Chronic pelvic pain and endometriosis

W. W. Hurd, J. M. Rothenberg, Jeanne Schilder, J. A. Hurteau, R. E. Rogers

Research output: Contribution to journalArticle

Abstract

Chronic pelvic pain and endometriosis remain two of the most perplexing problems in gynecology. In some women with both conditions, endometriosis may not be the cause of their pain. The clinical dilemma lies in determining when the pain is caused by endometriosis. Other common causes of chronic pelvic pain should be considered. In those patients found to have endometriosis, three criteria may be used to determine if some or all of the chronic pelvic pain can be appropriately attributed to endometriosis. First the pelvic pain should be cyclic, since endometriosis is a hormonally responsive disease. Second, endometriosis should be diagnosed surgically to avoid overdiagnosing this condition. Finally, medical or surgical treatment of endometriosis should result in prolonged pain relief. Application of these evidence-based criteria serves as a reminder that endometriosis may often be asymptomatic, even in some women with chronic pelvic pain. These criteria may also assist the gynecologist in determining which women are likely to have resolution of their pain with the definitive surgical therapy of hysterectomy.

Original languageEnglish
Pages (from-to)289-295
Number of pages7
JournalContemporary Reviews in Obstetrics and Gynaecology
Volume11
Issue number4
StatePublished - 1999

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Pelvic Pain
Endometriosis
Chronic Pain
Pain
Hysterectomy
Gynecology

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Hurd, W. W., Rothenberg, J. M., Schilder, J., Hurteau, J. A., & Rogers, R. E. (1999). Chronic pelvic pain and endometriosis. Contemporary Reviews in Obstetrics and Gynaecology, 11(4), 289-295.

Chronic pelvic pain and endometriosis. / Hurd, W. W.; Rothenberg, J. M.; Schilder, Jeanne; Hurteau, J. A.; Rogers, R. E.

In: Contemporary Reviews in Obstetrics and Gynaecology, Vol. 11, No. 4, 1999, p. 289-295.

Research output: Contribution to journalArticle

Hurd, WW, Rothenberg, JM, Schilder, J, Hurteau, JA & Rogers, RE 1999, 'Chronic pelvic pain and endometriosis', Contemporary Reviews in Obstetrics and Gynaecology, vol. 11, no. 4, pp. 289-295.
Hurd WW, Rothenberg JM, Schilder J, Hurteau JA, Rogers RE. Chronic pelvic pain and endometriosis. Contemporary Reviews in Obstetrics and Gynaecology. 1999;11(4):289-295.
Hurd, W. W. ; Rothenberg, J. M. ; Schilder, Jeanne ; Hurteau, J. A. ; Rogers, R. E. / Chronic pelvic pain and endometriosis. In: Contemporary Reviews in Obstetrics and Gynaecology. 1999 ; Vol. 11, No. 4. pp. 289-295.
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