Recent advances in understanding and managing chronic pelvic pain in women with special consideration to endometriosis

doi:10.12688/f1000research.20750.1

Review

. 2020 Feb 4:9:F1000 Faculty Rev-83.

doi: 10.12688/f1000research.20750.1. eCollection 2020.

Recent advances in understanding and managing chronic pelvic pain in women with special consideration to endometriosis

Elizabeth Ball^{1

2

3}, Khalid S Khan⁴

Affiliations

¹ Department of Obstetrics and Gynaecology, The Royal London Hospital, Barts Health NHS Trust, London, UK.
² Women's Health Research Unit, Yvonne Carter Building, Queen Mary University of London, London, UK.
³ Centre for Maternal & Child Health Research, School of Health Sciences, City University of London, London, UK.
⁴ Department of Public Health, University of Granada, Granada, Spain.

PMID: 32089831
PMCID: PMC7001750
DOI: 10.12688/f1000research.20750.1

Review

Recent advances in understanding and managing chronic pelvic pain in women with special consideration to endometriosis

Elizabeth Ball et al. F1000Res. 2020.

. 2020 Feb 4:9:F1000 Faculty Rev-83.

doi: 10.12688/f1000research.20750.1. eCollection 2020.

Authors

Elizabeth Ball^{1

2

3}, Khalid S Khan⁴

Affiliations

¹ Department of Obstetrics and Gynaecology, The Royal London Hospital, Barts Health NHS Trust, London, UK.
² Women's Health Research Unit, Yvonne Carter Building, Queen Mary University of London, London, UK.
³ Centre for Maternal & Child Health Research, School of Health Sciences, City University of London, London, UK.
⁴ Department of Public Health, University of Granada, Granada, Spain.

PMID: 32089831
PMCID: PMC7001750
DOI: 10.12688/f1000research.20750.1

Abstract

Chronic pelvic pain (CPP) in women is defined variably, but for clinical use it is cyclical or non-cyclical pain of at least 3-6 months' duration. It has major impacts on individuals and society. There are both structural and idiopathic causes. Whereas CPP is not curable in many cases, it is treatable. The most promising approach is multidisciplinary patient-centered care including cause-directed therapy, lifestyle changes, talking therapies, meditation, acupuncture, and physiotherapy (this is not a complete list). One of the most common structural causes for CPP is endometriosis. This review investigates current scientific concepts and recent innovations in this field as well as for CPP in general.

Keywords: chronic pelvic pain in women; endometriosis; idiopathic chronic pelvic pain.

PubMed Disclaimer

Conflict of interest statement

No competing interests were disclosed.No competing interests were disclosed.No competing interests were disclosed.

Cited by

Integrating Superior Hypogastric Plexus Block with Conventional Therapies: Advancements in Chronic Pelvic Pain Management.
Chakole V, Mankhair S, Dev P, Tople J, Ambad RS. Chakole V, et al. J Pharm Bioallied Sci. 2025 May;17(Suppl 1):S175-S178. doi: 10.4103/jpbs.jpbs_1813_24. Epub 2025 Apr 12. J Pharm Bioallied Sci. 2025. PMID: 40511122 Free PMC article. Review.
Pain Reduction With an Immersive Digital Therapeutic Tool in Women Living With Endometriosis-Related Pelvic Pain: Randomized Controlled Trial.
Merlot B, Dispersyn G, Husson Z, Chanavaz-Lacheray I, Dennis T, Greco-Vuilloud J, Fougère M, Potvin S, Cotty-Eslous M, Roman H, Marchand S. Merlot B, et al. J Med Internet Res. 2022 Sep 21;24(9):e39531. doi: 10.2196/39531. J Med Internet Res. 2022. PMID: 36129733 Free PMC article. Clinical Trial.
Emotional dysregulation in women with endometriosis with cyclical and non-cyclical chronic pelvic pain.
Rodríguez-Lozano DC, Meza-Rodríguez MDP, Cruz-Orozco OP, Sánchez-Ramírez B, Olguin-Ortega A, Silvestri-Tomassoni JR, Corona-Barsse G, Escobar-Ponce LF, Solis-Paredes JM, Dominguez-Trejo B, Camacho-Arroyo I. Rodríguez-Lozano DC, et al. BMC Womens Health. 2022 Dec 17;22(1):525. doi: 10.1186/s12905-022-02066-5. BMC Womens Health. 2022. PMID: 36526995 Free PMC article.
Pelvic Pain, Mental Health and Quality of Life in Adolescents with Endometriosis after Surgery and Dienogest Treatment.
Khashchenko EP, Uvarova EV, Chuprynin VD, Pustynnikova MY, Fatkhudinov TK, Elchaninov AV, Gardanova ZR, Ivanets TY, Vysokikh MY, Sukhikh GT. Khashchenko EP, et al. J Clin Med. 2023 Mar 20;12(6):2400. doi: 10.3390/jcm12062400. J Clin Med. 2023. PMID: 36983400 Free PMC article.
Self-management strategies to consider to combat endometriosis symptoms during the COVID-19 pandemic.
Leonardi M, Horne AW, Vincent K, Sinclair J, Sherman KA, Ciccia D, Condous G, Johnson NP, Armour M. Leonardi M, et al. Hum Reprod Open. 2020 Jun 1;2020(2):hoaa028. doi: 10.1093/hropen/hoaa028. eCollection 2020. Hum Reprod Open. 2020. PMID: 32509977 Free PMC article.

See all "Cited by" articles

References

1. Latthe P, Latthe M, Say L, et al. : WHO systematic review of prevalence of chronic pelvic pain: a neglected reproductive health morbidity. BMC Public Health. 2006;6:177. 10.1186/1471-2458-6-177 - DOI - PMC - PubMed
1. Howard FM: The role of laparoscopy in chronic pelvic pain: promise and pitfalls. Obstet Gynecol Surv. 1993;48(6):357–87. 10.1097/00006254-199306000-00001 - DOI - PubMed
1. Ayorinde AA, Macfarlane GJ, Saraswat L, et al. : Chronic pelvic pain in women: an epidemiological perspective. Womens Health (Lond). 2015;11(6):851–64. 10.2217/whe.15.30 - DOI - PubMed
1. Curtis L: Unit Costs of Health and Social Care 2014 Personal Social Services Research Unit, University of Kent, Canterbury. University of Kent, Canterbury;2014. Reference Source
1. Viganò P, Parazzini F, Somigliana E, et al. : Endometriosis: epidemiology and aetiological factors. Best Pract Res Clin Obstet Gynaecol. 2004;18(2):177–200. 10.1016/j.bpobgyn.2004.01.007 - DOI - PubMed

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources
Medical
- MedlinePlus Health Information

[1] Latthe P, Latthe M, Say L, et al. : WHO systematic review of prevalence of chronic pelvic pain: a neglected reproductive health morbidity. BMC Public Health. 2006;6:177. 10.1186/1471-2458-6-177 - DOI - PMC - PubMed

[2] Latthe P, Latthe M, Say L, et al. : WHO systematic review of prevalence of chronic pelvic pain: a neglected reproductive health morbidity. BMC Public Health. 2006;6:177. 10.1186/1471-2458-6-177 - DOI - PMC - PubMed

[3] Howard FM: The role of laparoscopy in chronic pelvic pain: promise and pitfalls. Obstet Gynecol Surv. 1993;48(6):357–87. 10.1097/00006254-199306000-00001 - DOI - PubMed

[4] Howard FM: The role of laparoscopy in chronic pelvic pain: promise and pitfalls. Obstet Gynecol Surv. 1993;48(6):357–87. 10.1097/00006254-199306000-00001 - DOI - PubMed

[5] Ayorinde AA, Macfarlane GJ, Saraswat L, et al. : Chronic pelvic pain in women: an epidemiological perspective. Womens Health (Lond). 2015;11(6):851–64. 10.2217/whe.15.30 - DOI - PubMed

[6] Ayorinde AA, Macfarlane GJ, Saraswat L, et al. : Chronic pelvic pain in women: an epidemiological perspective. Womens Health (Lond). 2015;11(6):851–64. 10.2217/whe.15.30 - DOI - PubMed

[7] Curtis L: Unit Costs of Health and Social Care 2014 Personal Social Services Research Unit, University of Kent, Canterbury. University of Kent, Canterbury;2014. Reference Source

[8] Curtis L: Unit Costs of Health and Social Care 2014 Personal Social Services Research Unit, University of Kent, Canterbury. University of Kent, Canterbury;2014. Reference Source

[9] Viganò P, Parazzini F, Somigliana E, et al. : Endometriosis: epidemiology and aetiological factors. Best Pract Res Clin Obstet Gynaecol. 2004;18(2):177–200. 10.1016/j.bpobgyn.2004.01.007 - DOI - PubMed

[10] Viganò P, Parazzini F, Somigliana E, et al. : Endometriosis: epidemiology and aetiological factors. Best Pract Res Clin Obstet Gynaecol. 2004;18(2):177–200. 10.1016/j.bpobgyn.2004.01.007 - DOI - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Recent advances in understanding and managing chronic pelvic pain in women with special consideration to endometriosis

Affiliations

Recent advances in understanding and managing chronic pelvic pain in women with special consideration to endometriosis

Authors

Affiliations

Abstract

Conflict of interest statement

Similar articles

Cited by

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical

Abstract

Conflict of interest statement

Similar articles

Cited by

References

Publication types

MeSH terms

Related information

LinkOut - more resources

Full Text Sources

Medical