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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Medical management of chronic pelvic pain
Obstetrics, Gynaecology and Reproductive Medicine, Volume 18, No. 9, Year 2008
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Description
Appropriate medical management of chronic pelvic pain depends on careful assessment from a medical diagnostic perspective and on obtaining a full appreciation of the patient's understanding of her problem and therapeutic objectives. In particular, it is essential to obtain a good insight into aspirations for fertility and the relative importance to each individual of symptom control versus ability to return to normal function despite ongoing pain. The medical assessment needs to adequately capture bowel and bladder symptoms and seek evidence for neuropathic features. Medication strategies include optimisation of the analgesic regimen, use of agents for neuropathic pain, modulation of hormonal factors with the oral contraceptive pill, progestogens or gonadotrophin-releasing hormone (GnRH) agonists, and utilisation of physical therapies such as pelvic floor relaxation guided by a physiotherapist. Cognitive behavioural approaches can mitigate negative psychological propensities, such as catastrophising or fear, and enable activation of the patient's own coping resources. © 2008 Elsevier Ltd. All rights reserved.
Authors & Co-Authors
Stones, William
Kenya, Nairobi
Nairobi
Statistics
Citations: 1
Authors: 1
Affiliations: 1
Identifiers
Doi:
10.1016/j.ogrm.2008.07.001
ISSN:
17517214
Research Areas
Health System And Policy
Sexual And Reproductive Health