 10 WILLIAMS MA: Cultural patterning of the feminine role; a factor in the response to hysterectomy. Nurs Forum 12:378, 1973 2:430, I973 2:983, I974 2572, 1973 11 BEM SL: The measurement of psychological androgyny. J Consult Clin Psychol 42:155, 1974 12 ITZCHAK v: Charhiva yetziratit ve ' peilut yetziratit kphynkzja she1 hizdahut minit etzel yeladim mechunanim. Unpublished (Hebrew) MA Thesis Department of Psychology, Tel Aviv University, 1976 13 LOMRANZ J, LUBIN B, EYAL N, MEDINI G: A Hebrew version of the depressive adjective check list. J Pers Assess 45:380, 1981 I~B E M SL: Sex role adaptability: one consequence of psychological androgyny. J Pers SOC Psychol 31:634, I975 15 VAN KEEP PA, KELLEHALS JM: The impact of socio-cultural factors on symptom formation; some results of a study on aging women in Switserland. Psychother Psychosom 23 (I-6):251, 1974A Pelvic Pain Clinic was established to provide diagnostic and therapeutic services to women with severe, chronic pelvic pain of obscure origin. Sixty such women were studied. Their histories revealed a complex pattern of complaints. Conventional clinical investigations usually failed to reveal organic pathology responsible for the symptoms. Twenty-eight patients consented to undergo surgery. Two patients were found to have gynaecological pathology causing prolonged pain. Seventeen patients had normal internal genitalia. Nine patients had minor gynaecological pathology, frequently observed in asymptomatic patients. Twenty-two patients underwent psychological evaluation. The interviews produced evidence of psychiatric syndromes in twenty-one. Patients improved with surgery if organic disease was found. The response to reassurance based on negative laparoscopic findings was also good. The majority of patients were distrustful of explanations involving psychosomatic concepts and were not amenable to group psychotherapy. Patients and methodsPatients were referred to the Pelvic Pain Clinic

Psychological Factors and Chronic Pelvic Pain in Women: A Comparative Study With Women With Chronic Migraine Headaches

“…Previous studies relevant to this area have been constrained by research designs that are merely anecdotal (Ercolani et al, 1983;Markel, Rigberg, & Strausz, 1983) or retrospective open clinical trials (Gross et al, 1980(Gross et al, /1981Rosenthal et al, 1984). In investigations employing control groups, it is typical to compare CPP patients to non-pain outpatients attending a gynecological clinic (Hodgkiss & Watson, 1994;Lorençatto et al, 2006;Magni et al, 1986;Rosenthal et al, 1984;Walker et al, 1988;Waller & Shaw, 1995).…”

Findings in 200 consecutive asymptomatic women, having a laparoscopic sterilization

“…Chronic pelvic pain is a very common gynecological complaint and represents a problem that is extremely difficult to solve (Markel et al 1983). Some authors (Lundberg et al 1973) advocate surgery to rule out disease.…”