The DOI matches its Crossref record; 79 of the 79 references it cites were found in a registry or an index.
Chronic pelvic pain in women: etiology, pathogenesis and diagnostic approach
Abstract
Chronic pelvic pain (CPP), defined as non-cyclic pain of 6 or more months, is a frequent disorder that may negatively affect health-related quality of life. In women several causes are recognised, although in a not negligible proportion of patients a definite diagnosis cannot be made. Different neurophysiological mechanisms are involved in the pathophysiology of CPP. Pain may be classified as nociceptive or non-nociceptive. In the first case the symptom originates from stimulation of a pain-sensitive structure, whereas in the second pain is considered neuropatic or psychogenic. Patients history is crucial and is generally of utmost importance for a correct diagnosis, being sometimes more indicative than several diagnostic investigations. The main contributing factors in women with CPP can still be identified by history and physical examination in most cases. Many disorders of the reproductive tract, urological organs, gastrointestinal, musculoskeletal and psycho-neurological systems may be associated with CPP. Excluding endometriosis, the most frequent causes of CPP are: post-operative adhesions, pelvic varices, interstitial cystitis and irritable bowel syndrome. CPP is a symptom, not a disease, and rarely reflects a single pathologic process. Gaining women's trust and developing a strong patient-physician relationship is of utmost importance for the long-term outcome of care.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“The fact that surgical removal or destruction of lesions alleviates pain in some patients indicates that lesions contribute to pain (Vercellini et al., 2009b)”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Vercellini et al., 2009b
In the citing paper
“Treating endometriomas is not straightforward as their association with pain is unclear (Chapron et al., 2002;Vercellini et al., 2009b).”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Vercellini et al., 2009b
In the citing paper
“Furthermore, not all women undergoing re-operation have endometriosis at second surgery (Vercellini et al., 2009b)”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Vercellini et al., 2009b
In the citing paper
“Third, severity of pain symptoms does not correlate with extent of disease (Kennedy et al., 2005;Vercellini et al., 2009b).”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Vercellini et al., 2009b
In the citing paper
“Treating DIE lesions has a greater potential for benefit than treating other lesion types (Fauconnier and Chapron, 2005;Vercellini et al., 2009b).”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Vercellini et al., 2009b
In the citing paper
“First, seemingly complete surgical removal fails to alleviate pain for at least a year in up to 50% of carefully selected patients (Vercellini et al., 2009b).”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Vercellini et al., 2009b
In the citing paper
“The approach to surgical treatment of endometriosis in women with CPP is based on the oncologic principle of removing all lesions (Howard, 2003;Vercellini et al., 2009b).”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Vercellini et al., 2009b
In the citing paper
“Second, even in patients whose pain was alleviated by surgically treating lesions, pain often returns, sometimes without evidence of new lesions (Abbott et al., 2003;Vercellini et al., 2009b).”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Vercellini et al., 2009b
In the citing paper
“Although excision of the pseudocapsule helps to prevent recurrence”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Vercellini et al., 2009b
In the citing paper
“excision may lead to diminished ovarian reserve, subsequent infertility and premature ovarian insufficiency (Vercellini et al., 2006b(Vercellini et al., , 2009b)).”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Vercellini et al., 2009b
In the citing paper
“Visual survey at surgery is the accepted standard, but may not accurately catalogue the location, depth and extent of lesions.”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Vercellini et al., 2009b
In the citing paper
“The role of adhesions in pain and endometriosis is poorly understood”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Vercellini et al., 2009b
In the citing paper
“Furthermore, minimal and mild disease are not necessarily histologically confirmed, which may result in misclassifying cases”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Vercellini et al., 2009b
In the citing paper
“women with endometriosis have a higher rate of other pain syndromes associated with peripheral and central sensitization such as irritable bowel syndrome, painful bladder syndrome, fibromyalgia and migraine headache”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Vercellini et al., 2009c
In the citing paper
“Third, change in endometriosis score has been used to assess treatment effect with the assumption, but no evidence, that lesion score correlates with pain score”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Vercellini et al., 2009b
Citations
Cites
1 retracted
Interventions for treating chronic pelvic pain in women
Stones, W., Cheong, Y. C., Howard, F. M., & Singh, S. (2003) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000387 · Cited by 165
RetractedThe functional gastrointestinal disorders and the Rome III process
Drossman, D. A. (2006) · Gastroenterology · doi:10.1053/j.gastro.2006.03.008 · Cited by 2,416
ESHRE guideline for the diagnosis and treatment of endometriosis
Kennedy, S., Bergqvist, A., Chapron, C., D’Hooghe, T., Dunselman, G., Greb, R., Hummelshoj, L., Prentice, A., & Saridogan, E. (2005) · Human Reproduction · doi:10.1093/humrep/dei135 · Cited by 1,584
Barbara, G., Stanghellini, V., De Giorgio, R., Cremon, C., Cottrell, G. S., Santini, D., Pasquinelli, G., Morselli-Labate, A. M., Grady, E. F., Bunnett, N. W., et al. (2004) · Gastroenterology · doi:10.1053/j.gastro.2003.11.055 · Cited by 1,475
Self-citationHarrison's Principles of Internal Medicine 16th ed
Badiu, C. (2005) · Acta Endocrinologica (Bucharest) · doi:10.4183/aeb.2005.499 · Cited by 1,026
Koninckx, P. R., Meuleman, C., Demeyere, S., Lesaffre, E., & Cornillie, F. J. (1991) · Fertility and Sterility · doi:10.1016/s0015-0282(16)54244-7 · Cited by 849
Mast Cell-Dependent Excitation of Visceral-Nociceptive Sensory Neurons in Irritable Bowel Syndrome
Barbara, G., Wang, B., Stanghellini, V., de Giorgio, R., Cremon, C., Di Nardo, G., Trevisani, M., Campi, B., Geppetti, P., Tonini, M., et al. (2007) · Gastroenterology · doi:10.1053/j.gastro.2006.11.039 · Cited by 783
Self-citationLatthe, P. M., Latthe, M., Say, L., Gülmezoglu, M., & Khan, K. S. (2006) · BMC Public Health · doi:10.1186/1471-2458-6-177 · Cited by 764
The interstitial cystitis symptom index and problem index
O’Leary, M. P., Sant, G. R., Fowler, F. J., Whitmore, K. E., & Spolarich-Kroll, J. (1997) · Urology · doi:10.1016/s0090-4295(99)80333-1 · Cited by 690
Vercellini, P., Fedele, L., Aimi, G., Pietropaolo, G., Consonni, D., & Crosignani, P. G. (2007) · Human Reproduction · doi:10.1093/humrep/del339 · Cited by 547 · cited 1×
“In fact, there is no definitive demonstration that staging the disease is useful for therapeutic or prognostic purposes [60,61], and delaying surgery is not deleterious if a prolonged, effective medical therapy is used and if no pelvic masses are present.”
BackgroundSelf-citation
Research works printed but not linked: 19
- Bordman R, 2006, Can Fam Phys, 52, 1556
- Zondervan K T, 2001, Br J Gen Pract, 51, 541
- Scialli A R, 1999, J Reprod Med, 44, 945
- Saravelos H, 1995, Cont Rev Obstet Gynecol, 7, 172
- Peters A A, 1991, Obstet Gynecol, 77, 740
- Kligman I, 1993, Obstet Gynecol, 82, 566
- Fassiadis N, 2006, Int Angiol, 25, 1
- Beard R, 1986, Br Med J, 283, 160
- Burkman R T, 2004, J Reprod Med, 49, 225
- Jarrell J F, 2005, J Obstet Gynecol Can, 164, 781
- Sand P K, 2004, J Reprod Med, 49, 230
- Butrick C W, 2007, JSLS, 11, 182
- Paulson J D, 2007, JSLS, 11, 175
- Moore J, 2002, Ultrasound Obstet Gynecol, 76, 588
- Stones W, 2005, Cochrane Database Syst Rev, 2, CD000387
- Parsons C L, 2004, J Reprod Med, 49, 235
- Royal College of Obstetricians and Gynaecologists, 2005, RCOG Guideline No. 41
- The Practice Committee of the Society for Reproductive Medicine, 2006, Fertil Steril, 86, S18
- Barbieri R L, 1997, Am J Manag Care, 3, 285
Cited by
Sorted by citations
Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications
Stratton, P., & Berkley, K. J. (2011) · Human Reproduction Update · doi:10.1093/humupd/dmq050 · Cited by 442
Zanatta, A., da Rocha, A. M., Carvalho, F. M., Pereira, R., Taylor, H. S., Motta, E. L. A., Baracat, E. C., & Serafini, P. C. (2010) · Journal of Assisted Reproduction and Genetics · doi:10.1007/s10815-010-9471-y · Cited by 209
Pascoal, E., Wessels, J. M., Aas‐Eng, M. K., Abrão, M. S., Condous, G. S., Jurkovic, D., Espada, M., Exacoustós, C., Ferrero, S., Guerriero, S., et al. (2022) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.24892 · Cited by 219
Moloney, R. D., O’Mahony, S. M., Dinan, T. G., & Cryan, J. F. (2015) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2015.00015 · Cited by 171
Ovarian hormones and chronic pain: A comprehensive review
Hassan, S. I., Muere, A., & Einstein, G. (2014) · Pain · doi:10.1016/j.pain.2014.08.027 · Cited by 115
Chronic Pelvic Pain in Endometriosis: An Overview
Triolo (2013) · Journal of Clinical Medicine Research · doi:10.4021/jocmr1288w · Cited by 115
Meister, M., Shivakumar, N., Sutcliffe, S. S., Spitznagle, T. M., & Lowder, J. L. (2018) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2018.06.014 · Cited by 85
Millien, C., Manzi, A., Katz, A. M., Gilbert, H. N., Fawzi, M. C. S., Farmer, P. E., & Mukherjee, J. S. (2021) · International Journal for Equity in Health · doi:10.1186/s12939-020-01327-9 · Cited by 81
Priorities for Endometriosis Research: A Proposed Focus on Deep Dyspareunia
Vercellini, P., Meana, M., Hummelshøj, L., Somigliana, E., Viganò, P., & Fedele, L. (2010) · Reproductive Sciences · doi:10.1177/1933719110382921 · Cited by 76
Self-citationSocial isolation in women with endometriosis and chronic pelvic pain
Mellado, B. H., Falcone, A. C. M., Poli‐Neto, O. B., Rosa e Silva, J. C., Nogueira, A. A., & Candido‐dos‐Reis, F. J. (2016) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2015.08.024 · Cited by 74
A review of the problematic adhesion prophylaxis in gynaecological surgery
Hirschelmann, A., Tchartchian, G., Wallwiener, M., Hackethal, A., & Wilde, R. L. D. (2011) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-011-2097-1 · Cited by 72
Gynecologic pain related to occupational stress among female factory workers in Tianjin, China
Sznajder, K. K., Harlow, S. D., Burgard, S. A., Wang, Y., Han, C., & Liu, J. (2014) · International Journal of Occupational and Environmental Health · doi:10.1179/2049396713y.0000000053 · Cited by 70
Kitawaki, J., Kusuki, I., Yamanaka, K., & Suganuma, I. (2011) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2011.03.012 · Cited by 65
Pelvic Pain in Transgender People Using Testosterone Therapy
Zwickl, S., Burchill, L., Wong, A. F. Q., Leemaqz, S., Cook, T., Angus, L. M., Eshin, K., Elder, C. V., Grover, S. R., Zajac, J. D., et al. (2023) · LGBT Health · doi:10.1089/lgbt.2022.0187 · Cited by 64
Neurobiological Mechanisms of Pelvic Pain
Origoni, M., Maggiore, U. L. R., Salvatore, S., & Candiani, M. (2014) · BioMed Research International · doi:10.1155/2014/903848 · Cited by 60
Adhesions after laparoscopic myomectomy: Incidence, risk factors, complications, and prevention
de Wilde, R.-L., Herrmann, A., la Roche, L. A. T.-D., Krentel, H., Cezar, C., de Wilde, M. S., & Devassy, R. (2020) · Gynecology and Minimally Invasive Therapy · doi:10.4103/gmit.gmit_87_20 · Cited by 57
Chronic Pelvic Pain: Assessment, Evaluation, and Objectivation
Passavanti, M. B., Pota, V., Sansone, P., Aurilio, C., Nardis, L. D., & Pace, M. C. (2017) · Pain Research and Treatment · doi:10.1155/2017/9472925 · Cited by 57
Deep Dyspareunia: Review of Pathophysiology and Proposed Future Research Priorities
Orr, N. L., Wahl, K., Joannou, A., Hartmann, D., Valle, L., Yong, P. J., International Society for the Study of Women’s Sexual Health’s (ISSWSH) Special Interest Group on Sexual Pain, Babb, C. R., Kramer, C. W., Kellogg‐Spadt, S., et al. (2019) · Sexual Medicine Reviews · doi:10.1016/j.sxmr.2018.12.007 · Cited by 59
Review: Pelvic nerves – from anatomy and physiology to clinical applications
Alkatout, İ., Wedel, T., Pape, J., Possover, M., & Dhanawat, J. (2021) · Translational Neuroscience · doi:10.1515/tnsci-2020-0184 · Cited by 56
Influence of Nerve Growth Factor in Endometriosis-Associated Symptoms
Barcena, M. L., Arnold, J., Vercellino, G. F., Chiàntera, V., Ebert, A. D., Schneider, A., & Mechsner, S. (2011) · Reproductive Sciences · doi:10.1177/1933719111410711 · Cited by 53
Gut Microbiota and Endometriosis: Exploring the Relationship and Therapeutic Implications
Xholli, A., Cremonini, F., Perugi, I., Londero, A. P., & Cagnacci, A. (2023) · Pharmaceuticals · doi:10.3390/ph16121696 · Cited by 49
How to Understand the Complexity of Endometriosis-Related Pain
Chiàntera, V., Abesadze, E., & Mechsner, S. (2017) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.5301/je.5000271 · Cited by 49
Chronic pelvic pain improvement: impact on quality of life and mood
Cagnacci, A., Vecchia, E. D., & Xholli, A. (2019) · Gynecological Endocrinology · doi:10.1080/09513590.2018.1540571 · Cited by 44
Iuvone, T., Affaitati, G., Filippis, D. D., Lopopolo, M., Grassia, G., Lapenna, D., Negro, L., Costantini, R., Vaia, M., Cipollone, F., et al. (2015) · Pain · doi:10.1097/j.pain.0000000000000220 · Cited by 42
Endometriose: Eine oft verkannte Schmerzerkrankung
Mechsner, S. (2016) · Der Schmerz · doi:10.1007/s00482-016-0154-1 · Cited by 41
Dietary therapy: a new strategy for management of chronic pelvic pain
Sesti, F., Capozzolo, T., Pietropolli, A., Collalti, M., Bollea, M. R., & Piccione, E. (2010) · Nutrition Research Reviews · doi:10.1017/s0954422410000272 · Cited by 41
Dückelmann, A. M., TAUBE, E. T., Abesadze, E., Chiàntera, V., Sehouli, J., & Mechsner, S. (2021) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-021-05971-6 · Cited by 40
Laparoscopic myomectomy—The gold standard
Herrmann, A., & Wilde, R. L. D. (2014) · Gynecology and Minimally Invasive Therapy · doi:10.1016/j.gmit.2014.02.001 · Cited by 37
Ureteral Endometriosis: A Rare and Underdiagnosed Cause of Kidney Dysfunction
Ponticelli, C. E., Graziani, G., & Montanari, E. (2009) · Nephron Clinical Practice · doi:10.1159/000254380 · Cited by 37
Understanding and managing pelvic girdle pain from a person-centred biopsychosocial perspective
Beales, D., Slater, H., Palsson, T., & O'Sullivan, P. (2020) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2020.102152 · Cited by 36
The peritoneum—an important factor for pathogenesis and pain generation in endometriosis
Barcena, M. L., & Mechsner, S. (2014) · Journal of Molecular Medicine · doi:10.1007/s00109-014-1135-4 · Cited by 33
The use of home remedies and complementary health approaches in endometriosis
Schwartz, A. S. K., Gross, E., Geraedts, K., Rauchfuss, M., Wölfler, M. M., Häberlin, F., von Orelli, S., Eberhard, M., Imesch, P., Imthurn, B., et al. (2019) · Reproductive BioMedicine Online · doi:10.1016/j.rbmo.2018.10.009 · Cited by 32
Intermenstrual Pelvic Pain, Quality of Life and Mood
Grandi, G., Xholli, A., Ferrari, S., Cannoletta, M., Volpe, A., & Cagnacci, A. (2012) · Gynecologic and Obstetric Investigation · doi:10.1159/000343997 · Cited by 31
Female pelvic congestion syndrome: how can CT and MRI help in the management decision?
Osman, A., Mordi, A., & Khattab, R. T. (2020) · British Journal of Radiology · doi:10.1259/bjr.20200881 · Cited by 30
Surgical interventions for the management of chronic pelvic pain in women
Leonardi, M., Armour, M., Gibbons, T., Cave, A. E., As‐Sanie, S., Condous, G., & Cheong, Y. C. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008212.pub2 · Cited by 30
Evaluation of the sacral nerve plexus in pelvic endometriosis by three‐dimensional MR neurography
Zhang, X., Li, M., Guan, J., Wang, H. J., Li, S., Guo, Y., & Liu, M. (2016) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.25435 · Cited by 30
Righarts, A., Osborne, L., CONNOR, J. L., & Gillett, W. R. (2018) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.15247 · Cited by 29
Dynamic weight bearing as a non‐reflexive method for the measurement of abdominal pain in mice
Laux‐Biehlmann, A., Boyken, J., Dahllöf, H., Schmidt, N., Zollner, T. M., & Nagel, J. (2015) · European Journal of Pain · doi:10.1002/ejp.800 · Cited by 28
International Journal of Current Research in Medical Sciences
Journal, I. (2015) · doi:10.6084/m9.figshare.1597643.v1 · Cited by 28
Brain-Derived Neurotrophic Factor in Plasma of Women with Endometriosis
Giannini, A., Bucci, F., Luisi, S., Cela, V., Pluchino, N., Merlini, S., Casarosa, E., Russo, M., Cubeddu, A., Daino, D., et al. (2010) · Journal of Endometriosis · doi:10.1177/228402651000200305 · Cited by 27
Attributes and Barriers to Care of Pelvic Pain in University Women
Mann, J., Shuster, J. J., & Moawad, N. S. (2013) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2013.05.003 · Cited by 28
Antiproliferative and apoptotic effects of norethisterone on endometriotic stromal cells in vitro
Minami, T., Kosugi, K., Suganuma, I., Yamanaka, K., Kusuki, I., Oyama, T., & Kitawaki, J. (2012) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2012.08.023 · Cited by 26
Warren, J. W., Morozov, V., Howard, F. M., Wesselmann, U., Gallicchio, L. M., LANGENBERG, P. W., & Clauw, D. J. (2013) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2013.10.013 · Cited by 26
Chronic pelvic pain: An imaging approach
Juhan, V. (2015) · Diagnostic and Interventional Imaging · doi:10.1016/j.diii.2015.07.010 · Cited by 25
Visceral Pain and Psychiatric Disorders
Felice, V. D., Moloney, R. D., Cryan, J. F., Dinan, T. G., & O’Mahony, S. M. (2015) · Modern trends in psychiatry · doi:10.1159/000435936 · Cited by 27
Lang, J., Ma, D., Xiang, Y., Hua, K., Liu, K., Pan, L., Wang, P., Yao, S., Zhao, F., Cheng, W., et al. (2020) · Annals of Translational Medicine · doi:10.21037/atm.2020.02.53 · Cited by 21
Al‐Jefout, M., Alnawaiseh, N. A., Yaghi, S., & Alqaisi, A. (2017) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2017.06.042 · Cited by 20
Clinical Management of Chronic Pelvic Pain in Endometriosis Unresponsive to Conventional Therapy
Pereira, A., Trujillano, M. H., Argüello, G. V., Fuentes, L., González, S., Mendiola, A., & Pérez‐Medina, T. (2022) · Journal of Personalized Medicine · doi:10.3390/jpm12010101 · Cited by 17
The role of catastrophizing in chronic cyclical pelvic pain: A systematic review and meta-analysis
Rabinowitz, E. P., Sayer, M. A., & Delahanty, D. L. (2023) · Women s Health · doi:10.1177/17455057231199949 · Cited by 15
Cezar, C., Tchartchian, G., Korell, M., Ziegler, N., Senshu, K., de Wilde, M. S., Herrmann, A., Larbig, A., & Wilde, R. L. D. (2016) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2016.06.003 · Cited by 15
Rodríguez‐Torres, J., López‐López, L., Martos, I. C., Román, E. P., Santiago, M. G., & Valenza, M. C. (2020) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2020.02.019 · Cited by 15
Tanaka, Y., Mori, T., Ito, F., Koshiba, A., Kusuki, I., & Kitawaki, J. (2016) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2016.05.004 · Cited by 14
Grundström, H., Alehagen, S., Berterö, C., & Kjølhede, P. (2017) · Journal of Women s Health · doi:10.1089/jwh.2017.6546 · Cited by 14
Noël, J., Anaf, V., Borghese, B., Vaiman, D., Fayt, I., & Chapron, C. (2011) · Fertility and Sterility · doi:10.1016/j.fertnstert.2011.01.131 · Cited by 16
Foam Sclerotherapy in Pelvic Congestion Syndrome
Shahat, M., Hussein, R. S., & Khairy, A. (2023) · Vascular and Endovascular Surgery · doi:10.1177/15385744231154332 · Cited by 13
Zorina-Lichtenwalter, K., Ase, A. R., Verma, V., Machuca‐Parra, A. I., Komarova, S. V., Khadra, A., Séguéla, P., & Diatchenko, L. B. (2023) · Journal of Pain · doi:10.1016/j.jpain.2023.09.011 · Cited by 12
Balance ability and posture in postmenopausal women with chronic pelvic pain
Fuentes-Márquez, P., Rodríguez‐Torres, J., Valenza, M. C., Ortíz‐Rubio, A., Ariza-Mateos, M. J., & Martos, I. C. (2018) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000001086 · Cited by 12
Brichant, G., Denef, M., Tebache, L., Poismans, G., Pinzauti, S., Dechenne, V., & Nisolle, M. (2018) · Gynecological Surgery · doi:10.1186/s10397-018-1045-5 · Cited by 11
Pelvic floor dysfunctions in women with systemic lupus erythematosus: A cross-sectional study
Bifani, B. E., Sato, T. D. O., dos Santos, G. B., Serrão, P. R. M. D. S., Rocha, A. P. R., & Carvalho, C. (2022) · International Urogynecology Journal · doi:10.1007/s00192-022-05310-6 · Cited by 10
The Peripheral Neuroanatomy of the Pelvic Floor
Gorniak, G. C., & King, P. M. (2016) · Journal of Womenʼs Health Physical Therapy · doi:10.1097/jwh.0000000000000044 · Cited by 10
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
Examen pelvien en gynécologie et obstétrique : recommandations pour la pratique clinique
Deffieux, X., Rousset‐Jablonski, C., Gantois, A., Brillac, T., Maruani, J., Maitrot‐Mantelet, L., Mignot, S., Gaucher, L., Athiel, Y., Baffet, H., et al. (2023) · Gynécologie Obstétrique Fertilité & Sénologie · doi:10.1016/j.gofs.2023.04.001 · Cited by 9
Chronic pelvic pain: comorbidity between chronic musculoskeletal pain and vulvodynia
Biasi, G., Sabatino, V. D., Ghizzani, A., & Galeazzi, M. (2014) · Reumatismo · doi:10.4081/reumatismo.2014.768 · Cited by 8
Dabi, Y., Fauconnier, A., Rousset‐Jablonski, C., Tavenet, A., Pizzoferrato, A., & Deffieux, X. (2024) · Journal of Gynecology Obstetrics and Human Reproduction · doi:10.1016/j.jogoh.2024.102724 · Cited by 7
Do MicroRNAs Modulate Visceral Pain?
Tao, Z.-Y., Yang, X. W., Li, J., Traub, R. J., & Cao, D. (2018) · BioMed Research International · doi:10.1155/2018/5406973 · Cited by 6
The structure, nature and intensity of painin various forms of external genital endometriosis
Олеговна, Е. Т. (2016) · Journal of obstetrics and women s diseases · doi:10.17816/jowd65224-30 · Cited by 6
Navarro-Brazález, B., Lorenzo-Gallego, L., la Mata, P. R.-D., Torres-Lacomba, M., Vergara-Pérez, F., Sánchez-Sánchez, B., & Méndez, N. I. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14051489 · Cited by 5
Tsitskarava, D. Z., Yarmolinskaya, M. I., Selutin, A. V., & Selkov, S. А. (2017) · Journal of obstetrics and women s diseases · doi:10.17816/jowd66138-45 · Cited by 5
Jarrell, J. F., & Arendt‐Nielsen, L. (2018) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.1177/2284026517749478 · Cited by 5
Incidence of Chronic Pelvic Pain in Females Attending a Gynaecology Outpatient Department
Shoukat, S., Tasneem, M., Zahid, T., & Goolamnobee, J. M. B. (2023) · European Medical Journal · doi:10.33590/emj/10302260 · Cited by 4
Aparecida, M., Herren, H., DOS-REIS, F. J. C., Costa, F. D. S., Silva, J. C. R. E., Nogueira, A. A., & Poli‐Neto, O. B. (2021) · Clinical and Experimental Obstetrics & Gynecology · doi:10.31083/j.ceog.2021.03.2298 · Cited by 4
Yagur, Y., Engel, O., Burstein, R., Bsharat, J., Weitzner, O., Daykan, Y., Klein, Z., & Schonman, R. (2024) · PLoS ONE · doi:10.1371/journal.pone.0301074 · Cited by 3
Douleurs pelviennes chroniques
Juhan-Duguet, V. (2015) · Journal de radiologie diagnostique et interventionnelle · doi:10.1016/j.jradio.2015.08.008 · Cited by 3
Cervical Tenderness (Parametropathy) is a Diagnostic Tool for the Chronic Pelvic Pain Syndrome
Weinschenk, S. W., Strowitzki, T., Selçuki, N. F. T., Zivanovic, O., Gerhardt, A., & Feißt, M. (2025) · Pain and Therapy · doi:10.1007/s40122-025-00760-4 · Cited by 3
Plastic and reconstructive uterus operations by minimally invasive surgery? A review on myomectomy
Hirschelmann, A., & Rl, D. W. (2012) · Europe PMC (PubMed Central) · doi:10.3205/iprs000009 · Cited by 3
Abdominal wall endometriosis occurring after cesarean section: an underestimated complication
Wang, W. Y., Wei, B., Cao, Y., Xie, X., Li, C. Q., & Xu, Y. (2016) · Clinical and Experimental Obstetrics & Gynecology · doi:10.12891/ceog3118.2016 · Cited by 3
The Tpl2‐MEK pathway plays a critical role in spheroid‐cultured endometriotic stromal cells
Minami, T., Tsuzuki, Y., Tanaka, Y., Kitawaki, J., & Mori, T. (2023) · American Journal of Reproductive Immunology · doi:10.1111/aji.13689 · Cited by 3
Endometriose: Pathogenese, Symptome und Diagnostik
Mechsner, S. (2015) · Springer eBooks · doi:10.1007/978-3-662-43669-1_5 · Cited by 3
Belova, I. S., Khaschenko, E. P., & Uvarova, E. V. (2022) · Pediatric and Adolescent Reproductive Health · doi:10.33029/1816-2134-2022-18-1-34-40 · Cited by 3
Magnus, M. C., Alavi, D. H., Nydal, S., Fraser, A., Lawlor, D. A., Danielsson, K. C., Håberg, S. E., & Hanevik, H. I. (2025) · Fertility and Sterility · doi:10.1016/j.fertnstert.2025.10.002 · Cited by 2
Freger, S. M., Cavalier, S., Cornea, M., Aharoni, S., Shetty, R. R., & Leonardi, M. (2026) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/aogs.70167 · Cited by 2
Pain and Adverse Childhood Experiences
Katzman, W. G., & Fabbro, A. D. (2024) · Oxford University Press eBooks · doi:10.1093/med/9780197649176.003.0013 · Cited by 2
Dolor pélvico crónico: Más allá de la endometriosis
Villegas‐Echeverri, J. D., Jaramillo, J. D. L., Betancourt, A. L. H., & Isanoa, J. D. L. (2016) · Revista Peruana de Ginecología y Obstetricia · doi:10.31403/rpgo.v62i1886 · Cited by 2
Günday, Ö. K., HARMANCI, H., & Şenol, Y. (2023) · Journal of Psychiatric Practice · doi:10.1097/pra.0000000000000742 · Cited by 2
Menstrual Problems for the MRCOG and Beyond
Lumsden, M. A., & REES, M. C. P. (2014) · Cambridge University Press eBooks · doi:10.1017/cbo9781107445208 · Cited by 2
Deep dry needling of the hip, pelvis and thigh muscles
Sandalcidi, D., & Dommerholt, J. (2013) · Elsevier eBooks · doi:10.1016/b978-0-7020-4601-8.00010-4 · Cited by 2
Sex Differences in Overlapping Chronic Non-cancer Pain Conditions in a Tertiary Pain Clinic
Hassan, S. I., GORDON, A. S., & Einstein, G. (2016) · Journal of Pain Management & Medicine · doi:10.35248/2684-1320.16.2.110 · Cited by 2
Pelvic Imaging in Reproductive Endocrinology
de Ziegler, D., Streuli, I., Santulli, P., & Chapron, C. (2013) · Elsevier eBooks · doi:10.1016/b978-1-4557-2758-2.00035-4 · Cited by 2
Adamyan, L. V., Gardanova, Z. R., Львовна, Я. Е., Ovakimyan, A. S., & Kozachenko, I. F. (2016) · Russian Journal of Human Reproduction · doi:10.17116/repro201622285-93 · Cited by 2
Uterine fibroid: a socially malignant illness in Haiti
Millien, C., Katz, A. M., Mukherjee, J. S., Manzi, A., Clisbee, M., Good, M., & Farmer, P. E. (2022) · Anthropology and Medicine · doi:10.1080/13648470.2022.2075319 · Cited by 2
Pelvic Imaging in Reproductive Endocrinology
de Ziegler, D., Fraisse, T., Millischer, A., & Chapron, C. (2009) · Elsevier eBooks · doi:10.1016/b978-1-4160-4907-4.00033-4 · Cited by 2
Ab, D., & Ilyasov, R. R. I. (2017) · S S Korsakov Journal of Neurology and Psychiatry · doi:10.17116/jnevro201711721149-154 · Cited by 1
Surgical interventions for the management of chronic pelvic pain in women
Cheong, Y. C., Singh, S., & Stones, W. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008212 · Cited by 1
Măgurean, O., Lucan, M., & Iacob, G. (2012) · Applied Medical Informatics (University of Medicine and Pharmacy Cluj-Napoca) · Cited by 1
Assessing Physical Therapy Outcomes for Women With Urinary Incontinence
Dusi, J., Borello‐France, D., George, S., Phelps, A. L., & Somers, D. L. (2012) · Journal of Womenʼs Health Physical Therapy · doi:10.1097/jwh.0b013e3182615d3a · Cited by 1
Pérez‐Medina, T., Álvarez, J., Bastos, M. D., Santiago, J. D., Lara, A., Pascual, A., Milán, F. P., & Crowe, A. M. (2010) · Progresos de Obstetricia y Ginecología · doi:10.1016/j.pog.2010.07.004 · Cited by 1
Surgical adhesions after laparoscopic myomectomy: methods of prevention
Serafino, P., Palumbo, M., Viciglione, F., Mercorio, A., Cafas, V., Boccia, D., Ascione, M., Bifulco, G., Giampaolino, P., & Corte, L. D. (2022) · Italian Journal of Gynaecology and Obstetrics · doi:10.36129/jog.2022.56 · Cited by 1
Kays, P. (2022) · Journal of Womenʼs Health Physical Therapy · doi:10.1097/jwh.0000000000000254 · Cited by 1
Campo‐Arias, A. (2010) · Revista Colombiana de Obstetricia y Ginecología · doi:10.18597/rcog.255 · Cited by 1
Abordaje integral del dolor pélvico crónico: revisión de la literatura
Porras, J. S. F., & Agudelo, J. S. (2014) · Revista chilena de obstetricia y ginecología · doi:10.4067/s0717-75262014000400013 · Cited by 1
Metadata
- Authors
- Vercellini, P., Somigliana, E., Viganò, P., Abbiati, A., Barbara, G., & Fedele, L.
- Affiliations
- University of Milan (IT)
- Corresponding author
- Vercellini, Paolo
- Venue
- Gynecological Endocrinology
- Publisher
- Informa UK Limited
- Published
- 2009-01
- Volume
- 25
- Issue
- 3
- Pages
- 149-158
- ISSN
- 0951-3590 (ISSN-L)
- 1473-0766
- OpenAlex
- W2117120599
- Cited by
- 138
- References
- 79
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 5 · 2023: 10 · 2022: 9 · 2021: 6 · 2020: 7 · 2019: 3 · 2018: 11 · 2017: 8 · 2016: 13 · 2015: 11 · 2014: 13 · 2013: 8 · 2012: 5
- FWCI
- 9.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Gynecological Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Università degli Studi di Milano
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Keywords
- chronic pelvic pain, women, etiology, pathogenesis, neurophysiological mechanisms, nociceptive pain, neuropathic pain, psychogenic pain, diagnostic approach, medical history, endometriosis, postoperative adhesions, pelvic varices, interstitial cystitis, irritable bowel syndrome, reproductive tract disorders, urological diseases, musculoskeletal disorders, health-related quality of life, physician-patient relationship
- MeSH terms
- Chronic Disease, Family Health, Female, Gynecology, Humans, Reproductive History, Pelvic Pain
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
