Cited by 1,074Endometriosis Research and TreatmentMenstrual Health and DisordersMusculoskeletal pain and rehabilitation

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Chronic Pelvic Pain: Prevalence, Health-Related Quality of Life, and Economic Correlates

Mathias, S·1996·Obstetrics & Gynecology

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Abstract

OBJECTIVE: To determine the prevalence of chronic pelvic pain in U.S. women aged 18-50 years, and to examine its association with health-related quality of life, work productivity, and health care utilization. METHODS: In April and May 1994, the Gallup Organization telephoned 17,927 U.S. households to identify women aged 18-50 years who experienced chronic pelvic pain, ie, of at least 6 months' duration. Those who reported chronic pelvic pain were surveyed on severity, frequency, and diagnosis; quality of life; work loss and productivity; and health care utilization. RESULTS: Among 5263 eligible women who agreed to participate, 773 (14.7%) reported chronic pelvic pain within the past 3 months. Those who reported chronic pelvic pain had significantly lower mean scores for general health than those who did not (70.5 versus 78.8,P<.05), and 61% of those with chronic pelvic pain reported that the etiology was unknown. Women diagnosed with endometriosis reported the most health distress, pain during or after intercourse, and interference with activities because of pain. Estimated direct medical costs for outpatient visits for chronic pelvic pain for the U.S population of women aged 18-50 years are $881.5 million per year. Among 548 employed respondents, 15% reported time lost from paid work and 45% reported reduced work productivity. CONCLUSION: Frequently, the cause of chronic pain is undiagnosed, although it affects approximately one in seven U.S. women. Increased awareness of its cost and impact on quality of life should promote increased medical attention to this problem.

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(2005) · Wiley eBooks · doi:10.1002/0471667196.ess2527 · Cited by 8,872
Measuring Functioning and Well-Being: The Medical Outcomes Study Approach
Stewart, A., & Ware, J. (1992) · doi:10.7249/cb361 · Cited by 2,689
Complications of abdominal and vaginal hysterectomy among women of reproductive age in the United States
Dicker, R. C., Greenspan, J., Strauss, L. T., Cowart, M. R., Scally, M. J., Peterson, H. B., Destefano, F. R., RUBIN, G. L., & Ory, H. W. (1982) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(82)90362-3 · Cited by 749
Conceptualization and Measurement of Health for Adults in the Health Insurance Study
Stewart, A., Ware, J. E., Brook, R. H., & Davies, A. R. (1978) · Cited by 641
The Prevalence of Dysmenorrhea, Dyspareunia, Pelvic Pain, and Irritable Bowel Syndrome in Primary Care Practices
Jamieson, D. J., & Steege, J. F. (1996) · Obstetrics and Gynecology · doi:10.1016/0029-7844(95)00360-6 · Cited by 439
Relationship of chronic pelvic pain to psychiatric diagnoses and childhood sexual abuse
Walker, E., Katon, W. J., Harrop-Griffiths, J., Holm, L., Russo, J. E., & Hickok, L. R. (1988) · American Journal of Psychiatry · doi:10.1176/ajp.145.1.75 · Cited by 407
Prevalence and genesis of endometriosis
Mahmood, T. A., & Templeton, A. (1991) · Human Reproduction · doi:10.1093/oxfordjournals.humrep.a137377 · Cited by 367
Health Status, Quality of Life, and the Individual
Guyatt, G. H. (1994) · JAMA · doi:10.1001/jama.1994.03520080072047 · Cited by 231
Laparoscopy in 100 women with chronic pelvic pain.
Kresch, A. J., Seifer, D. B., Sachs, L. B., & Barrese, I. (1984) · PubMed · Cited by 231
A randomized clinical trial to compare two different approaches in women with chronic pelvic pain
Peters, A., van Dorst, E. B. L., Jellis, B., van Dorst, E. B. L., Hermans, J. H., & Trimbos, J. (1992) · International Journal of Gynecology & Obstetrics · doi:10.1016/0020-7292(92)90764-a · Cited by 217

Show all 18 references

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Surgical interventions for chronic pelvic pain
Senapati, S., Atashroo, D., Carey, E. T., Dassel, M., & Tu, F. F. (2016) · Current Opinion in Obstetrics & Gynecology · doi:10.1097/gco.0000000000000281 · Cited by 13
“Chronic pelvic pain (CPP) is a prevalent gynecologic disorder significantly impairing women’s health and quality of life, and consuming substantial healthcare resources [1,2].”
Background
Der chronische Beckenbodenschmerz aus der Sicht der Schmerztherapie
Drechsel, U., & Plato, G. (2003) · Steinkopff eBooks · doi:10.1007/978-3-642-57396-5_3 · Cited by 13
Investigations for chronic pelvic pain
Cheong, Y. C., & Stones, W. R. (2005) · Reviews in Gynaecological Practice · doi:10.1016/j.rigp.2005.07.001 · Cited by 12
Is There a Role for Use of Levonorgestrel Intrauterine System in Women with Chronic Pelvic Pain?
Anpalagan, A., & Condous, G. S. (2008) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2008.07.008 · Cited by 14
“Even though it is difficult to assess, CPP is the single most common indication for referral to gynecologic clinics accounting for 10%–20% of all outpatient visits [1,5].”
Background
Factitious disorders mimicking systemic lupus erythematosus.
Tlacuilo-Parra, J. A., Guevara‐Gutiérrez, E., & Torre, I. G.-D. L. (2000) · PubMed · Cited by 13
Recruitment and Accrual of Women in a Placebo-Controlled Clinical Pilot Study on Manual Therapy
Cambron, J. A., Hawk, C., Evans, R., & Long, C. R. (2004) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2004.04.003 · Cited by 13
Lower Quality of Life Among Women With Chronic Pelvic Pain After Pelvic Inflammatory Disease
Haggerty, C. L., Schulz, R., & Ness, R. B. (2003) · Obstetrics and Gynecology · doi:10.1097/00006250-200311000-00010 · Cited by 13
Effects of Transcutaneous Electrical Nerve Stimulation on Chronic Pelvic Pain in Women: A Systematic Review and Meta-Analysis
Babazadeh-Zavieh, S. S., Tajali, S. B., Haeri, S. M. J., & Shamsi, A. (2022) · Complementary Medicine Research · doi:10.1159/000528133 · Cited by 13
Obstetrics-Gynecology Resident Attitudes and Perceptions About Chronic Pelvic Pain: A Targeted Needs Assessment to Aid Curriculum Development
Witzeman, K. A., & Kopfman, J. E. (2013) · Journal of Graduate Medical Education · doi:10.4300/jgme-d-13-00053.1 · Cited by 13
Long-Term Fertility After Laparoscopy for Endometriosis-Associated Pelvic Pain in Young Adult Women
Wilson-Harris, B., Nutter, B., & Falcone, T. (2014) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2014.05.002 · Cited by 12
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Díaz-Mohedo, E., Hita‐Contreras, F., Luque-Suárez, A., Chao, C. W., Zarza-Luciáñez, D., & Salinas-Casado, J. (2013) · Actas Urológicas Españolas · doi:10.1016/j.acuro.2013.09.006 · Cited by 12
Management of Patients with Chronic Pelvic Pain Associated with Endometriosis Refractory to Conventional Treatment
Martínez, B., Canser, E., Gredilla, E., Alonso, E., & Gilsanz, F. (2012) · Pain Practice · doi:10.1111/j.1533-2500.2012.00559.x · Cited by 12
“The estimated incidence of CPP in women of child-bearing age is 15% to 24%.(3,4) Endometriosis and adhesions are the cause of most cases of CPP in women.”
Background
An Evaluation Model for a Multidisciplinary Chronic Pelvic Pain Clinic: Application of the RE-AIM Framework
Chen, I., Money, D., Yong, P. J., Williams, C., & Allaire, C. (2015) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/s1701-2163(15)30151-1 · Cited by 12
Pelvic Pain
Le, P. U., & Fitzgerald, C. M. (2017) · Physical Medicine and Rehabilitation Clinics of North America · doi:10.1016/j.pmr.2017.03.002 · Cited by 12
“correlation with mean gravidity and parity, rates of elective abortion, race, or mean educational level.(7) Annually, approximately 400,000 laparoscopies are performed to evaluate CPP with 40% of patients having negative results.”
Background
Laparoscopic implantation of electrodes for bilateral neuromodulation of the pudendal nerves and S3 nerve roots for treating pelvic pain and voiding dysfunction
Li, A. L. K., Moretti‐Marques, R., Oliveira, A., Veloso, L., Girão, M. J. B. C., & Lemos, N. L. B. M. (2017) · International Urogynecology Journal · doi:10.1007/s00192-017-3411-7 · Cited by 12
“effects and can decrease cognitive capacity, thus often negatively impacting labor productivity [5].”
Background
Advances in the Treatment of Chronic Pelvic Pain: A Multidisciplinary Approach to Treatment.
Hwang, S. K. (2017) · Europe PMC (PubMed Central) · Cited by 12
Sexual Adjustment Counseling for Women with Chronic Pelvic Pain
Howard, H. S. (2012) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2012.01405.x · Cited by 12
Role of a symptom‐based algorithmic approach to chronic pelvic pain
Winkel, C. A. (2001) · International Journal of Gynecology & Obstetrics · doi:10.1016/s0020-7292(01)00460-x · Cited by 12
Physical Therapy Treatment for Vulvar Vestibulitis: A Case Report
Downey, P. A., & Frederick, I. (2006) · Journal of Womenʼs Health Physical Therapy · doi:10.1097/01274882-200630010-00004 · Cited by 12
“Estimates indicate that the incidence of female sexual dysfunction range between 20% to 50% of women(1) while reports of chronic pelvic pain (CPP) vary from 2% to 15%(2,3) resulting in medical expenses of over $880 million per year.(2) Women with CPP have reported a more negative health-related quality of life compare…”
Background
Pelvic Venous Disorders (PeVD)
Ford, R. W., & Winokur, R. S. (2022) · Seminars in Interventional Radiology · doi:10.1055/s-0042-1757938 · Cited by 11
Analgesic Efficacy of Acupuncture on Chronic Pelvic Pain: A Systemic Review and Meta-Analysis Study
Lin, K. Y.-H., Chang, Y.-C., Lu, W.-C., Kotha, P., Chen, Y., & Tu, C. (2023) · Healthcare · doi:10.3390/healthcare11060830 · Cited by 11
“3 million in the United States, respectively [5].”
Background
Antibiotic Overprescription for “Urinary Tract Infections” Is Associated With Poor Diagnostic Stewardship and Low Adherence to Guidelines
Murray, K., Shimabukuro, J., Khalfay, N., Chiang, J. N., & Ackerman, A. L. (2024) · Neurourology and Urodynamics · doi:10.1002/nau.25598 · Cited by 14
Pelvic pain in patients with complex mullerian anomalies including Mayer–Rokitansky–Kuster–Hauser syndrome (MRKH), obstructed hemi-vagina ipsilateral renal anomaly (OHVIRA), and complex cloaca
Schall, K. A., Parks, M., Nemivant, S. M., Hernandez, J., & Weidler, E. M. (2019) · Seminars in Pediatric Surgery · doi:10.1016/j.sempedsurg.2019.150842 · Cited by 12
Aspects of Mental Health Care in the Gynecological Setting
Bryant, C., Kleinstäuber, M., & Judd, F. K. (2014) · Women s Health · doi:10.2217/whe.14.16 · Cited by 12
Chronic Pelvic Pain: Approaches to Diagnosis and Treatment
Bruckenthal, P. (2010) · Pain Management Nursing · doi:10.1016/j.pmn.2010.11.004 · Cited by 11
Common Questions About the Evaluation of Acute Pelvic Pain.
Bhavsar, A. K., Gelner, E. J., & Shorma, T. (2016) · PubMed · Cited by 11
Evaluating Disability-Related Quality of Life in Women With Chronic Pelvic Pain
Ye, A. L., Adams, W., Westbay, L. C., & Fitzgerald, C. M. (2019) · Urogynecology · doi:10.1097/spv.0000000000000771 · Cited by 11
Remote Electrical Neuromodulation (REN) for the Acute Treatment of Menstrual Migraine: a Retrospective Survey Study of Effectiveness and Tolerability
Nierenburg, H., Rabany, L., Lin, T., Sharon, R., Harris, D., Ironi, A., Wright, P., & Chuang, L. T. (2021) · Pain and Therapy · doi:10.1007/s40122-021-00276-7 · Cited by 11
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Wimberger, P., Grübling, N., Riehn, A., Furch, M., Klengel, J., & Goeckenjan, M. (2014) · Geburtshilfe und Frauenheilkunde · doi:10.1055/s-0034-1383168 · Cited by 11
Therapeutic Pudendal Nerve Blocks Using Corticosteroids Cure Pelvic Pain after Failure of Sacral Neuromodulation
Antolak, S. J., & Antolak, C. M. (2007) · Pain Medicine · doi:10.1111/j.1526-4637.2007.00366.x · Cited by 11
Centering as a Model for Group Visits Among Women with Chronic Pelvic Pain
Chao, M. T., ABERCROMBIE, P. D., & Duncan, L. G. (2012) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2012.01406.x · Cited by 11
Turn‐Amplitude Analysis as a Diagnostic Test for Myofascial Syndrome in Patients with Chronic Pelvic Pain
Itza, F., Zarza, D., Salinas, J. C., Teba, F., & Ximénez, C. (2015) · Pain Research and Management · doi:10.1155/2015/562349 · Cited by 11
“Mathias et al (4) estimated the worldwide incidence to be between 2% and 16%.”
Trigger Point Injections for Pelvic Floor Myofascial Spasm Refractive to Primary Therapy
Fouad, L., Pettit, P. D., Threadcraft, M. A., Wells, A., Micallef, A., & Chen, A. H. (2017) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.5301/jeppd.5000283 · Cited by 10
“It commonly presents with symptoms of overactive bladder, dyspareunia, or constipation, as well as aching, burning, clenching, or feelings of heaviness (1).”
Background
Pharmacological treatment and regional anesthesia techniques for pain management after completion of both conservative and surgical treatment of endometriosis and pelvic adhesions in women with chronic pelvic pain as a mandated treatment strategy
Malec‐Milewska, M., Horosz, B., Sękowska, A., Kolęda, I., Kosson, D., & Jakiel, G. (2015) · Annals of Agricultural and Environmental Medicine · doi:10.5604/12321966.1152094 · Cited by 11
“Its prevalence in women is 4–14% [7, 8].”
Interstitial cystitis and lower urinary tract symptoms in males and females-the combined role of potassium and epithelial dysfunction.
Parsons, C. L. (2002) · Europe PMC (PubMed Central) · Cited by 11
Klinik und Pathophysiologie der Schmerzen der Beckenorgane bei der Frau
Wesselmann, U. (2002) · Der Schmerz · doi:10.1007/s00482-002-0191-9 · Cited by 11
Psychological and Relational Aspects of Dyspareunia
Smith, K. B., Pukall, C. F., & Boyer, S. C. (2009) · Wiley eBooks · doi:10.1002/9781444308136.ch31 · Cited by 11
Epidemiology and economics of chronic and recurrent pain
Turk, D. C., & Patel, K. V. (2022) · Wiley eBooks · doi:10.1002/9781119701170.ch2 · Cited by 11
The Prevalence of Ovarian Varices in Patients with Endometriosis
Pacheco, K. G., & de Oliveira, M. R. F. (2016) · Annals of Vascular Surgery · doi:10.1016/j.avsg.2015.12.027 · Cited by 10
Cannabis smoking, tobacco cigarette smoking, and adenomyosis risk
Joachim, G. E., Bohnert, K. M., As‐Sanie, S., Harris, H. R., & Upson, K. (2023) · Fertility and Sterility · doi:10.1016/j.fertnstert.2023.01.035 · Cited by 9
Management strategies for painful bladder syndrome.
Lau, T. C., & Bengtson, J. M. (2010) · PubMed Central · Cited by 10
Use of Botulinum Toxin for Chronic Pelvic Pain
Purwar, B., & Khullar, V. (2016) · Women s Health · doi:10.2217/whe-2016-0007 · Cited by 10
Severity and bother of prolapse symptoms in women with pelvic floor myofascial pain
Dixon, A. M., Fitzgerald, C. M., & Brincat, C. (2019) · International Urogynecology Journal · doi:10.1007/s00192-019-03916-x · Cited by 10
No Differences in the Prevalence and Intensity of Chronic Postsurgical Pain Between Laparoscopic Hysterectomy and Abdominal Hysterectomy: A Prospective Study
Jin, J., Min, S., Peng, L., Du, X., Zhang, D., & Ren, L. (2020) · Journal of Pain Research · doi:10.2147/jpr.s225230 · Cited by 10
“7% in the US population.(38) Only a small proportion of patients with CPSP suffered severe pain at rest.”
Background
Cannabinoids and chronic pelvic pain in women: Focus on endometriosis
Marcu, I., Gee, A. D., & Lynn, B. (2021) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.1177/22840265211011277 · Cited by 10
A systematic review highlighting poor quality of evidence for content validity of quality of life instruments in female chronic pelvic pain
Ghai, V., Subramanian, V., Jan, H., & Doumouchtsis, S. K. (2022) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2022.04.016 · Cited by 10
Health literacy in women with chronic pelvic pain
Bennis, S. A., Pham, Y., Tseng, I., Malisch, B., Joyce, C., & Fitzgerald, C. M. (2023) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-023-07066-w · Cited by 10
“5 million dollars, which increases to $2 billion if adjusted for indirect costs [3].”
Background
Lower abdominal and pelvic pain with advanced pelvic organ prolapse: a case-control study
Reddy, J., Barber, M. D., Walters, M. D., Paraiso, M. F. R., & Jelovsek, J. E. (2011) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2011.01.015 · Cited by 10
“Although lower abdominal and pelvic ain have been found to be highly prevlent among women, little is known bout the association between advanced rolapse and specific patient-reported ain symptoms.(4,5) Some women are symptomatic, whereas others present ith a myriad of clinical symptoms reated to bladder, bowel, and/or…”
Background
Feasibility of pudendal nerve anesthetic block using fusion imaging technique in chronic pelvic pain
Zacchino, M., Allegri, M., Canepari, M., Minella, C. E., Bettinelli, S., Draghi, F., & Calliada, F. (2010) · European Journal of Pain Supplements · doi:10.1016/j.eujps.2010.09.021 · Cited by 10
Dyspareunia in gynaecological practice
Revicky, V., Mukhopadhyay, S., & Morris, E. (2012) · Obstetrics Gynaecology & Reproductive Medicine · doi:10.1016/j.ogrm.2012.02.010 · Cited by 10
Psychosocial predictors of change in sexual activity and sexual function after hysterectomy in women with pelvic pain
Till, S. R., Schrepf, A., Santiago, S., & As‐Sanie, S. (2023) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2023.06.026 · Cited by 9
Chronic Pelvic Pain in Women: Evaluation and Management in Primary Care
Samraj, G. P. N., Kuritzky, L., & Curry, R. W. (2005) · Comprehensive Therapy · doi:10.1385/comp:31:1:028 · Cited by 9
“CPP is a common symptom among the general adult female population and increases with age; the community prevalence of CPP is 14.7%, with as many as 9.2 million American women sufferers, most of whom present with gynecological symptoms ( 5 ).”
BackgroundInfluential
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Cockrum, R. H., & Tu, F. F. (2022) · Obstetrics and Gynecology Clinics of North America · doi:10.1016/j.ogc.2022.02.008 · Cited by 10
Modulation of pain perception through transcranial alternating current stimulation and its nonlinear relationship with the simulated electric field magnitude
Ikarashi, H., Otsuru, N., Gomez-Tames, J. D., Hirata, A., Nagasaka, K., Miyaguchi, S., Sakurai, N., Ohno, K., Kodama, N., & Onishi, H. (2024) · European Journal of Pain · doi:10.1002/ejp.2249 · Cited by 10
“Additionally, it can lower the quality of life (Mathias et al., 1996; Yazdi-Ravandi et al., 2013).”
Background
Simplified technique for injection of Botulinum Toxin to Obturator Internus muscle using ultrasound‐guided nerve stimulation for persistent pelvic pain
Evans, S., & Porter, J. M. (2015) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/ajo.12381 · Cited by 9
Use of dynamic weight bearing as a novel end-point for the assessment of abdominal pain in the LPS-induced peritonitis model in the rat
Gruen, M., Laux‐Biehlmann, A., Zollner, T. M., & Nagel, J. (2014) · Journal of Neuroscience Methods · doi:10.1016/j.jneumeth.2014.05.017 · Cited by 9
The threshold for laparoscopy for pelvic pain
Laborda, E., Clarke, A., & Carpenter, T. T. (2010) · The Obstetrician & Gynaecologist · doi:10.1576/toag.12.1.007.27552 · Cited by 9
Hernia Uterine Inguinale: An Uncommon Cause of Pelvic Pain in the Adult Female Patient
Mandel, D. C., Beste, T. M., & Hope, W. W. (2010) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2010.06.008 · Cited by 9
“The cause of pelvic pain is elusive in 25% to 61% of patients [11].”
Background
Pain, psychological distress and motor pattern in women with provoked vestibulodynia (PVD) – symptom characteristics and therapy suggestions
Haugstad, G. K., Wojniusz, S., Kirste, U. M., Kirschner, R. S., Lilleheie, I., & Haugstad, T. S. (2018) · Scandinavian Journal of Pain · doi:10.1515/sjpain-2017-0173 · Cited by 9
“Lack of classification standards might be one of the reasons why different studies find large variations in prevalence of chronic gynecological pain, ranging from 2% [4, 5] through 15%–20% [3, 5] to almost 40% [4, 6].”
Background
A directional preference approach for chronic pelvic pain, bladder dysfunction and concurrent musculoskeletal symptoms: a case series
Hughes, C., & May, S. (2019) · Journal of Manual & Manipulative Therapy · doi:10.1080/10669817.2019.1668994 · Cited by 10
“lence rates from 8-29% in the UK, the USA, and Brazil [2,7,16]; with inconsistent inclusion criteria, differences in the definitions, country of the study, parity status,”
Background
Machine Learning Revealed New Correlates of Chronic Pelvic Pain in Women
Elgendi, M., Allaire, C., Williams, C., Bedaiwy, M. A., & Yong, P. J. (2020) · Frontiers in Digital Health · doi:10.3389/fdgth.2020.600604 · Cited by 9
Evaluation of a novel deep tissue transvaginal near-infrared laser and applicator in an ovine model
Zipper, R., & Pryor, B. A. (2021) · Lasers in Medical Science · doi:10.1007/s10103-021-03315-z · Cited by 9
“* Ralph Zipper ralph.zipper@uroshape.com 1 UroShape, LLC, 200 S. Harbor City Blvd, Suite 401, Melbourne, FL 32901, USA 2 Litecure, LLC, 101 Lukens Dr, STE A, New Castle, DE 19720, USA Alleviation of this tender pelvic muscle hypertonicity is the mainstay of CPP treatment.”
BackgroundInfluential
Perioperative considerations in the treatment of endometriosis
Freytag, D., Peters, G., Mettler, L., Gitas, G., Maass, N., & Alkatout, İ. (2021) · Journal of the Turkish-German Gynecological Association · doi:10.4274/jtgga.galenos.2021.2021.0017 · Cited by 9
Sigma-1 Receptor Changes Observed in Chronic Pelvic Pain Patients: A Pilot PET/MRI Study
Yoon, D., Fast, A. M., Cipriano, P. W., Shen, B., Castillo, J. B., McCurdy, C. R., Aparici, C. M., Lum, D. A., & Biswal, S. (2021) · Frontiers in Pain Research · doi:10.3389/fpain.2021.711748 · Cited by 9
Transvaginal Photobiomodulation for the Treatment of Chronic Pelvic Pain: A Pilot Study
Zipper, R., Pryor, B. A., & Lamvu, G. (2021) · Women s Health Reports · doi:10.1089/whr.2021.0097 · Cited by 9
“that include costs of all conditions associated with CPP, indicate that costs exceed $289 billion.(1,7,8) Identifying the cause of pain is challenging because CPP can be associated with various conditions, including interstitial cystitis/bladder pain syndrome (IC/BPS), irritable bowel syndrome (IBS), endometriosis, an…”
Background
Dysmenorrhea catastrophizing and functional impairment in female pelvic pain
Li, R., Kreher, D. A., Gubbels, A. L., Palermo, T., Benjamin, A., Irvine, C. S., Hart, A., Jusko, T., & Seplaki, C. (2023) · Frontiers in Pain Research · doi:10.3389/fpain.2022.1053026 · Cited by 7
Prevalence and risk factors of pelvic pain
Díaz-Mohedo, E., Hita‐Contreras, F., Luque-Suárez, A., Chao, C. W., Zarza-Luciáñez, D., & Salinas-Casado, J. (2014) · Actas Urológicas Españolas (English Edition) · doi:10.1016/j.acuroe.2014.01.006 · Cited by 9
Using integrative therapies to treat women with chronic pelvic pain.
Tettambel, M. A. (2007) · PubMed · Cited by 9
Chronic Pelvic Pain
Howard, F. M. (2003) · Obstetrics and Gynecology · doi:10.1097/00006250-200303000-00029 · Cited by 9
Dismenorrea primaria: visión actual
Castro, Á. M. (2001) · Revista Colombiana de Obstetricia y Ginecología · doi:10.18597/rcog.700 · Cited by 9
Pelvic Varicose Veins in Women. Russian Experts Consensus
Gavrilov, S. G., Bredikhin, R. A., Akhmetzyanov, R. V., Grishenkova, A. S., Apkhanova, T. V., Burenchev, D. V., Efremova, O. I., Ilyukhin, Е. А., Андреевич, К. А., Konchugova, T. V., et al. (2025) · Journal of Venous Disorders · doi:10.17116/flebo20251901163 · Cited by 8
Analysis of Body Composition and Pain Intensity in Women with Chronic Pelvic Pain Secondary to Endometriosis
da Silva, J. B., Ferreira, M. B. C., Nonino, C. B., Poli‐Neto, O. B., Nogueira, A. A., dos Reis, F. J. C., & Silva, J. C. R. E. (2020) · Revista Brasileira Ginecologia e Obstetrícia · doi:10.1055/s-0040-1713912 · Cited by 8
Management of Patients when Superficial Venous Disease Arises from Pelvic Escape Points
Ahuja, R., Garg, T., & Sudheendra, D. (2021) · Seminars in Interventional Radiology · doi:10.1055/s-0041-1729744 · Cited by 8
Long-term follow-up for the treatment of symptomatic pelvic venous insufficiency secondary to combined iliac vein stenosis and ovarian vein reflux treated with iliac vein stenting alone
Trzesniowski, A., Lakhanpal, G., Sulakvelidze, L., Kennedy, R. D., Lakhanpal, S., & Pappas, P. J. (2024) · Journal of Vascular Surgery Venous and Lymphatic Disorders · doi:10.1016/j.jvsv.2024.101990 · Cited by 8
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Yunker, A., Curlin, H. L., Banet, N., Fadare, O., & Steege, J. F. (2014) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2014.10.010 · Cited by 8
“8%, has multiple etiologies, and can be treated with a variety of surgical and medical therapies (1,2).”
A Cross-Sectional Study on the Quality of Life in Women with Endometrioma
Thammasiri, C., Amnatbuddee, S., Sothornwit, J., Temtanakitpaisan, T., & Buppasiri, P. (2022) · International Journal of Women s Health · doi:10.2147/ijwh.s341603 · Cited by 8
Childhood betrayal trauma, dissociation, and shame impact health-related quality of life among individuals with chronic pelvic pain
Panisch, L. S., Rogers, R. G., Breen, M., Nutt, S., Dahud, S., & Salazar, C. (2022) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2022.105744 · Cited by 14
When you see nothing at all: Outcomes following a negative laparoscopy. A systematic review
Steele, L. A., Mooney, S. S., Gilbee, E. S., & Grover, S. R. (2023) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/ajo.13749 · Cited by 8
“Importantly, the short follow-up period (range 6– 56 months, median estimate ≤12 months) may be insufficient to investigate the longer-term impacts of a negative laparoscopy on pain and QoL in women with PPP.”
BackgroundInfluential
Sexual behavior and findings on laparoscopy or laparotomy in women with severe chronic pelvic pain
Florido, J., Lucas, R. P., & Navarrete, L. (2008) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2008.02.004 · Cited by 8
“Chronic pelvic pain (CPP), characterized by pain in the lower abdomen persisting for more than 6 months, is a recurring topic in the gynecological literature and has been reported in up to 15% of all women in the USA between the ages of 18 and 50 years [1].”
Background
Dyspareunia in gynaecological practice
Morris, E., & Mukhophadyay, S. (2003) · Current Obstetrics and Gynaecology · doi:10.1016/s0957-5847(03)00041-6 · Cited by 8
Pain and Psychological Outcomes After Rehabilitative Treatment for a Woman With Chronic Pelvic Pain With Stage III Cervical Cancer
Alappattu, M. J. (2013) · Journal of Womenʼs Health Physical Therapy · doi:10.1097/jwh.0000000000000004 · Cited by 8
Protocol for a placebo-controlled, within-participants crossover trial evaluating the efficacy of intranasal oxytocin to improve pain and function among women with chronic pelvic musculoskeletal pain
Rash, J. A., Toivonen, K., Robert, M., Nasr‐Esfahani, M., Jarrell, J. F., & Campbell, T. S. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-014909 · Cited by 8
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El-Maraghy, M. (2017) · Austin Journal of Obstetrics and Gynecology · doi:10.26420/austinjobstetgynecol.2017.1078 · Cited by 7
Clinical anatomy of pelvic pain in women
Eid, S., Loukas, M., & Tubbs, R. S. (2018) · Clinical Anatomy · doi:10.1002/ca.23270 · Cited by 8
“Another subclassification is chronic pelvic pain, defined as the presence of pelvic pain lasting longer than 3–6 months (Howard et al., 2000; Mathias et al., 1996).”
BackgroundInfluential
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“Chronic pain is known to have a negative impact on a woman’s quality of life (QoL).(6,7) Different medical treatment modalities for LPV con-”
Background
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CHANCELLOR, M. B., & Lamb, L. E. (2021) · Urological Science · doi:10.4103/uros.uros_155_20 · Cited by 8
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Bianchi, M., Ehrlich, G. E., Facchinetti, F., HUSKISSON, E. C., Jenoure, P., Marca, A. L., & Rainsford, K. D. (2005) · Birkhäuser Basel eBooks · doi:10.1007/3-7643-7410-1_5 · Cited by 8
Should physiotherapy be part of a multidisciplinary treatment for women with chronic pelvic pain?
Petersen, C. D., & Giraldi, A. G. E. (2008) · International Journal of Clinical Practice · doi:10.1111/j.1742-1241.2007.01520.x · Cited by 8
Epidemiology of Chronic Pelvic Pain
Kennedy, S., & Zondervan, K. T. (2006) · Springer eBooks · doi:10.1007/978-3-540-29805-2_1333 · Cited by 8
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Aldhafery, B. F. (2020) · Journal of Family and Community Medicine · doi:10.4103/jfcm.jfcm_290_19 · Cited by 7
“In the United States, the incidence of chronic pelvic pain in women aged 18–50 years is 15%.[22] Soysal et al.”
Background
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Paiva, S. D. P. C., & Carneiro, M. M. (2012) · ISRN Pain · doi:10.1155/2013/469575 · Cited by 7
“Hindawi Publishing Corporation ISRN Pain Volume 2013, Article ID 469575, 8 pages http://dx.doi.org/10.1155/2013/469575”
BackgroundInfluential
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Dinoff, B. L., MEADE-PRUITT, S. M., & Doleys, D. M. (2003) · Clinical Obstetrics & Gynecology · doi:10.1097/00003081-200312000-00010 · Cited by 7
“between the ages of 18 and 50.(4) Not included in this sum are lost wages from women who have not returned to work and from reduced work productivity.”
Background
Dor crônica em pacientes esquizofrênicos: prevalência e características
de Almeida, J. G., Kurita, G. P., Braga, P. E., & Pimenta, C. A. D. M. (2010) · Cadernos de Saúde Pública · doi:10.1590/s0102-311x2010000300016 · Cited by 7
A critical overview of the current myofascial pain literature – January 2018
Dommerholt, J., Hooks, T. R., Chou, L., & Finnegan, M. (2017) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2017.12.011 · Cited by 7
“Investigative and Clinical Urology, 58(2):134-139 Chronic pelvic pain (CPP) is a common condition affecting approximately 15% of women aged 18-50 years with myofascial pelvic pain (MFPP) being a major contributor to this condition (11).”
Background
The impact of preoperative pelvic pain on outcomes after vaginal reconstructive surgery
Sappenfield, E. C., Tulikangas, P. K., & Wang, R. (2021) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2021.08.040 · Cited by 7
EFFORT study: Comparing impact of operation and assisted reproductive technologies on fertility for women with deep infiltrating endometriosis – study protocol for a multicentre randomised trial
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Authors: Mathias, S.
Affiliations: University of North Carolina at Chapel Hill (US)
Corresponding author: Mathias, S
ORCID: Mathias, S
Venue: Obstetrics & Gynecology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1996-03
Volume: 87
Issue: 3
Pages: 321-327
ISSN: 0029-7844 (ISSN-L)
DOI: 10.1016/0029-7844(95)00458-0
OpenAlex: W1985935279
Cited by: 1,074
References: 18
Citations by year: 2026: 16 · 2025: 36 · 2024: 29 · 2023: 49 · 2022: 36 · 2021: 45 · 2020: 37 · 2019: 39 · 2018: 50 · 2017: 53 · 2016: 46 · 2015: 38 · 2014: 55 · 2013: 37 · 2012: 51
FWCI: 11.94
Type: journal article
Language: en
Open access: closed
Locations: Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Keywords: chronic pelvic pain, prevalence, health-related quality of life, labor productivity, health care utilization, endometriosis, health care costs, women's health, lost workdays
MeSH terms: Adolescent, Adult, Chronic Disease, Endometriosis, Female, Health Services Needs and Demand, Humans, Middle Aged, Quality of Life, Socioeconomic Factors, United States, Prevalence, Cost of Illness, Pelvic Pain

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Chronic Pelvic Pain: Prevalence, Health-Related Quality of Life, and Economic Correlates

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