Chronic pelvic pain in women

Authors

Keywords:

Dolor pélvico crónico, Causa ginecológica, Edad fértil.

Abstract

Background: chronic pelvic pain is a frequent gynecological problem in women of childbearing age. It is defined as non-cyclical pain that persists for six months or more, located in the pelvis, in the infra-umbilical portion of the anterior abdominal wall, in the lumbosacral region or in the gluteal region, causing functional disability. Women of childbearing age are without a doubt the fundamental age group for global health and for future generations. Many women come to the gynecology clinic for having chronic pelvic pain and when the medical history is done, a high incidence of fertility problems is observed.
Objective:
to characterize the behavior of chronic pelvic pain of gynecological cause in patients of childbearing age.
Methods:
an observational, descriptive, cross-sectional study was carried out. The study population consisted of 123 patients with a diagnosis of chronic pelvic pain of gynecological cause and of childbearing age, which weretreated in a gynecology consultation at the Comandante Manuel Fajardo Rivero Teaching Clinical Hospital of Villa Clara during the period from September 1st, 2017 to September 30th, 2019.
Results:
the women in the study were adults. The main cause of pain was endometriosis. Most of the women were multiparous and had infertility.
Conclusions: most of the patients with chronic pelvic pain in childbearing age were adults. The main cause of chronic pelvic pain was endometriosis, followed by adhesions. Most of the women were multiparous and had infertility.

DeCS: PELVIC PAIN; WOMEN; OBSERVATIONAL STUDY; ENDOMETRIOSIS; INFERTILITY, FEMALE.

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References

1. Ros Montenegro A, Martínez Torres JC, Rodríguez Adams EM, Alerm González A, Martínez Perea R, Noa Noa M. Dolor pélvico crónico en mujeres de edad mediana. Revisión bibliográfica. Rev Cub Med Fis Rehab [Internet]. 2016 [citado 11 May 2020];8. Disponible en: http://www.revrehabilitacion.sld.cu/index.php/reh/article/view/16/223

2. Wedel Herrera K. Dolor pélvico crónico. Revista Médica Sinergia [Internet]. May 2018 [citado 11 May 2020];3(5):[aprox. 6 p.]. Disponible en: https://www.medigraphic.com/pdfs/sinergia/rms-2018/rms185a.pdf

3. O’Brien MT, Gillespie DL. Diagnosis and treatment of the pelvic congestion syndrome. J Vasc Surg Venous Lymphat Disord [Internet]. 2015 Ene [citado 11 May 2020];3(1). Disponible en: https://pubmed.ncbi.nlm.nih.gov/26993690/.

4. Vasallo Comendeiro VJ, Arjona Fonseca S, Fernández Romaguera Y, Rondón Acosta J, Quevedo Álvarez L. Dolor pélvico crónico en la mujer. Rev Cubana Anestesiología Reanimación [Internet]. 2014 [citado 11 May 2020];13(1):[aprox. 9 p.]. Disponible en: http://revanestesia.sld.cu/index.php/anestRean/article/view/404

5. Villegas-Echeverri JD, López Jaramillo JD, Herrera-Betancourt AL, López Isanoa JD. Dolor pélvico crónico: Más allá de la endometriosis. Rev peru ginecol obstet [Internet]. 2016 Ene [citado 11 May 2020];62(1):[aprox. 8 p.]. Disponible en: https://www.redalyc.org/pdf/3234/323445253006.pdf

6. White JV, Ryjewski C, Messersmith RN, Sbrana F, Schwartz LB. Leftovarian to left external iliac vein transposition for the treatment of nutcracker syndrome. J Vasc Surg Venous Lymphat Disord [Internet]. 2016 Ene [citado 11 May 2020];4(1):[aprox. 5 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26946906/.

7. Herrera-Cuenca M. Mujeres en edad fértil: etapa crucial en la vida para el desarrollo óptimo de las futuras generaciones. An Venez Nutr [Internet]. 2017 [citado 11 May 2020];30(2):[aprox. 8 p.]. Disponible en: https://www.analesdenutricion.org.ve/ediciones/2017/2/art-5/.

8. Durón González R, Bolaños Morera P. Endometriosis. Med leg Costa Rica [Internet]. Ene-Mar 2018 [citado 13 May 2020];35(1). Disponible en: https://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S1409-00152018000100023

9. Cambitzi J. Chronic pelvic pain: causes, mechanisms and effects. Nurs Stand [Internet]. 2011 Ene [citado 13 May 2020];25(20):[aprox. 4 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/21329169/.

10. Suvitie PA, Hallamaa MK, Matomäki JM, Mäkinen JI, Perheentupa AH. Prevalence of Pain Symptoms Suggestive of Endometriosis Among Finnish Adolescent Girls (TEENMAPS Study). J Pediatr Adolesc Gynecol [Internet]. 2016 Abr [citado 11 May 2020];29(2):[aprox. 7 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26169662/.

11. Rodríguez Jiménez MJ. Dolor pélvico en la adolescencia: patología uterina y anexial. Adolescere [Internet]. 2019 [citado 13 May 2020];VII(1):[aprox. 10 p.]. Disponible en: https://www.adolescenciasema.org/ficheros/REVISTA%20ADOLESCERE/vol7num1-2019/16-25%20Tema%20de%20Revision%20-%20Dolor%20pelvico%20adolescencia.pdf

12. Huchon C, Fritel X, Mimouni M. Dolor pélvico crónico de la mujer. Orientación diagnóstica y conducta práctica [Internet]. Jun 2018 [citado 13 May 2020];54(3):[aprox. 8 p.]. Disponible en: https://www.researchgate.net/publication/326823574_Dolor_pelvico_cronico_de_la_mujer_Orientacion_diagnostica_y_conducta_practica

13. Patel BG, Lenk EE, Lebovic DI, Shu Y, Yu J, Taylor RN. Pathogenesis of endometriosis: Interaction between endocrine and inflammatory pathways. Best Pract Res Clin Obstet Gynaecol [Internet]. 2018 Jul [citado 11 May 2020];50:[aprox. 10 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29576469/.

14. Sauvanet E, Petit E, Mephon A. Endometriosis genital y extragenital. EMC-Tratado de Medicina [Internet]. 2018 Jun [citado 13 May 2020];22(4):[aprox. 8 p.]. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1636541018413013 doi.org/10.1016/s1636-5410(18)41301-3

15. Vieira Lins Arcoverde F, Andres MP, Borrelli GM, de Almeida Barbosa P, Abrão MS, Kho RM. Surgery for Endometriosis Improves Major Domains of Quality of Life: A Systematic Review and Meta-Analysis. J Minim Invasive Gynecol [Internet]. 2018 Sep [citado 13 May 2020];26(2):[aprox. 13 p.]. Disponible en: https://www.researchgate.net/publication/327795998_Surgery_for_Endometriosis_Improves_Major_Domains_of_Quality_of_Life_A_Systematic_Review_and_Meta-Analysis doi.org/10.1016/j.jmig.2018.09.774

16. Asghari S, Valizadeh A, Aghebati-Maleki L, Nouri M, Yousefi M. Endometriosis: Perspective, lights, and shadows of etiology. Biomed Pharmacother [Internet]. 2018 Oct [citado 13 May 2020];106. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29958140/. doi.org/10.1016/j.biopha.2018.06.109

17. Zeledón Rojas N. Endometriosis. Rev Médica Sinergia [Internet]. Nov 2016 [citado 13 May 2020];1(11):[aprox. 6 p.]. Disponible en: https://revistamedicasinergia.com/index.php/rms/article/view/52

18. Negrón Rodríguez J. Manejo del dolor pélvico crónico en pacientes con endometriosis. Rev peru ginecol obstet [Internet]. Ene-Mar 2016 [citado 13 May 2020];62(1). Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S2304-51322016000100007

19. Kodaman PH. Current Strategies for Endometriosis Management. Obstet Gynecol Clin North Am [Internet]. 2015 Mar [citado 13 May 2020];42(1):[aprox. 14 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25681842/.

20. de Godoi JE, Macedo dos Reis DR, Resende Carvalho J, de Deus JM. Chronic pelvic pain portraits: perceptions and beliefs of 80 women. BJP [Internet]. 2019 Ene-Mar [citado 13 May 2020];2(1):[aprox. 6 p.]. Disponible en: https://sbed.org.br/wp-content/uploads/2019/07/Br-J-Pain-v2_n1_ing.pdf

21. Howard FM, El-Minavi AM, Sanchez RA. Conscious pain mapping by laparoscopy in women with chronic pelvic pain. Obstet Gynecol [Internet]. 2000 Dic [citado 13 May 2020];96(6):[aprox. 6 p.]. Disponible en: https://europepmc.org/article/med/11084181

22. Cid J. Dolor Pélvico crónico. Rev Soc Esp Dolor [Internet]. 2006 Ene [citado 13 May 2020];13(1). Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-80462006000100006

23. Tanbo T, Fedorcsak P. Endometriosis-associated infertility:aspects of pathophysiological mechanisms and treatment options. Acta Obstet Gynecol Scand [Internet]. 2017 Jun [citado 13 May 2020];96(6):[aprox. 6 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27998009/. doi:10.1111/aogs.13082.Epub 2017 jan 30.PMID:27998009

24. Dorien FO, Flores I, Waelkens E, D’Hooghe T. Noninvasive diagnosis of endometriosis: Review of current peripheral blood and endometrial biomarkers. Best Pract Res Clin Obstet Gynaecol [Internet]. 2018 Jul [citado 13 May 2020];50:[aprox. 11 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29778458/. doi.org/10.1016/j.bpobgyn.2018.04.001

25. Rodríguez–Purata J, Cervantes E, Luna M, Sandler B. Cuál es el verdadero papel de la cirugía en la infertilidad asociada a la endometriosis. Ginecol Obstet Mex [Internet]. Ene 2016 [citado 13 May 2020];84(1):[aprox. 9 p.]. Disponible en: https://ginecologiayobstetricia.org.mx/articulo/h5strongcuaacutel-es-el-verdadero-papel-de-la-cirugiacutea-en-la-infertilidad-asociada-con-endometriosisstrongh5-h6strongwhat-is-the-true-role-of-surgery-in-the-infertility-associated-with-endometriosisstrongh6

26. Negi N, Kumar Roy K, Kumar S, Nair VG, Vanamail P. Clinical Outcome Analysis and Correlation of Reproductive Outcome with Endometriosis Fertility Index in Laparoscopically Managed Endometriosis Patients: A Retrospective Cohort Study. J Hum Reprod Sci [Internet]. 2019 Abr-Jun [citado 13 May 2020];12(2):[aprox. 6 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6594121/.

27. Gordts S, Koninckx P, Brosens I. Pathogenesis of deep endometriosis. Fertil Steril [Internet]. 2017 Dic [citado 13 May 2020];108(6):[aprox. 13 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29100623/. doi.org/10.1016/j.fertnstert.2017.08.036

28. Shafrir A, Farland LV, Shah DK, Harris HR, Kvaskoff M, Zondervan K, et al. Risk for and consequences of endometriosis: A critical epidemiologic review. Best Pract Res Clin Obstet Gynaecol [Internet]. 2018 Ago [citado 13 May 2020];51:[aprox. 15 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30017581/. doi.org/10.1016/j.bpobgyn.2018.06.001

29. Zhang X, Liu D, Huang W, Wang Q, Feng X, Tan J. Prediction of endometriosis fertility index in patients with endometriosis ‑associated infertility after laparoscopic treatment. Reprod Biomed Online [Internet]. 2018 Jul [citado 13 May 2020];37(1). Disponible en: https://pubmed.ncbi.nlm.nih.gov/29628331/.

30. Marrero Martínez JM, Perdomo Cordido B, Fleites León A, Guerra Ortega R. Síndrome de Fitz-Hugh-Curtis: hallazgo incidental durante el estudio de la infertilidad femenina. Medicentro Electrónica [Internet]. Abr-Jun 2019 [citado 13 May 2020];23(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30432019000200140

Published

2021-07-17

How to Cite

1.
Bonachea-Peña RR, Rodríguez-Arozarena C, González-Coca DB, Rodríguez-Chamizo C, Bonachea-Rodríguez M. Chronic pelvic pain in women. Arch méd Camagüey [Internet]. 2021 Jul. 17 [cited 2025 Aug. 2];25(4):548-60. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/7803

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