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Pelvic pain

MedGen UID:
18346
•Concept ID:
C0030794
•
Sign or Symptom
Synonyms: Pain, Pelvic; Pains, Pelvic; Pelvic Pain; Pelvic Pains
SNOMED CT: Pain in pelvis (30473006)
 
HPO: HP:0034267

Definition

Pain perceived in the area of the pelvis, the lower part of the abdomen located between the hip bones. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPelvic pain

Professional guidelines

PubMed

Epidemiology and management of uterine fibroids.
Giuliani E, As-Sanie S, Marsh EE
Int J Gynaecol Obstet 2020 Apr;149(1):3-9. Epub 2020 Feb 17 doi: 10.1002/ijgo.13102. PMID: 31960950
Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention.
Curry A, Williams T, Penny ML
Am Fam Physician 2019 Sep 15;100(6):357-364. PMID: 31524362
Rethinking mechanisms, diagnosis and management of endometriosis.
Chapron C, Marcellin L, Borghese B, Santulli P
Nat Rev Endocrinol 2019 Nov;15(11):666-682. Epub 2019 Sep 5 doi: 10.1038/s41574-019-0245-z. PMID: 31488888

Recent clinical studies

Etiology

A Lifelong Impact on Endometriosis: Pathophysiology and Pharmacological Treatment.
Chen LH, Lo WC, Huang HY, Wu HM
Int J Mol Sci 2023 Apr 19;24(8) doi: 10.3390/ijms24087503. PMID: 37108664Free PMC Article
Effectiveness of Myofascial Manual Therapies in Chronic Pelvic Pain Syndrome: A Systematic Review and Meta-Analysis.
Dal Farra F, Aquino A, Tarantino AG, Origo D
Int Urogynecol J 2022 Nov;33(11):2963-2976. Epub 2022 Apr 7 doi: 10.1007/s00192-022-05173-x. PMID: 35389057
Management of chronic primary pelvic pain syndromes.
Parsons BA, Baranowski AP, Berghmans B, Borovicka J, Cottrell AM, Dinis-Oliveira P, Elneil S, Hughes J, Messelink BEJ, de C Williams AC, Abreu-Mendes P, Zumstein V, Engeler DS
BJU Int 2022 May;129(5):572-581. Epub 2021 Oct 27 doi: 10.1111/bju.15609. PMID: 34617386
Chronic prostatitis/chronic pelvic pain syndrome: a review of evaluation and therapy.
Polackwich AS, Shoskes DA
Prostate Cancer Prostatic Dis 2016 Jun;19(2):132-8. Epub 2016 Mar 8 doi: 10.1038/pcan.2016.8. PMID: 26951713
Pelvic girdle pain and low back pain in pregnancy: a review.
Vermani E, Mittal R, Weeks A
Pain Pract 2010 Jan-Feb;10(1):60-71. Epub 2010 Oct 26 doi: 10.1111/j.1533-2500.2009.00327.x. PMID: 19863747

Diagnosis

Chronic Pelvic Pain in Women: A Review.
Lamvu G, Carrillo J, Ouyang C, Rapkin A
JAMA 2021 Jun 15;325(23):2381-2391. doi: 10.1001/jama.2021.2631. PMID: 34128995
New Insights about Chronic Pelvic Pain Syndrome (CPPS).
Grinberg K, Sela Y, Nissanholtz-Gannot R
Int J Environ Res Public Health 2020 Apr 26;17(9) doi: 10.3390/ijerph17093005. PMID: 32357440Free PMC Article
Dysmenorrhea, Endometriosis and Chronic Pelvic Pain in Adolescents.
Sachedina A, Todd N
J Clin Res Pediatr Endocrinol 2020 Feb 6;12(Suppl 1):7-17. doi: 10.4274/jcrpe.galenos.2019.2019.S0217. PMID: 32041388Free PMC Article
Adolescent Endometriosis: An Update.
Shim JY, Laufer MR
J Pediatr Adolesc Gynecol 2020 Apr;33(2):112-119. Epub 2019 Dec 5 doi: 10.1016/j.jpag.2019.11.011. PMID: 31812704
Pelvic Pain.
Scott KM
Phys Med Rehabil Clin N Am 2017 Aug;28(3):xv-xvi. Epub 2017 May 13 doi: 10.1016/j.pmr.2017.03.013. PMID: 28676370

Therapy

Efficacy of acupuncture for endometriosis-associated pain: a multicenter randomized single-blind placebo-controlled trial.
Li PS, Peng XM, Niu XX, Xu L, Hung Yu Ng E, Wang CC, Dai JF, Lu J, Liang RN
Fertil Steril 2023 May;119(5):815-823. Epub 2023 Jan 27 doi: 10.1016/j.fertnstert.2023.01.034. PMID: 36716811
Effect of physical activity and exercise on endometriosis-associated symptoms: a systematic review.
Tennfjord MK, Gabrielsen R, Tellum T
BMC Womens Health 2021 Oct 9;21(1):355. doi: 10.1186/s12905-021-01500-4. PMID: 34627209Free PMC Article
The Effect of Combined Vitamin C and Vitamin E Supplementation on Oxidative Stress Markers in Women with Endometriosis: A Randomized, Triple-Blind Placebo-Controlled Clinical Trial.
Amini L, Chekini R, Nateghi MR, Haghani H, Jamialahmadi T, Sathyapalan T, Sahebkar A
Pain Res Manag 2021;2021:5529741. Epub 2021 May 26 doi: 10.1155/2021/5529741. PMID: 34122682Free PMC Article
Pelvic Congestion Syndrome.
Basile A, Failla G, Gozzo C
Semin Ultrasound CT MR 2021 Feb;42(1):3-12. Epub 2020 Jul 9 doi: 10.1053/j.sult.2020.07.001. PMID: 33541587
Interventions for preventing and treating low-back and pelvic pain during pregnancy.
Liddle SD, Pennick V
Cochrane Database Syst Rev 2015 Sep 30;2015(9):CD001139. doi: 10.1002/14651858.CD001139.pub4. PMID: 26422811Free PMC Article

Prognosis

Control of endometriosis-associated pain with etonogestrel-releasing contraceptive implant and 52-mg levonorgestrel-releasing intrauterine system: randomized clinical trial.
Carvalho N, Margatho D, Cursino K, Benetti-Pinto CL, Bahamondes L
Fertil Steril 2018 Nov;110(6):1129-1136. doi: 10.1016/j.fertnstert.2018.07.003. PMID: 30396557
Vulvar Varicosities: A Review.
Kim AS, Greyling LA, Davis LS
Dermatol Surg 2017 Mar;43(3):351-356. doi: 10.1097/DSS.0000000000001008. PMID: 28005626
Endometriosis in adolescents.
Dun EC, Kho KA, Morozov VV, Kearney S, Zurawin JL, Nezhat CH
JSLS 2015 Apr-Jun;19(2) doi: 10.4293/JSLS.2015.00019. PMID: 26005317Free PMC Article
Adolescent endometriosis.
Templeman C
Obstet Gynecol Clin North Am 2009 Mar;36(1):177-85. doi: 10.1016/j.ogc.2008.12.005. PMID: 19344855
Chronic prostatitis.
Batstone GR, Doble A
Curr Opin Urol 2003 Jan;13(1):23-9. doi: 10.1097/00042307-200301000-00005. PMID: 12490812

Clinical prediction guides

Efficacy of acupuncture for endometriosis-associated pain: a multicenter randomized single-blind placebo-controlled trial.
Li PS, Peng XM, Niu XX, Xu L, Hung Yu Ng E, Wang CC, Dai JF, Lu J, Liang RN
Fertil Steril 2023 May;119(5):815-823. Epub 2023 Jan 27 doi: 10.1016/j.fertnstert.2023.01.034. PMID: 36716811
Group-based multimodal physical therapy in women with chronic pelvic pain: A randomized controlled trial.
Nygaard AS, Rydningen MB, Stedenfeldt M, Wojniusz S, Larsen M, Lindsetmo RO, Haugstad GK, Øian P
Acta Obstet Gynecol Scand 2020 Oct;99(10):1320-1329. Epub 2020 Jun 1 doi: 10.1111/aogs.13896. PMID: 32386466
Endometriosis in adolescents.
Dowlut-McElroy T, Strickland JL
Curr Opin Obstet Gynecol 2017 Oct;29(5):306-309. doi: 10.1097/GCO.0000000000000402. PMID: 28777193
Biomarkers in endometriosis: challenges and opportunities.
Ahn SH, Singh V, Tayade C
Fertil Steril 2017 Mar;107(3):523-532. Epub 2017 Feb 8 doi: 10.1016/j.fertnstert.2017.01.009. PMID: 28189296
Diagnostic criteria for pudendal neuralgia by pudendal nerve entrapment (Nantes criteria).
Labat JJ, Riant T, Robert R, Amarenco G, Lefaucheur JP, Rigaud J
Neurourol Urodyn 2008;27(4):306-10. doi: 10.1002/nau.20505. PMID: 17828787

Recent systematic reviews

mHealth Intervention for Improving Pain, Quality of Life, and Functional Disability in Patients With Chronic Pain: Systematic Review.
Moreno-Ligero M, Moral-Munoz JA, Salazar A, Failde I
JMIR Mhealth Uhealth 2023 Feb 2;11:e40844. doi: 10.2196/40844. PMID: 36729570Free PMC Article
Benefits of physical therapy in improving quality of life and pain associated with endometriosis: A systematic review and meta-analysis.
Abril-Coello R, Correyero-León M, Ceballos-Laita L, Jiménez-Barrio S
Int J Gynaecol Obstet 2023 Jul;162(1):233-243. Epub 2023 Jan 17 doi: 10.1002/ijgo.14645. PMID: 36571475
Diagnosis and Treatment of Interstitial Cystitis/Bladder Pain Syndrome.
Clemens JQ, Erickson DR, Varela NP, Lai HH
J Urol 2022 Jul;208(1):34-42. Epub 2022 May 10 doi: 10.1097/JU.0000000000002756. PMID: 35536143
Pelvic Floor Physical Therapy for Pelvic Floor Hypertonicity: A Systematic Review of Treatment Efficacy.
van Reijn-Baggen DA, Han-Geurts IJM, Voorham-van der Zalm PJ, Pelger RCM, Hagenaars-van Miert CHAC, Laan ETM
Sex Med Rev 2022 Apr;10(2):209-230. Epub 2021 Jun 12 doi: 10.1016/j.sxmr.2021.03.002. PMID: 34127429
Interventions for preventing and treating low-back and pelvic pain during pregnancy.
Liddle SD, Pennick V
Cochrane Database Syst Rev 2015 Sep 30;2015(9):CD001139. doi: 10.1002/14651858.CD001139.pub4. PMID: 26422811Free PMC Article

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