14. Multidisciplinary Management of Chronic Pelvic Pain Without Obvious Pathology

  1. Paolo Vercellini
  1. Liza Marie Colimon MD,
  2. David Ashley Hill MD and
  3. Georgine Lamvu MD, MPH

Published Online: 21 MAR 2011

DOI: 10.1002/9781444391855.ch14

Chronic Pelvic Pain

Chronic Pelvic Pain

How to Cite

Colimon, L. M., Hill, D. A. and Lamvu, G. (2011) Multidisciplinary Management of Chronic Pelvic Pain Without Obvious Pathology, in Chronic Pelvic Pain (ed P. Vercellini), Blackwell Publishing Ltd., Oxford, UK. doi: 10.1002/9781444391855.ch14

Editor Information

  1. Istituto “Luigi Mangiagalli”, Fondazione IRCCS Ca' Granda, University of Milan, Italy

Author Information

  1. Florida Hospital, Orlando, Florida, USA

Publication History

  1. Published Online: 21 MAR 2011
  2. Published Print: 23 MAR 2011

Book Series:

  1. Gynecology in Practice

Book Series Editors:

  1. Aydin Arici

ISBN Information

Print ISBN: 9781444330663

Online ISBN: 9781444391855



  • Chronic pelvic pain (CPP);
  • nonsteroidal anti-inflammatory drugs (NSAIDs);
  • Tricyclic antidepressants (TCAs);
  • Selective serotonin and norepinephrine reuptake inhibitors (SSNRIs);
  • Cognitive - behavioral therapy


Chronic pelvic pain is a complex symptom that can present without obvious pathology and yet cause significant disability and long-term distress. This chapter will focus on a practical approach to patient care and review important aspects of patient evaluation, pharmacologic therapies, adjuvant therapies, and cognitive-behavioral techniques. The information reviewed here will enable providers to develop a patient-centered approach to pain management with the goal of improving functional status and the overall quality of life of women with chronic pelvic pain.