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Chronic pelvic pain: multifactorial influences

Authors

  • Adriana Peterson Mariano Salata Romão,

    Corresponding author
    1. Psychologist, postgraduate student, Department of Gynecology and Obstetrics, University Hospital, Faculty of Medicine of Ribeirão Preto, SP, USP, Brazil
      Ms Adriana Peterson Mariano Salata Romão, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto – USP, Department de Ginecologia e Obstetrícia, Av. Bandeirantes, 3900 – 8° andar – Bairro Monte Alegre , CEP: 14048-900, Ribeirão Preto – São Paulo – Brasil, E-mail: adrianapeterson@uol.com.br
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  • Ricardo Gorayeb PhD,

    1. Professor, Department of Neurosciences and Sciences of Behavior, University Hospital, Faculty of Medicine of Ribeirão Preto, SP, USP, Brazil
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  • Gustavo Salata Romão PhD,

    1. Professor, Department of Medicine, Federal University of São Carlos, SP, Brazil
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  • Omero Benedicto Poli-Neto PhD,

    1. Professor, Department of Surgery and Anatomy, University Hospital, Faculty of Medicine of Ribeirão Preto, SP, USP, Brazil
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  • Francisco José Cândido dos Reis PhD,

    1. Professor, Department of Gynecology and Obstetrics, University Hospital, Faculty of Medicine of Ribeirão Preto, SP, USP, Brazil
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  • Júlio César Rosa-e-Silva PhD,

    1. Doctor, Department of Gynecology and Obstetrics, University Hospital, Faculty of Medicine of Ribeirão Preto, SP, USP, Brazil
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  • Hermes de Freitas Barbosa PhD,

    1. Doctor, Department of Gynecology and Obstetrics, University Hospital, Faculty of Medicine of Ribeirão Preto, SP, USP, Brazil
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  • Antonio Alberto Nogueira PhD

    1. Professor, Department of Gynecology and Obstetrics, University Hospital, Faculty of Medicine of Ribeirão Preto, SP, USP, Brazil
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Ms Adriana Peterson Mariano Salata Romão, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto – USP, Department de Ginecologia e Obstetrícia, Av. Bandeirantes, 3900 – 8° andar – Bairro Monte Alegre , CEP: 14048-900, Ribeirão Preto – São Paulo – Brasil, E-mail: adrianapeterson@uol.com.br

Abstract

Rationale  Chronic pelvic pain (CPP) is a common and complex disease whose cause is often clinically inexplicable, with diagnosis and treatment being more difficult. From a clinical viewpoint, CPP is defined as non-cyclic, non-menstrual pain lasting at least 6 months and sufficiently severe to interfere with habitual activities and requiring clinical or surgical treatment. Thus, CPP is a syndrome resulting from a complex interaction of the nervous, musculoskeletal and endocrine systems and also influenced by psychological and sociocultural factors. CPP is influenced by emotional aspects with an impact on quality of life, and involving high costs for health services. Its aetiology is not always clear and a cure or significant improvement of symptoms is not always obtained with the treatments employed, with constant frustration of the professionals involved. It can be seen that its treatment is often unsatisfactory, simply providing temporary relief of symptoms.

Methods  In the present study, we reviewed the bibliography regarding pelvic pain, with emphasis on emotional aspects and on the importance of a multidimensional approach to the care for these patients.

Results and conclusions  New investigations are needed to clarify these relations and interventions in a more effective manner. Interdisciplinary care can minimize the impact of the disease, helping the patients to cope with symptoms and improving their quality of life.

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