Identification of diagnostic subtypes of chronic pelvic pain and how subtypes differ in health status and trauma history
Abstract
Objective Our primary aim was to identify subtypes of chronic pelvic pain and to compare the cases of women with the identified subtypes on health status and trauma history. We hypothesized that women with diffuse abdominal/pelvic pain would have greater health impairment and report more lifetime trauma than women with vulvovaginal pain or cyclic pain. Study design We collected questionnaire data on 289 consecutive women patients from a university chronic pelvic pain clinic. From patient records, 1 gynecologist identified chronic pelvic pain subtypes on the basis of reported symptoms and the localization of pain during examination. We used analysis of covariance with pairwise contrasts. Results Seven diagnostic subtypes were identified. Patients with diffuse abdominal/pelvic pain had more trauma and worse mental and physical health status compared with patients with vulvovaginal pain and cyclic pain. Those patients with abdominal/pelvic pain also had poorer health than patients with neuropathic and fibroid pain. Endometriosis was unrelated to health status. Conclusion There is immense need for further research to define subtypes of chronic pelvic pain.
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The incomplete assessment strategy used in most endometriosis studies hampers assessment of pain outcomes and fails to consider diagnostic subtypes of chronic pelvic pain.
“This incomplete assessment strategy hampers assessment of pain outcomes (Vincent et al., 2008) and fails to consider diagnostic subtypes of CPP (Leserman et al., 2006), such as those noted with different locations of DIE (Fauconnier et al., 2002).”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Leserman et al., 2006
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Ball, E. (2019)
- Authors
- Leserman, J., Zolnoun, D., Meltzer-Brody, S., Lamvu, G., & Steege, J. F.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Leserman, Jane
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2006-08
- Volume
- 195
- Issue
- 2
- Pages
- 554-560
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W2019175821
- Cited by
- 62
- References
- 27
- Citations by year
- 2025: 2 · 2024: 2 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 2 · 2015: 2 · 2014: 3 · 2013: 4 · 2012: 4
- FWCI
- 5.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (R24 DK67674, R24DK067674)
- National Center for Complementary and Integrative Health (R01-AT02035, R01AT002035)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Keywords
- chronic pelvic pain, pain subtypes, vulvovaginal pain, cyclic pain, endometriosis, neuropathic pain, health status, trauma history, women's health
- MeSH terms
- Adolescent, Adult, Aged, Chronic Disease, Endometriosis, Female, Health Status, Health Status Indicators, Humans, Middle Aged, Sex Offenses, Comorbidity, Pelvic Pain
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