Chronic pelvic pain with normal laparoscopic findings.

Autor:	Evans SF; MBBS, FRANZCOG, FFMANZCA, PhD, Chair, Pelvic Pain Foundation of Australia, Adelaide, SA; Clinical Associate Professor, School of Medicine, University of Adelaide, Adelaide, SA; Chief Executive Officer, Alyra Biotech Pty Ltd, Adelaide, SA.
Jazyk:	angličtina
Zdroj:	Australian journal of general practice [Aust J Gen Pract] 2024 Jan-Feb; Vol. 53 (1-2), pp. 27-31.
DOI:	10.31128/AJGP/05-23-6844
Abstrakt:	Background: An expectation that pelvic pain should be 'visible' at laparoscopy can lead to disappointment for patients and confusion among health practitioners when no abnormalities are found. Objective: This article outlines an approach for understanding, explaining and managing chronic pelvic pain in women with a normal laparoscopy. It divides symptoms into those associated with pelvic organs, pelvic muscles, the central nervous system and psychosocial factors. Discussion: Management requires considering the origin of the pain, the extent of pelvic muscle reaction to the pain, the severity of central pain sensitisation and additional psychosocial aggravating factors. Considering symptoms within these categories provides a useful framework to best target therapeutic interventions. A patient who knows that management of her pain will continue and that an absence of lesions does not diminish the validity of her pain experience can feel confident in herself and her health practitioner.
Databáze:	MEDLINE
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